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Case Manager Customer Service

Location:
Jasper, TX
Posted:
December 10, 2023

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Resume:

CASANDRA HAYNES-MENSAH

Medical Biller

Jasper, TX 75951 **********@*****.*** 409-***-****

•Coordinating and providing care that is safe, timely, effective, efficient, and client centered. Handling case assignments, draft service plans, review case progress and determine case closure.

•Helping clients achieve wellness and autonomy.

Work Experience

Clerical II

Health & Human Services

May 2022 to May 2023

Provides clerical support to Eligibility Operations staff. Processed mail opens and dates stamps incoming applications and supporting documents. Reviews applications for required signature, date, and supporting documents. Logs applications and assigns complete applications for processing. Returns incomplete applications to clients and assists with completion when necessary/requested. Copies and returns original documents upon request to clients/customers. Responds to client inquiries and requests for assistance.

Personal Aide

Q&A Personal Care Services LLC

October 2022 to present.

Assisting with bathing, cooking, cleaning, grocery shopping. Communicates the status of the patient, including any changes, periodically, to a supervisor, case manager, or nurse.

Personal Aide

Elara Caring - Jasper, TX

May 2019 to October 2022

Assisting with bathing, cooking, cleaning, grocery shopping. Communicates the status of the patient, including any changes, periodically, to a supervisor, case manager, or nurse.

Enumerator (Temporary)

U.S. Census Bureau - Jasper, TX

August 2020 to September 2020

• residents Interviewing household and use maps and address lists to determine if the addresses are correct. Visit households that have not responded to the census, speak with residents, and use electronic devices issued by the Census Bureau to collect census data.

Customer Service Representative

Pinnacle DME Inc - Clearwater, FL

July 2018 to May 2019

Customers call on return labels on braces, send out return forms for customers to fill out and return to the office. Then I email the appropriate people to send a return label.

Education

Diploma in Medical billing/Medical Coder

Saint Petersburg College - Clearwater,

FL March 2002 to December 2005

Skills

•CPT Coding

•Cerner

•EMR Systems

•Hospital Experience

•ICD-9

•ICD-10

•Medical Billing

•Medical Coding

•Auditing

•Patient Care

•Anatomy Knowledge

•Transcription

•Medical Terminology

•Insurance Verification

•Proofreading

•Medical Records

•HIPAA

•Medical Scheduling

•Adobe Acrobat

•Microsoft Access

•Typing

•Documentation review

•Medical office experience

Assessments

Working with MS Word documents — Familiar

January 2021

Knowledge of various Microsoft Word features, functions, and techniques Full results: Familiar

Indeed, Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

Medicare enrollment experience Outstanding oral and written communication skills, extensive knowledge of Data entry

8000-9000 KS, proficient in IDX and navigation, familiar with AS400, Oracle, Cerner, Emdeon, Availity, Zirmed system and, EDI, proficient in claims processing and work queues, V-looks up, Formulas and File Conversions. ICPT-4 coding, ICD-9 coding, CM1500 forms. Truly knowledgeable of customer service skills, medical terminology with the knowledge of the computer skills like. In-depth knowledge of preparing appropriate claims and documents. Type 50 wpm; work with electronic claim processing and UB-92 forms. Recognized for a proven ability to efficiently process medical claims for major and private insurance carriers including Medicare/Medicaid, QNXT system Experience.

Microsoft Office proficiency • Meticulous attention to detail

Results-oriented

Time management

AR/AP

Medical terminology

Billing and coding

Strong problem solver

Resourceful

Dedicated team player

Strong interpersonal skills

Auditing

Proofreading

Self-starter

Insurance eligibility verifications



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