Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Chantai Epinger

Sacramento

Summary

Objective Committed Customer Service Representative, career focused individual with professional and personal experience in the health care field. Some strengths that I have are working with people; I have over 10 years in the customer service field.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Clinical Care Specialist

CorVel Corporation
11.2018 - Current
  • Assist claims examiners with telephone calls, including providers, lawyers, claimants, and customer service calls. Set up new claims, process form letters, state form letters
  • Process mail, handle files, and input notes and diary entries into the claims system, Set up report by pulling medical reports, and Rx history, Utilize ICD-10 codes in report.
  • Updating Report with yearly savings, Completing and billing for reports. Assisting in the pain management clinic, assist patients into the waiting room, and file set up.
  • Visit management through various Telehealth platforms. Assisting patients through set up and treatment process, goals, procedures.
  • Creating authorization request, assisting with referral, processing claims
  • Initiating behavioral healthcare services, and pain management healthcare services. Being a liason between providers to support peer reviews.

Medical Research & Applications Specialist

Employer
07.2016 - 10.2018
  • Process returned information to verify specific enrollment or denial criteria for participation in the HCFA/ Tenncare program. Processes information sent to and received from contractors to determine the next step in the appeals process and assigns the process to a peer/subordinate. Verifies the accuracy and completeness of information received, and ensures that it is processed within required time frames.
  • Research if information is correct within the database and make accurate decision based on the Tennessee guidelines for medical.

Administrative Assistant

A4 Promotions
08.2015 - 06.2016
  • Performing office and administrative duties to assist executive management. Screening calls, managing calendars, making travel, meeting and event arrangements. Preparing reports and financial data. Training and supervising other support staff. Customer relations as required.

Medical Assistant Extern

Medical Assistant Village
04.2015 - 08.2015
  • 180 Hours June 2015-August 2015

Education

Certificate of Completion - Medical Assistant

CARRINGTON COLLEGE
Citrus Heights, CA
08.2015

Skills

  • File preparations which includes but are not limited to pulling medical reports, medical bills, and Rx history of patient, Calculating MED, Prepping file for physician review, faxing and confirming information was received by providers office/client, Billing, File follow ups, Appointment scheduling, calculate saving over the claim year and lifelong Receptionist Duties, Filing, Customer service Representative, Order Follow up, Appointment Scheduling, Order Preparations, Billing, Paying Bills, Ordering and Shipping Duties
  • Ability to perform urinalysis, understanding of anatomy and physiology, ability to obtain vital signs, knowledge of electrocardiography, ability to perform venipuncture and capillary puncture, ability to utilize a centrifuge, and autoclave, knowledge of medical records
  • Check in and Check out students, assist with Homework, keep a controlled environment, and schedule activities
  • Medical Office Experience
  • Administrative Experience
  • HIPAA
  • Insurance Verification
  • Phlebotomy
  • Medical Terminology
  • ICD-10
  • Pain Management
  • Experience Administering Injections
  • Microsoft Office
  • Patient Care
  • Medical Scheduling
  • Transcription
  • Medical Billing

Certification

CPR Certification

Timeline

Clinical Care Specialist

CorVel Corporation
11.2018 - Current

Medical Research & Applications Specialist

Employer
07.2016 - 10.2018

Administrative Assistant

A4 Promotions
08.2015 - 06.2016

Medical Assistant Extern

Medical Assistant Village
04.2015 - 08.2015

Certificate of Completion - Medical Assistant

CARRINGTON COLLEGE

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Chantai Epinger