Customer Service/Medical data entry clerk

RESUME OF

RINA PAUL

532 River crest Cove

Nashville. Tennessee – 37214

Phone # 615-968-7757

E-mail: rina_paul2001@yahoo.com

rinapaul007@gmail.com

 

Profile:  Provide effective technical skills in the area of Medical Transcriptions, Billing and Coding and

 Overpayment Recovery. Efficient problem solving and division making concerning Health insurance and reimbursement with HIPPA regulation.

 

ACHIVEMENT: 

•Communication skills are most effective while working with people of different educational backgrounds, and ethnicity

•Implemented positive public relationships

•Successfully manage accurate record keeping establishing accountability.

•Strengthen communications when cooperatively working with others. RES

•Work effectively with other staff to ensure accountability with all HIPPA regulation

•Consistently maintain positive attitude and instill motivation with personnel when working.

•Adept at achieving balance between accountability and authority.

•Always ensures quality work habits with any task the job offers. 

 

TECHNIBAL SKILLS:

•ICD-9-CM, CPC, HCPCS CS Level II

•Health insurance and Reimbursement

•Medical Terminology

•Medical Transcription

•Anatomy and Physiology I and II

•ICD-9-CM Coding, Hospital Inpatient and Out patient

•UB-04 claims Hospital Billing

•Medisoft

•Denied Claims Appeal Process

•Charting/Filling

•Microsoft Office, MS-DOS, Windows OS, Graphic Design.

•Type accurately at 45-50 wpm.

•Knowledge of general office ability alpha and numeric data.

•Skills with working knowledge of Excel and Word. Professional and helpful attitude.

•Configurable access to data entry.

•Fully developed set of reporting tools.

 

 

 

EDUCATION                                                                                                                                                      

April 2010 --------- February 2011

Remington College, Nashville, TN

Medical Billing and Coding (MBC)

July 1989 ---------- September 1993

University of Kolkata (INDIA)

Bachelors of Arts (BA)

November 1996 --------- January 1998

Kolkata Instituted of Computer Center (INDIA)

Computer Diploma Course

 

WORK EXPERIENCES:

January 2013--- March 2013 (Aetna)

800 Crescent Centers Dr.   Suite 200. Franklin, TN 37067

Customer Service Representative

Data Entry Clerk

 

•Under New Business Triage Quality Assurance

•Some Researches and sensitive documents problem solving

•Activation admonition, quality assurance, of our companies

•Paper works to daycare supplements policy.

•Completed tasks with the client case filling information to the insurances (Aetna).

•Completed data entry to ensure client chats met federal standards.

•Ensured all relevant information communicated with the insurance.

•Compatible with the systems and HIPAA- standard claim files.

•Detailed notification for claims submitted with missing or invalid data.

 

May 2012 -------- October 2012                                                                                                                 

CGS Contract through Kelly service, 2 Vantage Way.Nashville.TN-37228

Over payment Department (Data Entry Clerk)

 

 •Served as a clerk to the CGS work of Overpayment Department

•Completed tasks with the Client case filling information in the insurances.

•Completed data entry to ensure patient chats met federal standards.

•Ensured all relevant information was communicated with the insurance.

•Ensured all CGS standards and Federal Laws were adhered.

•From W-2 provided a third-party sick pay provider.

•Improved correction for claims with missing or invalid data.

•Processing to the Billing of the Cigna Insurance Company

                                                                                                                                         

 

 

August 2011 ------- March 2012                                                                                                                                                            380 Thompson Lane Branch Library. Nashville, TN-37211            

•Volunteer work as an office clerk

•Organized books fiction and non-fiction on library shelves.

•Checked – in delivery of new books, magazines, and other materials placed books on hold for waiting customers.

•Completed labeling of new books and other library items.

•Assisted with children’s programs and other library programs as needed

 

 October 2010--- June 2011

River Gate Psychiatric Center. Goodlettsville. TN

Volunteer:

•Completed volunteer work as an Office Assistant

•Office tasks for clients of the facility.

•Completed office task such as filling client information, data entry, re-scheduling, phone calls and other clerical duties.

 

October 2007 -------- July 2008

Middle Tennessee Mental Health Institute. Nashville. TN

Volunteer:

•Served as a volunteer with the Medical Records Department.

•Completed tasks with filling information in the patents charts.

•Completed copying and data entry to ensure patient’s charts met Federal Standards.

•Ensured all relevant information was communicated with various Departments.

•Ensure all MTMHI standards and Federal Laws were adhered.

  • ID#: 70034
  • Location: Nashville, TN , 37214

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