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Medical Data Processor/ Customer Service Representative Resume Example

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MEDICAL DATA PROCESSOR/ CUSTOMER SERVICE REPRESENTATIVE
Summary

Detail-oriented accounts receivable specialist with 3+ years experience applying financial and managerial accounting practices, specializing in medical billing & collecting.

Highlights
  • 7+ yrs. Sales Experience 7+ yrs. General Office Management experience
  • 5+ yrs. Experience in Customer service Multi-line phone proficiency
  • Fast Learner Advanced clerical knowledge
  • Hard worker Administrative support specialist
  • Professional demeanor Professional phone etiquette
  • Time management skills Trusted key holder
  • Type 60 wpm Creative problem solver
  • Attention to detail Exceptional communication skills
  • Filing and data archiving MS Windows proficient

Cash-flow report generation

Accounting systems assessment

Analytical reasoning

Account reconciliations


Accomplishments
  • HIPAA compliance POS systems expert International Classification of Diseases Medical terminology knowledge ICD.9CM) Customer interface expertise HCFA Common Procedure Coding Systems Skilled in call center operations HCPCS) OSHA compliance Patient scheduling Quality assurance Maintains confidentiality Independent worker Works well under pressure CMS-1500 billing forms Insurance eligibility.
Experience
Medical Data Processor/ Customer Service Representative, 06/2013 to 06/2015Physicians Data Trust － Vista, CA
  • Working knowledge & experience with ICD-9, Modifier usage, California Managed Care (HMO) Regulations, and claim settling with patients and providers which included payment posting and processing Trained new employees on multiple medical billing programs and data entry software.
  • Verified and created claim numbers by communicating with various insurance companies.
  • Processed accounts receivable and accounts payable Reduced overhead by taking on more responsibility with creative and administrative projects.
  • Answered and quickly redirected up to 200+ calls per day.
  • Completed data entry, tracked resumes and maintained the applicant tracking system.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Maintained strict patient and physician confidentiality.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
  • Managed collections claims for unpaid bills against the estates of debtors.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Submitted electronic/paper claims documentation for timely filing.
  • Responded to correspondence from insurance companies.
  • Identified and resolved patient billing and payment issues.
  • Confidently and adeptly handled claim denials and/or appeals.
  • Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Answered an average of 100+ calls per day by addressing customer inquiries, solving problems and providing new product information.
Retail Sales Associate, 12/2010 to 09/2011Verizon Wireless － Murrieta, CA
  • Assisted customers in choosing the best service plan, cellular devices and accessories that fit their daily routines as best as possible.
  • Troubleshoot any issues for customers from billing to servicing technical problems.
  • Investigated and resolved customer inquiries and complaints in a timely and empathetic manner.
  • Scored in top 10% of employees in successful resolution of issues Developed reputation as an efficient service provider with high levels of accuracy.
  • Served as the main liaison between customers, management and sales team.
  • Ensured superior customer experience by addressing customer concerns, demonstrating empathy and resolving problems on the spot.
  • Maintained friendly and professional customer interactions at all times.
  • Exceeded targeted sales goals on a consistent basis Communicated sales promotions to customers to grow average customer account size by 50%.
  • Maintained accurate records of past due customer account activity.
  • Maintained up-to-date knowledge of product and service changes.
  • Managed work flow to exceed quality service goals.
  • Followed-through on all critical inter-departmental escalations to increase customer retention rates.
  • Strong leader of customer support staff.
  • Met all customer call guidelines including service levels, handle time and productivity.
  • Set up new accounts, established customer credit, and set up payment methods.
  • Completed company leadership training program.
Retail Sales Associate, 10/2007 to 02/2009AT&T Corporate － Temecula, CA
  • Prioritized daily workflows, including all inbound calls, quotes and sales-related inquiries.
  • Transitioned an average of 10 leads per day into paying customers on a daily basis.
  • Analyzed departmental documents for appropriate distribution and filing.
  • Politely assisted customers in person and via telephone.
  • Earned management trust by serving as key holder, responsibly opening and closing store.
  • Provided an elevated customer experience to generate a loyal clientèle.
  • Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.
  • Answered product questions with up-to-date knowledge of sales and store promotions.
  • Consistently hit and exceeded sales goals by 20%.
  • Identified and qualified customer needs, developed sales strategies and negotiated and closes profitable projects with a 85% success rate.
  • Built client relationships by acting as the liaison between the customer service and sales teams.
  • Contacted regular and prospective customers to explain product features and solicit orders.
  • Consulted with clients after sales and contract signings to resolve problems and provide ongoing support.
  • Stocked and replenished merchandise according to store merchandising layouts.
  • Operated a cash register for cash, check and credit card transactions with 100% accuracy.
  • Alerted customers to upcoming sales events and promotions.
  • Handled all customer relations issues in a gracious manner and in accordance with company policies.
  • Completed all point of sale opening and closing procedures, including counting the contents of the cash register.
  • Educated customers about the brand to incite excitement about the company's mission and values.
  • Answered customer telephone calls promptly and in an appropriate manner.
Education
BA of Science:Health Administration & Health Management,12/01/2012University of PhoenixHealth Administration & Health Management
Skills
accounts payable, accounts receivable, administrative, Administrative support, Attention to detail, billing, cash register, cash register, clerical, closing, CMS, communication skills, CPT, Creative problem solver, credit, addressing customer concerns, client, clients, customer relations, Customer service, customer support, data entry, documentation, features, Filing, General Office, government, ICD-9, insurance, leadership training, medical billing, MS Windows, policies, coding, protocols, quality, Fast Learner, Sales Experience 7, sales, store merchandising, telephone, phone, phone etiquette, Time management, Troubleshoot, Type 60 wpm
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Resume Overview

Companies Worked For:

  • Physicians Data Trust
  • Verizon Wireless
  • AT&T Corporate

School Attended

  • University of Phoenix

Job Titles Held:

  • Medical Data Processor/ Customer Service Representative
  • Retail Sales Associate

Degrees

  • BA of Science : Health Administration & Health Management , 12/01/2012

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