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Medical Call Center Resume Example

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MEDICAL CALL CENTER
Summary

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.

Skills
  • Medical terminology
  • Registration services
  • Quality performance measures
  • Relationships and rapport
  • Proficient in EMR: EPIC, Allscripts, Centricity, ADP Elabor, Microsoft Work, Excel, Outlook
  • Patient data confidentiality
  • Patient service and assistance
  • Appointment confirmation
  • Medical billing
  • Medical filing
  • Claims analysis and review specialist
  • Medical coding capability
  • Healthcare billing proficiency
  • Critical thinking proficiency
  • Sound decision-making
  • Patient-oriented
Experience
Medical Call Center11/2019 to CurrentWestMedCharlotte, NC
  • Updated patient financial information to ensure accuracy.
  • Interviewed patients to collect medical information and insurance details.
  • Created and maintained accurate and confidential patient files.
  • Maximized office efficiency by answering more than 70 incoming calls per day to provide office information and transfer calls to desired personal.
  • Answered 70 average daily phone calls to schedule appointments and address patient inquiries.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services in busy office setting.
Medical Office Administrative 09/2018 to 11/2019ProHealth Physicians, United HealthCareManchester, CT
  • Maintained confidentiality of records relating to clients' treatment
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Collected deductibles, balances and copay from patients.
  • Scheduled appointments for patients via phone and in person.
  • Assisted with referrals and prepared medical records for patients.
  • Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
  • Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Scheduled patient appointments and cultivated partnerships with managed care organizations, hospitals and insurance carriers to ensure swift payment and issue resolution.
  • Collected information, verified insurance and collected co-payments for patients each day.
  • Registered patients and scheduled appointments.
  • Submitted diagnosis and procedure codes for insurance companies.
  • Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
  • Gathered community resources and coordinated referrals to obtain services.
  • Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
  • Contacted insurance companies to obtain the necessary preauthorizations needed for upcoming tests and procedures.
  • Used online medical insurance website to input claim, prior authorization and other important medical data into the system.
Medical Office Administrative11/2006 to 09/2018Healthwise Family CareManchester, CT
  • Submitted diagnosis and procedure codes for insurance companies.
  • Ensured patient confidentiality by making sure health information was secured.
  • Assisted with referrals and prepared medical records for patients.
  • Oversaw office inventory and timely reordering of supplies.
  • Managed office inventory and completed new purchases in a timely manner.
  • Coordinated communications between patients, physicians and hospital personnel.
  • Managed financial documentations such as expense reports and invoices.
  • Conducted insurance verification and pre-authorization, coded procedures and managed patient charts.
  • Worked with insurance company representatives to verify benefits and obtain balances owed.
  • Gathered information to file appeals for denials and minimized inaccuracies by maintaining accurate records of approvals.
  • Maintained current knowledge of health records system and trained all new employees on correct usage.
  • Registered patients and scheduled appointments.
  • Communicated with patients regarding payments on outstanding accounts.
  • Collected information, verified insurance and collected co-payments for patients each day.
  • Provided exceptional patient experience through friendly and compassionate communications.
  • Prepared patients' medical charts and ensured patient filled out paperwork accurately and in full.
  • Collected deductibles, balances and copay from patients.
  • Organized patient files and streamlined operations to improve efficiency.
  • Scheduled appointments, oversaw check-ins and resolved patient concerns in a high-volume Internal Medical practice.
Patient Representative06/2004 to 11/2006Kid Station PediatricManchester, CT
  • Promoted patient data confidentiality by following strict rules and regulations endorsed by the facility.
  • Spoke to patients upon arrival to determine if personal data or insurance information had changed.
  • Scheduled appointments and ensured all patients received appointment reminders for upcoming office visits.
  • Supervised the flow of patients and made sure each person was checked in and attended to quickly.
  • Informed patients of delays and approximate wait times upon arrival for appointments.
  • Checked claims for errors, corrected issues and mailed out in a timely manner.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Checked daily doctor schedules and verified insurance.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Built strong network of outside referral sources within community.
  • Maintained strict patient privacy and confidential patient information, taking care to meet all HIPAA guidelines and statues for data security.
  • Maintained HIPAA compliance across all patient data-handling, systems and training.
Education and Training
BBA: Health Management Expected in 09/2020National University College - BayamonBayamon, PR
Certificate: Medical Billing And Coding06/2001Educational Training of WethersfieldWethersfield, CT
Certificate: Certified Nursing Assistant06/1998Educational Training of WethersfieldWethersfield, CT
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Resume Overview

Companies Worked For:

  • WestMed
  • ProHealth Physicians, United HealthCare
  • Healthwise Family Care
  • Kid Station Pediatric

School Attended

  • National University College - Bayamon
  • Educational Training of Wethersfield

Job Titles Held:

  • Medical Call Center
  • Medical Office Administrative
  • Patient Representative

Degrees

  • BBA : Health Management Expected in 09/2020
    Certificate : Medical Billing And Coding 06/2001
    Certificate : Certified Nursing Assistant 06/1998

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