I have over 20 years experience in the medical field. Although I was an LPN, I chose to pursue the less clinical aspect of health care. Highly efficient with experience scheduling, registration and authorization management. Excellent multi-tasker and demonstrated team player with a positive attitude.
Performing all insurance verification and pre-authorization functions. Scheduling patient appointments. Completing registration for patients.Scheduling radiology exams for patients.Assisting with the identification and correction of errors on denied claims as they are received from the Patient Account Representative. Training of employees. Work closely with the PACS analysts in correcting errors. Providing explanations of billing statements to patients. Participating on the CWS, ARM and REG Core team for the MEDITECH 6.1. implementation.
Began employment payment posting and follow up for a large gastroenterology practice. Later assigned to assist with the set up of a new client. Upon leaving, I was responsible for reviewing all electronic claims for error prior to submission and correcting rejections.
Answered calls in a fast paced call center environment. Upwards of 60 calls/day. Responsible for providing accurate benefit quotes, claim statuses and claim processing explanations. Worked on local, national and out of state teams. Assigned special projects to handle large scale claims issues. Worked with provider relations and claims processing to expedite correct processing of previously denied claims. Trained new employees. Frequently recognized by Quality Assurance for providing 100% accuracy in monitored calls.
Responsible for all typical medical office procedures for a small branch of a large psychiatric practice. Performed insurance verification and pre-certification and pre-authorization functions.Prepared prescription refill requests on behalf of the physician.Provided administrative support for two physicians. Posted payments. Assisted in the implementation of new scheduling software for the entire practice.
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