PeaceHealth United General - Patient Care Coordinator Resume Example

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Caleb Baker
XXX X XXXXXXXX XXX , Sedro Woolley , WA 98284 | (H) XXXXXXXXXXXX | XXXXXXXXXXXXXXXXXXXX
Experience
Patient Care Coordinator/Secretary 12/2013 to Present
PeaceHealth United General Sedro Woolley, WA
Greet and register new and current patients to verify demographic and financial information is correct.
Verify and update insurance information.
Mange daily appointment schedules including reminder calls.
Chart Prep for upcoming appointments to include ordering or labs and tests needed.
Boeing Customer Service Specialist 04/2008 to 08/2013
Regence BlueShield Burlington, WA
  • Communicate with a variety of subscribers, providers, group administrators, and other member representatives, regarding benefits, claims processes and eligibility through a variety of media-oral, written and on-line communications.
  • Maintain confidentiality and sensitivity in all aspects of internal and external contacts.
  • Identify errors promptly and determine what corrective steps may be appropriate in corrections of denied, processed-in-error or re-classified claims.
  • Generate written correspondence and process document requests.
Pharmacy Technician 08/2007 to 04/2008
Rite Aid Pharmacy Anacortes, WA
  • Enter patient prescriptions accurately in the NexGen system for processing.
  • Identify errors and determine appropriate actions to take with third party processing and rejections.
  • Assist in the ordering of inventory for the pharmacy.
  • Filling and dispensing of medications accurately to the patient.
Pharmacy Technician 05/2004 to 08/2007
Anacortes Pharmacy Anacortes, WA
  • Enter patient prescriptions accurately in the NexGen system for processing.
  • Indentify errors and determine appropriate actions to take with third party processing and rejections.
  • Assist in the ordering of inventory for the pharmacy.
  • Filling and dispensing of medications accurately to the patient.
Front Office Coordinator 11/2003 to 04/2004
Hilde Family Dentistry Burlington, WA
  • Schedule appointments for patients within the office or to a specialist if referred.
  • Daily billing of all procedures attached to an insurance claim either electronic or manually.
  • Follow up on insurance claims until paid or denied.
  • Verify patient insurance eligibility and benefits.
  • Process month end reports.
Business Office Manager 11/2002 to 10/2003
Life Care Center Mount Vernon, WA
  • Direct the overall administrative, billing, accounting, employee benefits and payroll functions of the business office.
  • Accounts receivable of .5 million dollars monthly and collections of past due accounts.
  • Post and balance all cash receipts for general and patient trust accounts.
  • Produce and transmit claims for HMO, Medicare and Medicaid billing.
  • Reconcile general, patient trust and payroll accounts.
  • Prepare month end statistical and financial reports to be sent to corporate.
A/R Billing Clerk/Pharmacy Assistant 09/2001 to 11/2002
Holland LTC Pharmacy Mount Vernon, WA
  • Process pharmacy billing on-line or manually with a universal claim form.
  • Responsible for all A/R of over 1,200 patient accounts including both private and third party.
  • Process monthly statements as well as month end A/R reports.
  • Maintain medical cart inventory and key control.
  • Assist in the pharmacy with filling of prescriptions when regular staff is unavailable.
Office Manager 12/2000 to 09/2001
Ears 2 U Hearing Aid Services Mount Vernon, WA
  • Schedule patient appointments for Hearing Evaluations, adjustments and repairs or fitting for a new hearing aid.
  • Process insurance billing and follow up on all claims until either paid or denied.
  • Order and maintain inventory of all office supplies.
Benefit Service Representative 07/1997 to 12/2000
Foundation Health Systems, Inc Oak Harbor, WA
  • Assist TRICARE beneficiaries by phone, correspondence, or in person regarding benefit and claims information.
  • Resolve problems, answer questions and provided information regarding the TRICARE program.
  • Perform all enrollment activities using Novell network system.
  • Communicate with claims payers to provide claim status and assistant beneficiaries with reprocessing and adjustment of claims issues.
  • Provide coverage at other TRICARE Service Centers as needed.
  • Order and maintain inventory of all office supplies and marketing materials.
  • Involved in hiring and training of new employees.
Customer Service Specialist 11/1996 to 06/1997
Group Health Cooperative Bellingham, WA
  • Assist consumers by phone, correspondence, or in person regarding clinical issues, such as referrals to specialists, pharmacy issues, and appointment wait times.
  • Maintain extensive knowledge of Group Health policies, procedures, systems, and relationships; including customer service, termination of cause, appeals, consumer rights and responsibilities and operational policies for staff and network model delivery system.
  • Assist in business issues including claims, eligibility, billing, coverage, benefits and provider selection.
Education
Online Course National Certified Pharmacy Technician Passed the National Pharmacy Technician Certification Exam: Aug 2006 Penn Foster Career School -
Everett Community College - Everett, WA Various Business classes
High School Diploma: Jan 1990 Marysville Pilchuck High School - Marysville, WA

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About this resume

Patient Care Coordinator FROM Sedro Woolley , Washington RESUME

This is a resume for a Patient Care Coordinator in Sedro Woolley, Washington with experience working for such companies as PeaceHealth United General and Regence BlueShield. The grade for this resume is 0 and is one of hundreds of Patient Care Coordinator resumes available on our site for free. Use these resumes as templates to get help creating the best Patient Care Coordinator resume.

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School Attended
Penn Foster Career School