CUSTOMER SERVICE ADVOCATE Summary Detail-oriented Administrative/ Clerical support extensive experience performing medical clerical duties supporting 5 physicians busy medical office. Expertise includes excellent communication skills demonstrated by18 years experience, verifying insurance coverage, records reviews schedule maintenance. Highlights Results-oriented Maintains strict confidentiality Meticulous attention detail Excellent communication skills Team player positive attitude Strong work ethics Experience Customer Service Advocate May 2014 Current Company Name － City State Provided accurate appropriate information response customer inquiries Medicare Part B providers Explain Medicare Part B claim denials correct claim payment. Provide reference resource material providers conduct research denials Verify confirm beneficiary eligibility Medicare Part A B. Strictly followed federal state guidelines release information. Examined diagnosis codes accuracy, completeness, specificity appropriateness according services rendered. Customer Service Representative September 2013 May 2014 Company Name － City State Addressed customer service inquiries timely accurate fashion. Explaining current Medicare D drug plan members Taking medication refill orders Researching plan design copay structures formulary change Providing pleasant, accurate customer service Providing information regarding changes Medicare Part D drug plan structures Providing Medicare mandates procedures updates. Surgery Scheduler March 1999 June 2013 Company Name － City State Efficiently performed insurance verification pre-certification pre-authorization functions. Sending redetermination insurance private government surgical procedures Coordinate surgery schedule patient, physician operating room p rovide patients detailed information regarding dates, time scheduled necessary Arrange schedule pre-operative test patient maintains operating room schedule instructions, directed physicians. Contact patient remind post-operative instructions, directed physicians. Working knowing Star Panel, Epic Hyperspace, systems Verify patient eligibility, coverage procedure,obtain pre-certifications, authorizations procedures tests ordered physician. Notify forward paperwork insurance certification Billing Office obtain additional paperwork needed compliance. Responds written telephone inquiries carriers regarding surgeries Perform clerical duties support physicians surgery scheduling function regarding patient surgery information Office Assistant III February 1996 March 1999 Company Name － City State Responsible printing daily schedules pull medical records clinic appointments surgeries. Recorded filed patient data medical records Scanned indexed clinic notes, pathology reports, lab tests, financial information Electronic health record system Performed various administrative duties, including data entry document preparation. Eliminated outdated records annual basis sending records scanned Assisting medical students, doctors, nurses secretaries archival retrieval Pick up, sort distribute mail clinic. Clerk III January 1995 February 1996 Company Name － City State Developed created effective filing system accelerate paperwork processing. Printing daily schedules, pull medical records clinic. Verified information computer system up-to-date accurate appointments surgery. Dispersed incoming mail correct recipients throughout office. Education Bachelor Science Health Care Administration Concentration Management 1991 University Phoenix － City State Health Care Administration ,still progress graduate June 2016 High School Diploma Psychology 1990 Belmont University － City State Studies included Statistical Mathematics, Western Civilizations Majoring Psychology Minor Sociology Algebra I II Stratford High School － City State Studies included Algebra I &II Trigonometry, Geometry French I &II H Accomplishments Healthcare Administration- still progress Accomplishments Certificate thru Vanderbilt Training Development Organizational Skills Certificate received June 22, 2000. Attendance Tenn-care in-service May 2003, January 2004, March 2004, July 2005, August 2005 BCBS pre-certs. Working knowledge Excel CPT coding, Completion Administrative Assistants Conference September 2008. Skills Scheduling, Strong verbal skills, Excellent written skills, ICD-9 CPT coding