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OPCSR Resume Example

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OPCSR
Professional Summary
Qualified OPCSR in fast-paced and high volume patient clinic  and call center environments. Personable and professional under pressure. Excellent communicator  in a demanding call center environment as a Customer Service Representative. Expert Medical Biller who thrives in fast-paced, high-volume medical offices. Knowledge of Sun Rise and IDX SYSTEMS. Over 10 years of billing and coding, patient charting, insurance claims and appointment scheduling in a busy medical office setting. Organized Medical Records Clerk with the ability to readily adapt to changing environments and demands. Medical Administrative adept at verifying insurance coverage, reviewing records, scheduling exams and updating patient information. Previously supported up to 15 physicians in a busy medical office setting.  Bilingual Medical Receptionist with over 12 years experience.
Skills
  • Strong client relations
  • Proficient in cash management
  • Local/state health laws knowledge
  • Medical terminology knowledge
  • Exceptional communication skills
  • Critical thinking
  • Physician billing
  • HCFA Common Procedure Coding Systems (HCPCS)
  • HIPAA compliance
  • International Classification of Diseases (ICD.9CM)
  • Patient scheduling
  • Quality assurance
  • Word processing
  • Accurate and detailed
  • Professional and mature
  • Maintains confidentiality
  • Works well under pressure
  • Schedule management
  • Insurance eligibility
  • Understands insurance benefits
  • Ambulance coding familiarity
  • Office management professional
  • Resourceful and reliable worker
  • Office support (phones, faxing, filing)
  • Excellent verbal communication
Work History
OPCSR, 12/2006 to 05/2013
University Health System – 701 S Zarzamora
  • Answered an average of 30 calls per day by addressing customer inquiries, solving problems and providing new patient information.
  • Patient registration quickly and accurately
  • Entering daily charges
  • Politely assisted customers in person and via telephone.
  • Communicated with vendors regarding back order availability, future inventory and special orders.
  • co-pay collections
  • Authorizations for procedures and office visits
  • Organizing Busy Dr templates For Renal and Dermatology
  • Performed accounts receivable duties including invoicing, researching chargebacks, discrepancies and reconciliations.
  • Audited new customer files to verify medical necessity and satisfaction of coverage criteria.
  • Performed monthly inventory and maintained office and medical supply counts.
Patient Customer Service Represenative, 10/2002 to 01/2007
University Physicians Group – 701 S Zazamora
  • Greeted customers entering  ascertain what each customer wanted or needed.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
  • Professionally and courteously verified appointment times with patients.
  • Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
  • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
  • Verified patients' eligibility and claims status with insurance agencies.
  • Entered orders into the EMR system efficiently and without errors.
  • Compiled necessary documents for surgical billing packages.
  • Assigned appropriate medical codes with a number percent accuracy rate.
  • Determined prior authorizations for office visits and outpatient procedures.
  • Maintained strict patient and physician confidentiality.
Education
GED: Cosmotology, 1996
South West High School - 11960 Dragon Lane. San Antonio, Texas 78252
  • Completed Advanced Customer Service training
  • Office Administration coursework
  • Health Information Technician (RHIT) coursework
  • Certificate in Health Information Administration
  • Coursework in Medical Front Office Assisting
  • Coursework in Business, Accounting and Healthcare Administration
Medical Administrative, 2002
National Institute of Technology - 3622 Fredricksberg Rd
  • Office Administration coursework
  • Coursework in Healthcare Management
  • Certificate in Health Information Administration
  • Coursework in Healthcare Administration
  • Coursework in Medical Front Office Assisting
  • Coursework in Business, Accounting and Healthcare Administration
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Resume Overview

Companies Worked For:

  • University Health System
  • University Physicians Group

School Attended

  • South West High School
  • National Institute of Technology

Job Titles Held:

  • OPCSR
  • Patient Customer Service Represenative

Degrees

  • GED : Cosmotology , 1996
    Medical Administrative , 2002