Front Desk Receptionist Resume Example Dr. Robyn Joseph/Prine Health

FRONT DESK RECEPTIONIST

Professional Summary

Detailed oriented and quality focused professional billing specialist with comprehensive experience in claims process in the medical field and in-depth knowledge of insurance claims procedures and documents. Highly practiced in reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications, and demonstrates professionalism in handling various administrative and front-desk functions critical to organization success with proven ability to balance multiple responsibilities. Dedicated to maintaining strict patient confidentially. A team player with effective interpersonal and communication skills, adept at building productive relationships and building rapport with a diverse set of individuals. Bilingual (Spanish) Billing oversight Team Player Experienced (EMR) 15 years PT/OT Billing 5 years Podiatry Billing, Pre-certifications Scheduling Surgery/Medical Clearance.

Personable Office Manager employing exceptional relationship building abilities to cultivate positive rapport among clients, staff and management. Highly-developed communicator with outstanding capabilities in complex problem-solving and conflict resolution.

Skills

Accounts receivable, administrative, scheduling appointments, billing, Posting, Insurance, inventory, logistics, medical billing, MEDISOFT, TCMS and E CLINICAL Sammy, CureMD proficiency
Fluent in Spanish
Provider enrollment Credentialing
Medical claims submission

Authorization procedures
Administrative supporter
Office administration

Work History

Medical Biller/Office Manager, 01/2020 to Current
Dr. Robyn Joseph/Prine Health – Manhasset, New York

Trained new employees on multiple medical billing programs and data entry software
Prepared accounts with past due balances of more than 180 days and transferred those cases to collection agency.
Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Analyzed medical records to satisfy insurance company mandates.
Reviewed outgoing bills for eligibility and accurateness.
Posted payments and collections on regular basis.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.
Recruited, hired, trained and supervised staff of 10 and implemented mentoring program that offered positive employee engagement.
Input all patient data regarding claims and prior authorizations into system accurately.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Reviewed insurance coverage for patients to determine which party was liable for payment.
Verified insurance coverage and obtained pre-authorizations.
Scheduled and obtained Prior Authorization for Surgeries.

Front Desk Receptionist, 12/2017 to Current
Advanced Cardiovascular Diagnostics – BAYSIDE, United States

Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
Performed clerical duties, such as word processing, data entry, answering phones and filing
Reviewed insurance coverage for patients to determine which party was liable for payment
Researched denied claims and contacted insurance companies to resolve these issues
Reached out to insurance carriers to obtain prior authorization for testing and procedures
Verified insurance benefits or eligibility and documented in E clinical system
Reviewed and maintained charts to ensure completeness and EMR guidelines
Communicated with outside facilities for scheduling tests or surgeries
Scanned prescriptions and reports into E clinical database
Verified or obtained referral numbers or authorizations for upcoming appointments
Posted payments to accounts and maintained records
Accurately inputted all patient and insurance information into company's computer system using E Clinical
Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
Verified insurance coverage to prepare for upcoming patient appointments
Coordinated front office duties, including customer service, patient scheduling and billing
Conducted insurance verification and preauthorization and managed patient charts

Medical Receptionist, 08/2017 to 11/2017
Julius W. Garvey, MD – Fresh Meadows, NY

Obtained payments from patients and scanned identification and insurance cards. Carefully wrote down all phone messages and relayed them to the appropriate personnel. Adhered to strict HIPAA guidelines at all times according to company policy. Ensured the waiting room looked neat and organized at all times. Managed office logistics by scheduling appointments, maintaining files and collecting payments
Ordered all office supplies including ink cartridges, toner, and paper. Greeted each patient pleasantly and provided the desk sheet for sign-in
Scheduled, rescheduled and handled cancelled appointments for patients. Checked patient data including insurance, demographic and health history to ensure all information was current
Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services in busy vascular office with 2 providers

Office Manager, 01/2010 to 12/2015
Greater Queens Podiatry Pllc. – Bayside, NY

Handle processing of patients informational data necessary for financial reimbursement from Medicare and Medicaid ,Cigna, Metro Plus, Blue Cross Blue Shield. Assess patient eligibility for insurance verification and reconcile patient's history with accounts receivable and verification of Medicaid. Ensured accurate billing status Monitor submission of Claims/Posting & Data Entry Completing patients surgical approvals and scheduling for facility procedure Coordinated daily pharmaceutical-related matters to verify and expedite authorizations of prescriptions Managed resolution of all billing inquiries including concerns between vendors Managed all credential applications with Insurance Providers Recruited, hired, trained and coached employees. Oversaw daily office operations for staff. Oversaw inventory and office supply purchases. Trained new employees on multiple medical billing programs and data entry software, TCMS, MediTouch, Mckesson
Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance

Medical Biller, 01/1991 to 03/2010
Gramercy Park Physical Therapy Associates – New York, NY

Handled various administrative and front desk functions including clerical duties, data entry, collecting copays & deductibles, scheduling of appointments and procedures and preparing office correspondence
Claim Entry & Payment Posting Maintained open lines of communication between patients,physician, staff
Filed and updated patient information and medical records.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments
Collected payments that were made and applied them to patient accounts

Education

High School DiplomaBushwick High School - New York

Resume Overview

Companies Worked For:

Dr. Robyn Joseph/Prine Health
Advanced Cardiovascular Diagnostics
Julius W. Garvey, MD
Greater Queens Podiatry Pllc.
Gramercy Park Physical Therapy Associates

School Attended

Bushwick High School

Job Titles Held:

Medical Biller/Office Manager
Front Desk Receptionist
Medical Receptionist
Office Manager
Medical Biller

Degrees

High School Diploma

Front Desk Receptionist Resume Example

Resume Score: 80%

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