Hi, I’m
Amanda Reynolds
Modesto,CA
Summary
I Am that happy, smiling, welcoming, 1st impression, front desk, customer service representative that is ready to assist anyone that walks thru your office door with a positive attitude kind of employee you are looking for! I love a challenge!
Overview
30
years of professional experience
Work History
Apria HealthcareModesto, CA
Branch Coordinator
12.2019 - 02.2023
Job overview
- Greet and assist every person that walks thru the front door
- Provide accurate information when asked questions by customers
- Ability to make an upset customer a happy customer by the end of our conversation
- Resolve customer concerns prior to them becoming major issues
- Obtain Authorizations
- Submit initial request to insurance along with all required supporting documentation
- Follow thru on all Authorization request till approved
- Work with Sales team to obtain needed documentation from referral on behalf of the patient
- Create intakes, confirm delivery information along with scheduling deliveries
- Collect insurance information
- Verify insurance benefits, collect any co-pay due
- Collect credit card payments
- Support overnight oximetry program
- Filling of all paper documents as needed
- Scanning and Classification of documents
- Data entry for work orders needed for customer walk-ins
- Face to face customer service
- Phone queue ability to answer calls as well as transfer calls without dropping a call
- Schedule delivery of equipment once all qualifications have been met
- Download data to generate compliance reports for our CPAP and Bi-PAP patients
- Trouble shoot equipment that has failed
- Curb side service for patient pick-up
- Assist patients in person and create orders for equipment needed ASAP
- Any other task or duties as assigned
- Complete weekly and monthly AR reports
- Assist management with special projects
- Create training manual for new hires
- Increased customer satisfaction with prompt resolution of issues and concerns.
- Coordinated and assigned service call requests.
- Supported the development of innovative solutions that improved overall customer experience.
- Ensured compliance with company policies, procedures, and regulatory requirements at all times.
- Maintained friendly and professional customer interactions.
Elite Urgent CareModesto, CA
Billing & Coding Specialist
09.2019 - 09.2019
Job overview
- Assist with patient check in
- Verify Insurance eligibility along with benefits and coverage
- Schedule appointments
- HIPPA compliant
- Answer any and all patient questions and concerns In person and via Incoming calls
- Review all paid claims have been paid per contracted rates
- Send accurate Electronic & Paper Claims to correct payer’s with supporting documents when needed
- Follow up on billed claims for work comp, self-pay & private insurance
- This goes for unpaid, over paid, not paid, partially paid & denied claims
- Insure authorizations were requested & approved within allowed time frame
- Collect patient payments both in person & via telephone
- Complete process by posting payment and providing paid receipt
- Review all incoming EOB'S and apply all payments & Denials to correct patient account
- Any other duties as requested
Stanislaus County Vital RecordsModesto, CA
Front Desk Receptionist
08.2017 - 04.2018
Job overview
- First point of contact / First impression
- Greet customers & Assist with sign-in process
- Create and Maintain accurate filing system
- Assist upset customers while staying calm and professional
- Make sure All customers leave with an amazing first impression of our company
- Assist customer with correct forms to be completed prior to providing certified county documents
- Flawless filing of all county documents
- Create Certified Birth and Death certificates
- Collect cash and credit card payments
- Provide customer with receipt using QuickBooks
- Answer all incoming calls
- Route / Transfer multiple phone calls to appropriate department
- No dropped calls
- End of day closing process
Tenet Healthcare IncModesto, CA
Medi-Cal Patient Account Rep2
01.1996 - 08.2008
Job overview
- Bill both In patient & Out patient claims electronically thru MDX
- Review all inpatient claims for approved TAR's
- Verify Tar info has been approved correctly and accurately
- If any discrepancies found on the TAR it was my responsibility to communicate with the field office to obtain a corrected TAR
- Review remittance advice for Accurately paid claims
- Prepare and send any CIF's or Appeals to Medi-Cal for all incorrect payments received
- File all CIF's and Appeals I prepared
- Month-End process that includes making sure all adjustments on accounts have been completed to reflect contracted rates as expected balance due
- During State audits I would assist the auditor directly but pulling all documentation as requested by the state
- Responsible for all CCS authorization for NICU babies
- Assist management with reports as assigned
Kinderfoto Portrait Studio IncModesto, CA
Assistant Manager
04.1993 - 08.1995
Job overview
- Train new hire associates
- Maintain sales average for portraits and frames
- Take quality photos in a 5 poses photo shoot with up to 8 people
- Travel to Concord and San Jose location to assist with training of new store managers
- Schedule appointments
- Answer multiple phone lines
- Greet walk-in customers and answer any questions they may have
- Ability to change film in a black bag without exposing film
Education
Modesto City SchoolsModesto, Ca
Medical Billing Certificate from Medical BIlling
02.1995
Skills
- Ability to handle multiple phone lines with high volume
- 1st point of contact with professional 1st impression
- Maintain an organized work space
- Background with proven Amazing customer satisfaction
- Excellent work ethic
- Verbal/written communication
- Customer relationships
- Cash handling
- Accounts receivable
- Conflict resolution
- Documentation
- Operational reports
- QuickBooks experience
- Dependable
- Excellent communication skills
Timeline
Branch Coordinator
Apria Healthcare
12.2019 - 02.2023
Billing & Coding Specialist
Elite Urgent Care
09.2019 - 09.2019
Front Desk Receptionist
Stanislaus County Vital Records
08.2017 - 04.2018
Medi-Cal Patient Account Rep2
Tenet Healthcare Inc
01.1996 - 08.2008
Assistant Manager
Kinderfoto Portrait Studio Inc
04.1993 - 08.1995
Modesto City Schools
Medical Billing Certificate from Medical BIlling
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