Internal Account Manager Resume Example
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INTERNAL ACCOUNT MANAGER
Professional Summary
Expert Medical Biller successful in fast-paced, high-volume medical offices. Knowledge about TELCOR.
Organized Medical Biller adept at accurately auditing patient charts and billing corresponding parties.
Knowledgeable Medical Biller with eye for detail and commitment to accurate work.
Capable Office Assistant with 10+ years of billing and coding, patient charting, insurance claims and appointment scheduling in a busy medical office setting.
Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Detail-oriented professional with a focus on deadlines and the assurance that all medical billing is handled efficiently and without errors.
Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Skills
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Work History
Internal Account Manager, 05/2008 to 10/2019
Circle K Stores, Inc. – Round Rock , TX
Circle K Stores, Inc. – Round Rock , TX
- Followed up on legal claims.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Analyzed medical records to satisfy insurance company mandates.
- Filed and updated patient information and medical records.
- Adhered to established standards to safeguard all patients' health information.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Maintained current accounts through aged revenue reporting.
- Applied charges and updated patient records by using TELCOR .
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Collected payments and applied to patient accounts.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Reviewed outgoing bills for eligibility and accurateness.
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
- Transferred balances to correct payers.
- Completed client requests and advised supervisors of special needs.
- Verified signatures and checked medical charts for accuracy and completion.
- Researched and followed up on denied insurance claims.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Efficiently collected payments and communicated with clients.
- Verified proper ICD-9 nd ICD-10 coding on claims.
- Set up and maintained new electronic billing system.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
Store Operations Support Supervisor, 04/2004 to 12/2007
Brooks Eckerd Pharmacy – City , STATE
Brooks Eckerd Pharmacy – City , STATE
- Developed and tested new product offerings prior to release to assist development team in bug identification.
- Responded to support requests from end users and patiently walked individuals through basic troubleshooting tasks.
- Documented all transactions and support interactions in system for future reference and addition to knowledge base.
- Worked with software development team on reported errors and bugs on newly released software and assisted in deployment of release fixes.
- Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
- Researched issues through identification of similar past problems and recommended most appropriate solution.
- Created support documentation that empowered and enabled user community to extend skills, leverage system features and find resolutions to questions without intervention from support team.
- Maintained an average of 50+ calls per day - assisting Store Management
Assistant Store Manger, 04/1998 to 04/2004
Brooks Eckerd Pharmacy – City , STATE
Brooks Eckerd Pharmacy – City , STATE
- Assisted team members with delivering friendly, knowledgeable service by applying proactive monitoring and corrective action strategies.
- Promoted professional growth and facilitated talent development of each associate to drive performance excellence.
- Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
- Rotated merchandise and displays to feature new products and promotions.
- Assessed job applications and made hiring recommendations to bring in top candidates for key vacancies.
- Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
- Developed and managed employee schedules, balancing individual requests and requirements with business needs.
- Conducted store inventories once per quarter.
- Processed payments for credit and debit cards and returned proper change for cash transactions.
- Maintained high levels of organization in store by directing customers and replenishing merchandise.
- Performed mandatory audits to enforce compliance in merchandising, inventory and customer service.
- Served as floating manager-on-duty, MOD, to cover shift shortage.
- Supervised associates by providing direction and instruction for stocking shelves, rotating stock and receiving deliveries.
- Handled customer service by dealing with complaints, organizing stock and answering customer questions.
- Monitored security and handled incidents calmly.
- Assisted Manager in interview process of prospective employees and provided feedback.
Education
High School DiplomaCranston East High School - City
Medical Billing Certification: Medical Insurance Billing, 2008
Family Resources of Rhode Island - City
Family Resources of Rhode Island - City
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Resume Overview
School Attended
- Cranston East High School
- Family Resources of Rhode Island
Job Titles Held:
- Internal Account Manager
- Store Operations Support Supervisor
- Assistant Store Manger
Degrees
- High School Diploma
Medical Billing Certification : Medical Insurance Billing , 2008
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