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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Executive Profile
Familiarity with HIPAA & OSHA standards Patient refunds, payments, account billing & rebilling Strong sense of urgency and responsiveness to customers Extremely detailed oriented organizational skills Strong communication skills & team work Knowledge of verifying insurance plans Collections & account follow-up Scheduling, Canceling appointments, Appointment reminders Strong self-motivation and time-management skills Ability to maintian confidentiality and practice discretion when handling sensitive information Familiarity with HIPAA & OSHA standards Patient refunds, payments, account billing & rebilling Strong sense of urgency and responsiveness to customers Extremely detailed oriented organizational skills Strong communication skills & team work Knowledge of verifying insurance plans Collections & account follow-up Scheduling, Canceling appointments, Appointment reminders Strong self-motivation and time-management skills Ability to maintian confidentiality and practice discretion when handling sensitive information ICD-9-CM, CPT-4, and HCPCS Coding Accurate and efficient in the completion of the CMS-1500 and the UB-04 forms Adept knowledge in EMR and HER Medisoft, Proto Med, Med Informatix, Emdeon, Pecos Medical terminology, anatomy, and physiology Medical billing and accounts receivable: EOB and RA interpretation Knowledge of Government Insurance, Private and Military Insurance Front Desk- Check in and out procedures ICD-9-CM, CPT-4, and HCPCS Coding Accurate and efficient in the completion of the CMS-1500 and the UB-04 forms Adept knowledge in EMR and HER Medisoft, Proto Med, Med Informatix, Emdeon, Pecos Medical terminology, anatomy, and physiology Medical billing and accounts receivable: EOB and RA interpretation Knowledge of Government Insurance, Private and Military Insurance Front Desk- Check in and out procedures
Skill Highlights
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Core Accomplishments
Professional Experience
Customer Support Specialist II, 02/2014 to Current
Clearcapital.Com, Inc.Fort Myers, FL,
  • Manages all aspects of initial intake: answering the phone and receiving faxes, collecting patient and referral source information, inputting data into IMBS and eintake, printing tickets, assembling charts and processing paperwork Conducts insurance verification and eligibility for services/products using Emdeon and Cyber Access Work extensively with e-intake proprietary system; maintains accuracy and quality control throughout initial patient contact and data input Processes work orders to field locations and coordinates timely fulfillment of products and services ordered Develops and maintains a working knowledge of current Medicare, Medicaid, insurance regulations, and FDA/DOT and JCAHO guidelines Conducts patient satisfaction calls and acts as patient advocate to identify and resolve any questions or concerns in a timely manner Build relationships with locations, patients, and referral sources Scheduling appointments for pick-up/deliver of equipment.
Customer Service Rep, 09/2012 to 02/2014
SyscoCincinnati, OH,
  • Highly skilled in assuring customer satisfaction and answering more than 50+ calls per shift.
  • Reviewing and quoting claim and benefits info.
  • Responsible for responding to customer phone calls by listening empathetically to the customer, clarifying and assessing customer needs, and resolving billing and basic service issues in a prompt and effective manner.
  • Able to efficiently navigate through multiple data entry systems and other relevant applications, tools and resources while speaking with customers.
Medical Assistant Externship, 01/1 to 09/2012
Kwik Trip, Inc.Chatfield, MN,
  • Check in procedures-input patient demographics information into Med Informatix software Verified insurance-contacted Blue Cross/Blue Shield, Cigna, Aetna, TriCare, Medicaid Collected patient payments, issued patient refunds, collections ICD-9 & CPT coding accuracy Answered phones, transferred calls, made appointment reminder phone calls & scheduled appointments Received and sent fax.
Assistant Manager, 03/2011 to 01/2012
Citi TrendsCity, STATE,
  • Successfully managed a team of 7 employees & assisted with new hire employee training Assist customers promptly & maintained store cleanliness Verified daily cash records with accuracy Performed office administration duties, such as database entry, filing, inventory, and scanning Ensures subordinates adhere to defined schedules Actively supports and conducts quality assurance monitoring for all team members on a frequent and ongoing basis to ensure customer satisfaction and conformance with process requirements and quality standards, while leading initiatives to eliminate non-conformance to operational policies and procedures.
Education
: Medical Billing and Coding Diploma, Expected in September 2012
Kaplan College - Charlotte, NC
GPA: Honor Roll & Dean's List recipient GPA: 4.0
Medical Billing and Coding Diploma Honor Roll & Dean's List recipient GPA: 4.0
High School Diploma: , Expected in 2007
Central Piedmont Community College - Charlotte, NC
GPA:
Skills
basic, benefits, billing, charts, CPT coding, customer satisfaction, data entry, database, faxes, fax, filing, ICD-9, insurance, inventory, listening, Access, office administration, pick, policies, Processes, speaking, quality, quality assurance, quality control, receiving, scanning, Scheduling, phones, phone, employee training

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School Attended

  • Kaplan College
  • Central Piedmont Community College

Job Titles Held:

  • Customer Support Specialist II
  • Customer Service Rep
  • Medical Assistant Externship
  • Assistant Manager

Degrees

  • High School Diploma

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