Customer Service Medical Billing

Leona Pope

**** ******* * **** ***********, AR **923 870-***-**** **********@*****.***

PROFESSIONAL PROFILE

Well-rounded professional backed by management, retail, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies and procedures to ensure quality. Maintain and assure patient privacy.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Adapt to new challenges and ideas and able to develop relationships with diverse populations.

Show sound judgment and good decision making when dealing with problems.

Manage deadlines and meet quality standards with accuracy and consistent attention to detail.

Communication Platforms – Zoom.

Microsoft Office Applications – Word, Excel, and PowerPoint Type 67 WPM.

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Medical Office Procedures

Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Insurance Verification

Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, POS)

Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Workers Compensation Front Office Operations Scheduling

Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM, HCPCS, CPT)

EDUCATION

Ultimate Medical Academy Associate of Applied Science Degree – Medical Billing and Coding, 2024

WORK EXPERIENCE

ResultsCX - Arkadelphia, AR 12/2023 - Present

WFH - Results Associate

Handled inbound calls from members, utilizing multiple applications to provide comprehensive information on membership, eligibility, benefits, and detailed authorization requirements.

Addressed coordination of benefits inquiries, detailed claim information, and tracked deductible and out-of-pocket maximum accumulations to ensure accurate member support.

Assisted with provider network queries and managed appeals for denials, ensuring a high level of customer satisfaction and adherence to company policies.

Stay-at-Home Parent – Arkadelphia, AR 04/2021 – 12/2023

Ensure household duties are completed in a timely manner and manage household budget.

Coordinate medical care, meals, and social activities.

Remain deadline-oriented and reliable while adjusting priorities and managing time wisely.

Family Dollar – Gurdon, AR 02/2021 – 04/2021

Retail Manager / Customer Service

Completed opening and closing duties, supervised 5 employees, created work schedules, and handed timecards.

Handled inbound and outbound telephone calls, entered data, took inventory, and completed end of day paperwork.

Operated cash register, scanned merchandise, accepted payment, balanced cash register, and made bank deposits.

Reinforced policies and procedures, solved problems, and built relationships.

Kept store clean and organized to ensure a positive customer experience.

Prior employment includes work at Stuckey's and Walmart as a Retail Cashier and Customer Service Associate in Arkadelphia, AR

VOLUNTEER EXPERIENCE

Volunteered with Trinty Temple Assembly of God Christmas Dinner in Arkadelphia, AR from 12/2023 – 12/2023

Set up tables, server meals, disassemble, clean and organize the room after event

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