DME Intake Coordinator Resume Example Fontainebleau Miami Beach

DME INTAKE COORDINATOR

Professional Summary

Self-Motivated and efficient multi-tasking leaders. Possess 21 years in Healthcare Administration. Exceptional communication skills with Executives, Physicians and Patients. Strong problem solving abilities and possess a wide range of skills including managing day to day medical office operations. Thrives in collegial and professional work environment with the focus on commitment and dedication to achieve organizational goals.

Skills

Medical Office Management Support
Exceptionally good at dealing with patient queries and complaints with the strong power to resolve problems.
Critical Thinking
Detail Oriented
Time Management
Strong ability to lead and train staff
Accounts Payable
Accounts Receivable
Payroll
401k Retirement Contribution
QuickBooks
Proficient in Microsoft Office
Medical Terminology
End of month Reconciliation
EMR and Practice Management System transition

Work History

DME Intake Coordinator, 02/2016 to Current
Fontainebleau Miami Beach – Miami Beach , FL

Patient Care
Customer Service
Medical Center

Process,

Screen and assure proper medical documentation submitted to obtain approval for Medicare patients and various insurance payers.
Verify Order and obtain authorizations from various medical insurance companies.
Communicate with referring practices for amended documentation and order changes required for authorization.
Verify Insurance coverage and benefits.
Process & Collect deductibles and coinsurance from patients and prior to receiving equipment.
Process and document pick up order for various returned rental DME equipment.
Schedule and documents home visits calls for delivery of equipment and equipment maintenance checks.
Maintain excel spreadsheet and documentation for CBA and Non CBA Medicare patients for monthly invoicing, approval and payments received by 3rd party.
Follow Up on Pending orders waiting for prior authorization or additional information required for set up.
Process warranty exchange equipment and submit documentation to the Manufacturer for stock replacement.
Process cpap supplies for current on service and new service orders.
Manage Walter Reed Sleep Lab orders and approvals prior to set up.
Train and Educate patient on how to use cpap machine prior to deployment.

Onsite Medical Project Manager Medical Revenue Cycle Specialists- P/T Consultant, 12/2014 to 08/2015
Havertown , PA

Assist Independent medical practices with onsite Practice Management Support.
Member of interdisciplinary team that provides guidance to medical practices with the most current compliance, reimbursement, and industry best practices data.

Front Office Manager, 11/2006 to 01/2015
Comprehensive Community Health Centers – Highland Park , CA

Manage daily operations with clerical and clinical staff in a specialty office of 9 physicians and 2 NP's.
Recruiting and train new hires.
Perform Human Resource functions.
Develop and implement workflows and compliance policies and procedures.
Maintain communication with medical staff and department heads by attending board meetings and coordinating interdepartmental meetings.
Plan, implement and administer programs and services in a private medical practice including coordination of testing, nursing and physician services.
Prepare activity reports and develop processes to inform Physicians and maintain compliance with programs, services, and quality initiatives and incentive programs.
Consult with medical offices and community groups to optimize relationships.
Implement and develop office workflow and transition plans for two EMR transitions.
Create and monitor Physician schedule and hospital rotations for ICU and Hospital providers.
Implement internal process to meet requirements for Incentive programs.
Responsible for all credentialing and re credentialing by updating Physicians information on CAQH and PECOS.
Managing Physicians License renewals and update external affiliations.
Process patient check in and registration.
Collect copay and balance due at the time of service.
Checkout patient for follow up appointment and outpatient surgery scheduling.
Schedule all physicians outpatient surgery by communicating with the scheduling coordinator at AAMC.
Follow up with patients and family member on pre and post op surgery and medication request.
Verify insurance prior to patient appointment by utilizing insurance website and Emdeon.
Communicate with patient regarding copay and deductibles that are due at time of service.
Assist patient with partial or payment plan prior to arrival.
Answer all incoming calls and direct patient to the appropriate staff member to assist.
Document and send messages to providers utilizing EMR software to communicate with the provider and patient on medication request or medical concerns.
Insurance payment posting, A/R follow up, patient collection, Claim denial appeals.
Correct all billing charge errors utilizing the EMR claim denial tracking system.
Resubmit error claims to insurance company for reprocessing and payment.
Oversee and direct all functions of billing coding, account follow up, appeal process and resolve claims denial.
Plan and Execute end of the year projects.
Assign and work refund accounts.
Review credit balance report, look for trends on report that may not require refund.
Reconcile and process refunds to patient accounts and insurance companies.

Account Receivable Representative, 06/2005 to 04/2006
Annapolis Asthma, Pulmonary & Sleep Specialists – City , STATE

Arrange for debt repayment or establish repayment plans with customers.
Locate and notify customers of delinquent accounts.
Receive payments and post payments paid to customer accounts.
Contact insurance companies to check claims status and initiate appeals.
Trace delinquent customers/maintain compliance with Fair Debt Collections Act.
Receivable management for two Radiology Groups with operations in Washington Hospital Center and Sibley Memorial Hospital.
Manage Blue Cross & Blue Shield accounts which represented 40% of total A/R.
Consistent reconciliation of account credit balances to ensure true A/R.
Review billing edits and provides corrected claims.

Lead Patient Care Coordinator, 08/1996 to 06/2005
Healthcare Management Group – City , STATE

Answer telephones and direct calls to appropriate staff.
Schedule and confirm patient appointments, surgeries, and office visits.
Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
Complete accurate registration and insurance information to ensure participation.
Receive and route messages or documents, such as laboratory results, to clinicians.
Transmit correspondence or medical records by mail, e-mail, or fax.
Arrange hospital admissions for patients.
Schedule all nuclear studies and cardiac procedures.
Obtain pre-authorization.
Post all hospital charges, office charges & procedures.
Post payments and insurance reimbursements to patient accounts.

Education

Applied Career Training - Roslyn, VA Medical Assistant: Healthcare Administration, 1996
Anne Arundel Community College -
Healthcare Administration

Certificate of Completion Human Resources: 2013

Excellent Customer Service Certificate: 2012

Superior Performance (Better Performer in the MGMA Performance and Practices of successful Medical Groups) Medical Software Medical Mastermind, Medical Manager, Athena Collector and Communicator, EMR Amcis Web MD Solutions, EPIC and Meditech,RIS, Brightree, Referral Answer, Fast Track.:

Resume Overview

School Attended

Anne Arundel Community College

Job Titles Held:

DME Intake Coordinator
Process
Onsite Medical Project Manager Medical Revenue Cycle Specialists- P/T Consultant
Front Office Manager
Account Receivable Representative
Lead Patient Care Coordinator

Degrees

Applied Career Training - Roslyn, VA Medical Assistant : Healthcare Administration , 1996
Certificate of Completion Human Resources : 2013
Excellent Customer Service Certificate : 2012
Superior Performance (Better Performer in the MGMA Performance and Practices of successful Medical Groups) Medical Software Medical Mastermind, Medical Manager, Athena Collector and Communicator, EMR Amcis Web MD Solutions, EPIC and Meditech,RIS, Brightree, Referral Answer, Fast Track. :

DME Intake Coordinator Resume Example

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