Charge Entry Account Representative Resume Example Palo Alto Medical Foundation

CHARGE ENTRY ACCOUNT REPRESENTATIVE

Professional Summary

Highly efficient Charge Entry Account Representative with experience in anesthesia, EKG, inpatient and outpatient. Excellent multi-tasker and demonstrated team player with a positive attitude. Proficient with EPIC and currently studying medical billing & coding and business. Strong attention to detail and a desire to advance in the health care field.

Skill Highlights

Maintains strict confidentiality
Electronic Medical Record (EPIC) software
ICD-9 and ICD-10 knowledge and data entry
HIPAA compliance

Strong work ethic
Team player with positive attitude
Deadline-driven
Patient-focused care

Professional Experience

Charge Entry Account Representative 12/2012 to CurrentPalo Alto Medical FoundationSunnyvale, CA

Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Added modifiers as appropriate and verified diagnoses.
Analyzed and interpreted patient medical and surgical records to complete charge tickets for processing.
Evaluated and entered charges, payments and adjustments.
Ensured timely and accurate charge submission through electronic charge capture.

Pharmacy Technician 06/2009 to 12/2012Palo Alto Medical FoundationLos Gatos, CA

Carefully reviewed medical records for accuracy and completion as required by insurance companies.
Strictly followed all federal and state guidelines for release of information.
Acquired insurance authorizations for procedures and tests ordered by the attending physician.
Received and submitted all prescription refill requests on behalf of the patients to the physicians.
Provided refill desk support for all the physicians in Palo Alto Medical Foundation and surrounding Pharmacy's.
Resolved and clarified issues with patient medications and collaborated with local pharmacies.
Accurately entered prescription and refill orders into EPIC and directed them accordingly.
Phoned in prescriptions as needed per patient chart and authorized refills.
Completed prior authorizations accurately and efficiently.
Maintained and reported statistical data in a timely and efficient manner.
Performed duties and participated in organization projects as assigned.

Pharmacy Technician09/2005 to 06/2009Rite Aid PharmacyLos Gatos, CA

Assist customers with prescription pick up and drop off.
Processing of various customers claims and resolve complaints.
Handling of multi-line phone system and cashiering duties.
Maintenance of McKesson/warehouse ordering and monthly inventory reports.
Thoroughly investigated past due invoices and minimized number of unpaid accounts.
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate insurance information.
Strictly followed all federal and state guidelines for release of information.
Acquired insurance authorizations for prescriptions ordered by the attending physician.
Maintained an organized logging system for patients prior authorizations, refill requests and control medication inventory.
Resolved and clarified issues with patient medications and collaborated with physicians accordingly.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Confirmed patient information, collected copays and verified insurance.
Evaluated the accuracy of provider prescriptions, including dates of service, ordered medication, drug class, quantity, authorized refills, patient identification and provider signature.
Completed and submitted Medi-Cal TARS, filed, and submitted claims.
Consistently informed patients of their financial responsibilities prior to services being rendered. .
Compounding of medications and oversee dispensary operations.

Education and Training

Bachelor of Science: BA in Business2018University of PhoenixSan Jose, CA

Member of The National Society of Collegiate Scholars

3.10 GPA

Currently studying

Billing/Coding: Medical Coding2016John Hailes UniversitySan Jose, CA

Currently studying

Certified Test Administrator2005Pearson Vue San Jose, CA

Pharmacology.: Pharmacy Technician2005Unitek College San Jose, CA

Perseverance Academic Achievement Award

Team Player Academic Achievement Award

99% grade point average Academic Achievement Award

Perfect Attendance Academic Achievement Award

Massage Therapy2004Bryman CollegeSan Jose, CA

Select One: Interior Design Assistant2001Central County Occupational CenterSan Jose, CA

Licenses

California State License Pharmacy Technician TCH64400

AAPC Member ID# 01442927

Skills

EPIC, Word, Excel, Outlook, Lawson, Kronos and Nexgen program experience.
Pharmacology knowledge, McKesson and warehouse ordering.
Multiple phone lines, call center, patient registration and extensive data entry.
Printing, faxing, inner office mail, production log reports, and high volume workload management.

Resume Overview

Companies Worked For:

Palo Alto Medical Foundation
Rite Aid Pharmacy

School Attended

University of Phoenix
John Hailes University
Pearson Vue
Unitek College
Bryman College
Central County Occupational Center

Job Titles Held:

Charge Entry Account Representative
Pharmacy Technician

Degrees

Bachelor of Science : BA in Business 2018
Billing/Coding : Medical Coding 2016
Certified Test Administrator 2005
Pharmacology. : Pharmacy Technician 2005
Massage Therapy 2004
Select One : Interior Design Assistant 2001

Charge Entry Account Representative Resume Example

Resume Score: 100%

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