- , , 100 Montgomery St. 10th Floor
- (555) 432-1000
- resumesample@example.com
- Date of Birth:
- India:
- single:
Supportive Patient Service Representative with 32 years of experience. Dedicated to efficient office administration and comprehensive assistance. Adept at scheduling and patient education.
Efficient Patient Service Representative with 14 years of experience working in a medical office setting. Extensive knowledge of medical record organization and patient advocacy. Successful at helping patients through every step of the healthcare process.
Motivated to support patient medical needs by efficiently verifying insurance, scheduling appointments and organizing documents. Forward-thinking and resourceful with good interpersonal skills, a strong attention to detail and a positive and upbeat mentality. Abilities in EPIC.
Detail-oriented Patient Service Representative with outstanding knowledge of ophthalmic treatment and coding. Successful at coordinating between patients and professionals and comprehensive patient education. Committed to organization and efficiency.
Patient Services talent for coding and efficiency. Strong knowledge of medical office procedures. Communicative and team-oriented with proficiency in EPIC. Proven history of meeting team, individual and management goals.
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Cleveland-Cliffs Inc. – Columbus, IN,
- Scheduled patient appointment and procedures with EPIC software.
- Ran statements each month to review outstanding balances and identify accounts in need of collection processing.
- Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Checked claims for errors, corrected issues and mailed out promptly.
- Checked daily doctor schedules and verified insurance.
- Coordinated between patients and healthcare professionals to meet patient needs.
- Improved profit margins by streamlining operations and workflow.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Motivated and encouraged team members to communicate more openly and constructively with each other.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Utah Retirement Systems – Salt Lake City, UT,
- Composed business correspondences for supervisors, managers and other professionals.
- Corresponded with insurance customers and agents to obtain or relay information on account status changes.
- Analyzed insurance organizational structures, business and intermediaries; studied basic documents, including common clauses, policies and insurance contracts.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Kept team on track by assigning and supervising their activities and giving constructive feedback.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Met and exceeded office requirement of 80 claims posted per day.
- Ran end of week and end of month reports for Human Resources regarding claims processed.
- Regularly held meetings with staff regarding weekly requirements/goals.
- Audited staff weekly for correct claims processing.
Jefferson Pilot Insurance – City, STATE,
- Reviewed administrative guidelines whenever questions arose during processing of claims.
- Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Used contract notes and processing manual to correctly apply group-specific classifications to claims.
- Sent clinical request and missing information letters to obtain incomplete information.
- Accurately processed large volume of medical claims every shift.
- Reviewed claims for accuracy before submitting for billing.
- Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records.
Lucy Ragsdale High School - Jamestown, NC
Guilford T - ,
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School Attended
- Lucy Ragsdale High School
- Guilford T
Job Titles Held:
- Coder/Patient Services Representative III
- Senior Claims Representative
- Medical Claims Adjuster
Degrees
- High School Diploma
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