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ar analyst and surgery pre collections resume example with 18+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Well-organized Medical Office Assistant with demonstrated knowledge of healthcare procedures and administrative operations in the healthcare industry. Experienced with insurance forms, charts and other business correspondence. Detailed understanding of complex office systems for maintaining secure patient information. Experienced in registering patients, scheduling appointments and recording and filing patient medical records. Enters orders and information quickly and accurately. Customer service-oriented and skilled in greeting patients and scheduling appointments.

Skills

  • Medical software applications
  • Patient relations
  • Knowledge of HIPAA regulations
  • Knowledge of medical terminology
  • Medical billing
  • Patient scheduling
  • Specimens collection and processing
  • Understands medical procedures
  • Data entry
  • Stocking supplies
  • Healthcare coding competency
  • Understanding of medical laws
  • Medical records management
  • Wound care and irrigation
  • Professional bedside manner
  • Multi-line phone operations
  • Charting and clinical documentation
  • Prioritizing patients
  • PPE use
  • Customer service
  • Clerical
  • Multitasking
  • Flexible
  • Medical billing and collections
  • Claims processing
  • Accounts receivable
  • Bill payment
Experience
09/2020 to Current
AR Analyst and Surgery Pre - Collections Buncombe County Woodfin, NC,
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Verified that patients had proper insurance coverage prior to any procedures or appointment scheduling.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Examined claims, records and procedures to grant approval of coverage.
  • Updated patient financial information to promote accurate record keeping.
  • Gathered information to file appeals for [Type] denials and minimized inaccuracies by maintaining accurate records of approvals.
03/2014 to 09/2021
Medical Office Assistant Hospital Sisters Health System - Corporate Chatham, IL,
  • Used software to process patient payments and update accounts.
  • Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
  • Scheduled appointments for patients via phone and in person.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Maintained confidentiality of records relating to clients' treatment
  • Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
  • Collected information, verified insurance and collected co-payments for average of 10 25 patients each day.
  • Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
  • Submitted diagnosis and procedure codes for insurance companies.
  • Recorded vital signs and medical history in patient chart.
  • Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
  • Assisted with referrals and prepared medical records for patients.
  • Educated patients about medications, procedures and physician's instructions.
  • Maintained consistent patient confidentiality in alignment with HIPAA protocols by using encryption software.
  • Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
01/2005 to 03/2010
Charge Entry and Payment Posting Alabama Hematology And Oncology City, STATE,
  • Assigned procedure and diagnosis codes for insurance billing.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Recorded, stored and reported medical coding information to create statistics of healthcare encounters.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Assisted customers with invoice questions, special invoicing, reporting, corrections and write-offs and resolved customer issues discovered during invoicing and collection process.
  • Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
  • Reviewed and submitted workers' compensation claims for remittance.
05/1999 to 01/2005
Medical Assistant Alabama Sports Medicine City, STATE,
  • Partnered with healthcare and administrative staff to create patient-centered, inviting and supportive environment for patients and families.
  • Collaborated with radiologists, sonographers and other healthcare team members to streamline patient care.
  • Coordinated and executed medical waste disposal according to governmental and organizational standards.
  • Processed and produced ER, OR and portable x-ray information to assist diagnosis.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment.
  • Prepared prescription refill requests on behalf of physician to prevent lags.
  • Reviewed treatment sheets for consistency, completeness and accuracy.
  • Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
  • Completed basic physical assessments of patients to provide optimal care.
  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
Education and Training
Expected in to to
: Medical Billing & Coding
MedAssistant.Org - Online,
GPA:
  • Completed professional development.
  • Completed coursework in Medical billing and coding.
Expected in to to
: Nursing
Jefferson State Community College - Birmingham, AL
GPA:
Expected in 05/1999 to to
High School Diploma:
Hueytown High School - Hueytown,
GPA:

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Resume Overview

School Attended

  • MedAssistant.Org
  • Jefferson State Community College
  • Hueytown High School

Job Titles Held:

  • AR Analyst and Surgery Pre - Collections
  • Medical Office Assistant
  • Charge Entry and Payment Posting
  • Medical Assistant

Degrees

  • Some College (No Degree)
  • Some College (No Degree)
  • High School Diploma

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