Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate EMR systems. Effective at operating within HIPPA regulations and Medical Records department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.
Skills
Recordkeeping strengths
Medical terminology knowledge
Good listening skills
Key stakeholder relationship building
Staff education and training
Administrative support
Service standard compliance
Creative problem solving
Warehousing functions
Shipping procedures understanding
Work History
Licensed Customer Service Representative III, 06/2021 - Current Magna International Inc. – Detroit, MI,
Provided primary customer support to internal and external customers.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Answered customer telephone calls promptly to avoid on-hold wait times.
Recommended products to customers, thoroughly explaining details.
Cultivated customer loyalty, promoted repeat customers and improved sales.
Provided information regarding charge accounts and loyalty programs.
Evaluated account and service histories to identify trends, using data to mitigate future issues.
Responded to customer requests for products, services and company information.
Collected customer feedback and made process changes to exceed customer satisfaction goals.
Regularly exceeded daily sales and product add-on quotas.
Answered constant flow of customer calls with minimal wait times.
Production Associate , 09/2010 - 08/2020 Cvs Health – Plano, TX,
Inspected final products to assess compliance with quality standards and established tolerances.
Supported current production needs by moving items between equipment, conveyors and staging areas.
Provided work orders to outside vendors and maintained project specification records.
Supported machine operators in setup and operation of production equipment resulting in efficient runs.
Maintained maximum organization and productivity by properly sorting project components on work tables.
Documented production information via daily system logs and discussed issues with management.
Kept work area clean, neat and organized to prevent accidents, mishaps and misplaced tools.
Reviewed job specifications to determine appropriate setups for production runs.
Medical Billing Representative, 07/2007 - 09/2013 PHNS – City, STATE,
Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
Evaluated patients' financial status and established appropriate payment plans.
Determined prior authorizations for medication and outpatient procedures.
Confidently and adeptly handled claim denials and/or appeals.
Posted and adjusted payments from insurance companies.
Maintained and updated collections tracking spreadsheet to help organize payment information.
Accurately posted and sent out all medical claims.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Managed collections claims for unpaid bills against estates of debtors.
Precisely evaluated and verified benefits and eligibility.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Followed up on legal claims.
Transferred balances to correct payers.
Maintained current accounts through aged revenue reporting.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Adhered to established standards to safeguard all patients' health information.
Gathered information from multiple sources to simplify billing and organize accounts.
Assisted patients by determining financial assistance available and setting up payment plans.
Managed billing calendar and scheduled claims for payments.
Scheduled patients in Medical Manager System.
Medical Records Abstractor, 01/2006 - 07/2007 Baptist Memorial Hospital – City, STATE,
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Processed medical records requests from outside providers according to facility, state and federal law.
Maintained historical reference by abstracting and coding clinical data such as diseases, operations, procedures and therapies with standard classification systems.
Gathered patient information by collecting demographic information from variety of sources.
Maintained patient confidence by keeping patient records information confidential.
Reviewed charts and flagged incomplete or inaccurate information.
Uploaded physician progress notes, history and physicals into electronic medical records.
Maintained patient records in compliance with security regulations.
Delivered charts to assigned areas of hospital by following established routing procedures.
Communicated effectively with staff, patients and insurance companies by email and telephone.
Maintained accuracy, completeness and security for medical records and health information.
Identified new methods to optimize medical records management.
Kept accurate log of all requests for medical information and records.
Input data into computer programs and filing systems.
Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Used classification manuals to gain additional knowledge of disease and diagnoses processes.
Processed patient admission and discharge documentation.
Education
CPC Certification : Certified Professional Coder , Expected in 07/2021 - AAPC - Online, GPA:
High School Diploma : General Studies, Expected in 05/2001 - South Panola High School - Batesville, Ms , GPA:
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