Esther Merilus
Little Egg Harbort,NJ
Summary
Experienced bilingual office administration, who has an excellent track record of working with customers and staff, is adept at maintaining electronic tiles, performing data entry, analyzing and storing documents, and engaging in client –face communications Personable and dedicated Customer Service Representative with extensive experience in medical industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
109
109
years of professional experience
Work History
Infusion Customer Service
Community Surgical Supply
Toms River, NJ
11.2015 - 07.2116
- Responsible for managing medical records, spreadsheet, company file s on a day to day basis
- Processed and distributed new patient referrals to appropriate staff members/ department heads/managers
- Completed special projects and performed other time sensitive duties assigned.
- Worked closely with other departments to resolve complex customer issues.
- Initiated contact with customers via telephone or email when necessary.
- Supported sales team members to drive growth and development.
- Recommended improvements in products, service and billing methods to management to prevent future problems.
Access Service Representative
Southern Ocean Hospital
Manahawkin, NJ
08.2016 - 04.2024
- Provides clerical and telephone support to the department and performs computer input of records
- Assist customers in interpreting financial/insurance data and in the completion of appropriate forms and /or paper works
- Proficiency with insurance eligibility/authorization system.
- Verified insurance information and entered data into patient records system.
- Collected co-pays, payments, deposits, and other monies due from patients according to established procedures.
- Explained billing processes to ensure accurate understanding of charges incurred by the patient or their family members.
- Processed credit card transactions quickly and accurately while adhering to all applicable laws and regulations governing such transactions.
- Maintained confidentiality of all patient records in accordance with HIPAA standards.
- Ensured compliance with organizational policies related to admission process, discharge planning, pre-authorizations and certifications.
- Utilized various software programs such as MS Office Suite for data entry purposes.
Administrative Compliance Associate
Community Surgical Supply
Toms River, NJ
05.2014 - 11.2015
- Followed established company process t unsure effective and efficient medial case- tracking with C-papa machine
- Routinely evaluate patient accounts and followed up on appointments as needed
- Reviewed medical charts and other health record for accuracy, obtained pertinent information from patients.
- Provided advice and guidance on regulatory requirements, best practices, and industry trends.
- Investigated customer complaints related to compliance issues.
- Collaborated with other departments to ensure consistent application of compliance rules across the organization.
- Conferred frequently with specialists to stay current on compliance requirements and procedures.
Client Service Representative
Interim Health Care
Toms River, NJ
06.2007 - 05.2010
- Managed the overall operation for staffing office
- Schedule, coordinated and performed administrative portion of orientation for approved candidates
- Ensured that request for homecare services are promptly filed and schedule in a timely manner
- Managed and created schedule for staffing agency employed
- Weekly duties include managing cost, expense and providing assistance with pay roll actives
- Reviewed all home care schedules daily in preparation for payroll and obtained approvals by manager as needed
- Supervised/coordinate patient care according to patient needs
- Performed office opening, closure, and alternate on –call duties.
- Performed administrative tasks such as filing documents and responding to emails.
Education
Associated in Applied Science -
Penn Foster College
Certificate in Medical Billing and coding -
Ocean County College
Skills
- Quality Control
- De-Escalation Techniques
- Regulatory Compliance
- Analytical Thinking
- Time Management
- Problem-solving aptitude
Timeline
Access Service Representative
Southern Ocean Hospital
08.2016 - 04.2024
Infusion Customer Service
Community Surgical Supply
11.2015 - 07.2116
Administrative Compliance Associate
Community Surgical Supply
05.2014 - 11.2015
Client Service Representative
Interim Health Care
06.2007 - 05.2010
Associated in Applied Science -
Penn Foster College
Certificate in Medical Billing and coding -
Ocean County College
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