Summary
I have worked in different fields which consist of medical coder, customer service, patient care, and sales consultant for about 9+ years. Seeking a role of increased responsibility and authority. I'm a dedicated and focused medical coder who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals, I also currently schedule appointments for the veterans and answer inbound calls in a call center pace, and been working as a medical scheduler/coder for about 3+ years. I use to work as a Direct Caregiver in nursing homes for about 6 years, which was a great opportunity for me to show my patient care skills and receive a little medical knowledge that made me think about pursuing my career in the medical arena. I have performed customer service skills as a Call Center Representative (CCR) versed in customer support in high call volume environments for about 2 ½ years. Superior computer skills and telephone etiquette.
Highlights
• Medical terminology (10/15/2014 to current)
• Human Anatomy and Physiology l & ll (10/15/2014 to current)
• Medical Coding (10/15/2014 to current)
• ICD-9-CM (10/15/2014 to current)
• ICD-10-CM (10/15/2014 to current)
• HCPCS (10/15/2014 to current)
• CPT-4 (10/15/2014 to current)
• High customer service standards
• Service solutions expert
• Dedicated to process improvement
• Strong problem solving ability
• Customer Relationship Management software (CRM)
• Insurance eligibility verifications
• Microsoft Office proficiency
• Dedicated team player
Accomplishments
Multitasking
• Demonstrated proficiencies in telephone, e-mail, fax and completing
authorizations within high-volume environment.
Scheduling
• Facilitated onboarding of unenrolled veterans by educating benefit plans, answering questions and processing authorizations in computer.
Research
• Investigated any necessary information for proper billing for insurance companies, patients and DMEs such as proper billing codes.
Research
• Investigated and analyzed client complaints to identify and resolve issues.
Administration
• Answered multiple phone lines, transferred calls to corresponding departments, filed patient records and billed accordingly.
Customer Service
• Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.
• Managed call flow with up to 12 calls in queue per minute.
Experience
Veteran Affairs Appointment Scheduler and Coder
October 2014 to April 2016
Sutherland Global Services- Alexandria, LA
Obtained information by contacting appropriate personnel or patients. Strictly followed all federal and state guideliness for release of information. Acquired insurance authorizations for procedures and tests ordered by the attending physician. Scheduled veterans appointments. Scheduled radiology exams for veterans. Carefully coded disease and injury diagnoses, acuity of care and procedures in an outpatient setting. Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Prepared and attached all required claims documentation including referral, treatment plans or other required correspondence to reduce incidence of denials. Efficiently performed insurance verification and pre-certification and pre-authorization functions.
AT&T Sales Consultant
October 2012 to October 2014
Sutherland Global Services- Alexandria, LA
Listened to customer needs and preferences to provide accurate advice. Completed purchases with credit and debit payment methods. Trained all new sales employees on effective techniques. Reviewed purchases for fraudulent activ...
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