Challenging position in a health care environment that will utilize my vast insurance verification knowledge. Strong Medical insurance knowledge (HMO, POS, PPO, Indemnity, Medicare, Workers Comp, etc.) Strong written and oral communication skills. Computer skills/knowledge include: Epic, 3M coding system, Vital Works, Invision SMS, IDX, DDE, Synertech, Affinity, Access, Lastword, Meditech, Dec Rad, Deliverex, PC and Macintosh experience using NT, MS Word, Wordperfect, Microsoft Outlook. Exceed standards with respect to customer service and teamwork. Type 75 wpm, Data Entry 13000 ksph. Seasoned problem solver, thrives in a challenging environment.
Healthteach Lab Admitting01/2012 to CurrentLong Beach MemorialLong Beach, CA
Obtains demographic and third party payor information necessary for admission and billing of patient accounts; compiles, verifies, analyzes, and distributes demographic, insurance, and financial information to be used by various hospital departments to assure proper compliance and prompt service to patients; assures verified data will provide accurate billing of charges and timely collection of accounts; Play lead role by being department resource person, conduct audits and make corrections to accounts before being sent out to billing.
Go over errors with employees, identify error trends, provide coaching and training as needs are indentified.
Make calls to doctors office to obtain patient info to complete accounts.
Assisting in training of new hires.
Lab, outpatient medical coding duties updating ICD 9 codes.
Main/ER/Admitting Rep01/2010 to 01/2012Long Beach MemorialLong Beach, CA
Communicate with patients employer regarding worker compensation issues.
Room patients, data entry, assist nurses.
Balance money in the end of the shift, file.
Look up Icd 9 codes.
SR. Case Manager Assistant Utilization Review Department01/2001 to 01/2006Hoag Presbyterian HospitalNewport Beach, CA
Verify insurance eligibility, verify patient's benefits, assist RN case manager, discharge planning in conjunction with nursing staff.
Call skilled nursing facilities to reserve patient beds, copy and organize patients charts before discharge, communicate with nurse's stations, notify health plan of admissions, process referrals, generate authorizations, communicate with doctor's offices on patient accounts, customer service.
In addition to primary duties also processed claims, data entry, request missing information from doctor's offices for accurate billing, revise claims for claims examiners, and other duties as assigned.
Look up Icd 9 and Cpt codes
Registration Verification Rep01/2000 to 01/2001Stanford Hospital and ClinicsPalo Alto, CA
Verify Patient benefits and ensure authorization for procedures/admissions are obtained in a timely manner for both scheduled patients and patients admitted via the emergency department or urgently admitted.
Notify payers and primary care providers when patients are admitted to the hospital.
Provide a high level of customer service when dealing with patients showing empathy and compassion.
Communicate with patients in a confident, courteous, and professional manner.
Pre-register scheduled inpatient and selected outpatient accounts.
Transfer self-pay accounts to Financial Counselors in a timely manner.
Additionally, notify the Financial Counselor of high-risk accounts so payment arrangements can be made.
Look up and verify Icd 9 codes.
Clinical Assistant II01/1999 to 01/2000Stanford Hospital and ClinicsPalo Alto, CA
Customer service, answer phones, obtain demographics on patients, check-in and check-out, insurance verification, referrals, authorizations, scheduling, filing, collect co-pays, organize patient charts, assisting doctors fill out lab requisitions, room patients.
Assist looking up Icd 9 and Cpt codes.
Registration Verification Rep01/1998 to 01/1999Stanford HospitalPalo Alto, CA
Customer Service, obtain demographics on patients, insurance verification, authorizations financial clear patients, pre-register scheduled outpatient accounts, transfer self-pay accounts to Financial Counselors in a timely manner, Additionally, notify the Financial Counselors of high risk accounts so payment arrangements can be made.
look up and verify Icd 9 and Cpt codes.
Education and Training
CCS CERTIFICATE: Medical Coding ICD 9, ICD 10cm pcspresentKhim AcademyCarson, Ca, USAInpatient, outpatient, lab, ER coding
High School Diploma1995Saddleback High SchoolSanta Ana, CA, USA
Windows and Mac literate, Type 75wpm, Ten key by touch 13000ksph, medical coding, Customer Service, Insurance verification, Multi Task Management.