Energetic Professional; with 13 years of experience deprived through College and service of employment in this field. Possesses a comprehensive background in customer service, medical billing and multi-specialist physicians and /or ambulatory departments. Possess intensive knowledge in continual process improvement of medical billing and coding.
Skills
Self-Motivated
MS Office proficient
Process Improvement
Customer Service / Call Center
Quality Assurance
Communication Skills
Crisis Communication
Problem Solver
HCPCS/CPT-5 and ICD-10 Coding
Organizing Patient Records
File & Record Maintenance
Perform Collections
Perform Preparation, Process Billing
Medical terminology knowledge
Work History
Customer Service Representative, 01/2016 to 06/2020 Valvoline Instant Oil Change – Kent, OH,
Provided Quality patient care as demand within surgical, acute-care, rehabilitation, home-assisted living, and nursing-home settings.
Report directly to administration of office operations
Provided all secretarial services to assistant administrator
Collect and assembled information required for management reports and meetings
Communicated with all personnel/Monitored payroll time reports
Managed over 200 calls per day day
Customer Service Representative/Property Specialist, 09/2012 to 02/2016 Valvoline Instant Oil Change – Kuna, ID,
Conduct both intake and release procedures for inmates in Bexar County Adult Detention Center.
Responding to and resolving crisis situation such as fights, fires, and medical emergencies and restraining physically violent inmates.
Assisting with inmates' personal needs such as telephone calls, mail laundry, visits, and commissary.
Completing and processing surety bonds and all required paperwork on inmates and events occurring within jail facilities.
Worked in conjunction with various medical health and legal entities to ensure appropriate arrangements and classification for both inmates and releases within facility.
Supervised inmate's personal property and utilized mocha system for inventory of inmate property.
Purged property, handled TDC exchange for judges, and exported property and supplies between facilities.
Created intake assessments and follow-ups regarding highly confidential information.
Prepared detailed written records and reports while serving court documents and warrants.
Researched, analyzed, filed, and interpreted criminal and civil laws aiding in public law enforcement process warrants.
Provided primary customer support to internal and external customers.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Communicated with vendors regarding backorder availability, future inventory, and special orders.
Offered advice and assistance to customers, paying attention to special needs or wants.
Managed 300 calls promptly to avoid on-hold wait times.
Customer Service Representative/Insurance Verifier, 08/2011 to 09/2012 Precision Medical Systems – City, STATE,
Performed posting charges and completion of claims to payers in record timing.
Convert dosage to billable units, organized filed patient records, and appealed insurance denial
Submitted billing data to insurance providers and followed up with clients to collect payments.
Worked on claims and claim denials to ensure form verification, processing, and billing.
Implemented and maintained and reported on programs initiated by practice.
Insured insurance form verification, processing, and billing.
Provided excellent customer service on all claims worked.
Adhered to all guidelines /regulations of HIPPA.
Coordinated efficiency reports tracking complaints between customer service representatives and provided recommendations for overall complaint handling improvements.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
Evaluated account and service histories to identify trends, using data to mitigate future issues
Answered over 300 constant flow of customer calls with minimal wait times
Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions
Consulted with outside parties to resolve discrepancies and create effective solutions
Customer Service Representative, 04/2010 to 09/2012 Progressive Billing – City, STATE,
Collecting, posting and managed account payments.
Submitted claims and follow-ups with insurance companies.
Handled all doctor referrals and maintain confidentiality to adhere to all HIPPA guidelines/regulations.
Responsible for verifying and notifying supervisor of all transactions that were made on daily basis.
Organized and filed patient records performed appeals when claims where denied.
Provided excellent customer service in order to get accounts paid by clients.
Trouble shoot equipment problems and maintain service and preventative maintenance records of all office equipment.
Prepared insurance forms and processing for CPT-5/ICD-10 and HCPCS.
Education
Bachelor of Arts: Biblical Arts, Expected in 06/2023 Houston Baptist University - Houston, TX GPA:
Associate of Arts: Medical Billing And Coding (NRCCS Certificated), Expected in 06/2011 Kaplan College - San Antonio - San Antonio, TX, GPA:
Continuing education in NAHP USA
Associate of Arts: Business Administration, Expected in 05/1994 Davenport University - Grand Rapids, MI GPA:
High School Diploma: , Expected in 06/1983 Northwestern High School - Flint, MI GPA:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
resume Strength
Formatting
Length
Measurable Results
Personalization
Strong Summary
Target Job
Typos
Word Choice
Resume Overview
School Attended
Houston Baptist University
Kaplan College - San Antonio
Davenport University
Northwestern High School
Job Titles Held:
Customer Service Representative
Customer Service Representative/Property Specialist
Customer Service Representative/Insurance Verifier
