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Data Entry Customer Service

Location:
Vista, CA
Posted:
January 12, 2025

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Resume:

Raquel Cervera

*** ****** ***

Vista Ca *****

760-***-**** Cell

**************@*****.***

Medical Front Desk/ Data Entry/CSR/ Referral Coordinator

Detailed oriented, quality focused professional, verifying Insurance Successful track record handling

complicated assignments. Highly experienced in data entry, accuracy. Proficient in a variety of practice

management software applications and MS Office Suite. Dedicated to maintaining strict patient

confidentiality. Scheduling patients, lead customer service rep.

Profile

Hardworking, motivated, and dedicated to meeting the needs of patients and the organization

Experienced in handling office and administration tasks within busy, multi-physician practices

Excellent Organizational Skills,

Strong Customer & Public Relations Skills

(CSR)

Patient Scheduling for Pre Op & Surgery,

pain management dermatology &drug

addiction, rehab, hospital billing /various

providers & clients.

Telephone Answering 12-

Line System

10-Key Touch

Computer Proficiency(Excel)

Professional Experience

Front Desk-CSR-Referral Coordinator- Surgery Associates Temecula *Dec 2022 -2024

Vascular/General/Bariatrics Call Center, Check in/out, Pt Concerns, Surgery Scheduling, Referrals,

authorizations, Medical records, Insurance/ eligibility verification, payment processing collections, co

payments, balances, collaborate with medical providers HMO /PPO insurance

communicate with insurance providers to ask about claims/ answer questions/give information

Effective -in handling office and administrative tasks within busy, multi-physician practices (16)

Expedient- in processing patient check-in/check-out, verifying insurance and collecting third-party

claims.

Efficient -in managing appointment scheduling, patient records, medical billing and financial

information.

Professional Experience

Dermatology Specialist -Oceanside Ca * Sept 2019 - Nov 2022

CSR lead, referrals, insurance verification, cosmetics scheduling collections,

Core skills - excellent communication and interpersonal skills team player leader, ability to build patient

relationships, strong attention to detail, commitment to staying up-to-date with recent trends and

developments in the field, experience with medical records -keeping and filling.

CSR, call center for 12 physicians, authorizations collections, referrals, data entry, surgery scheduling,

collect co payments, Mohs surgery, cosmetics, laser treatment scheduling, month end eligibility

verification for daily clinics.

CHMB Solutions * Escondido, CA Aug 2013 -2019

Lead CSR, billing, collections, denials, correspondence, collaborate with multiple insurance companies

for patient information into billing software, enter patient demographics, communicate with providers

to ask about claims/determine and to find resolution, Month End

Medical Terminology ( knowledge of basic office equipment ) NextGen

Medical Insurance, verify patient EOB’s & Check Eligibility (Medi-cal/ Medicare, Molina, IEHP,

Regal Aetna

Various Practice Software, AllScripps, Methasoft, Zirmed,Laserfish, Eagle Soft

Claim Entry, Head Customer Service * Collect Credit Card Payments, Post into SharePoint,

Medical Records

HIPPA Compliance* Check Claim Status, Call Insurance Check Eligilbity, Scan batches/ send to

Processing

Online Claim Submission & rebuild as necessary, ERA, rebilling insurance

Familiar with CPT & ICD-9 codes* Post payments, Month End Data Entry for 30 Physicians

Medical Insurance, verify patient EOB’s & verified accounts in collection account, corresponded

with incur comp

Various Practice Management Software

Claim Entry, Hash totals for Month End Data Entry for 30 Physicians

HIPPA Compliance

Online Claim Submission & ERA, EOB’s

Education -2019 University of Phoenix Bachelors of Science, Clinical &Addiction Specialty, Still in

Progress - Medical Assistant: Certified MA /Front Office, Certified CPR, Vista, CA. (2005-2007) Fashion

Institute of Design Merchandising, Degree, San Diego, CA. (8/1995 - 5/1997)



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