Over 15 years of successful experience working in Human Resources Administration, Medical Records, Customer Service, Registration, Accounts Receivables, Billing and administrative assistance. Highly skilled in maintaining strong relations with providers, clients, and patients. Strong knowledge of medical terminology. Skilled in data entry, paper and electronic recordkeeping, and Microsoft Office (including Word, Excel, and Access), Siemens (SMS), Medical Manager, Consolo, various billing systems and IVANS.
Multidimensional role that oversees Human Resources, Health Information Management (Medical Records), and patient referral coordination. As Human Resources Director, leads recruiting activities including screening and interviews, conducts background investigations and credentialing, coordinates employee benefit elections and payroll time and attendance records, creates nursing on-call schedules, and maintains personnel records. Responsibilities also include oversight and accountability for patient medical records including auditing all clinical charts for charting procedures by clinical staff, fulfilling record requests by insurance companies, and key tasks for Quality Assurance and Performance Improvement (QAPI) program. Referral coordination duties involve direct patient and family engagement, consenting, extensive data entry into company and payor information systems (e.g. Medicare DDE), management of invoice processes, and correcting unprocessed claims. Customer service activities include answering multi-line phone line and close interaction with vendors, referral sources, patients and families.
Responsible for maintaining the general functions of the reception/registration desk to include handling phone calls, answering questions for patients, gathering and entering essential information for the registration, discharge, filing of insurance, and collection of fees for services rendered to patients. Ensured all accounts contained comprehensive and accurate data to provide for timely billing and optimal reimbursement. Verified patient insurance benefits and obtained prior authorizations directly from payors. Created claims superbill and entered charges into billing system. Completed discharge/check-out process for patients. Entered prescription data into system and filled patient medications.
Responsible for facilitating billing and reimbursement processes for commercial and governmental payors including Medicare, United Healthcare, Humana, Medicaid (both Louisiana and Mississippi), and Workers Compensation. Submitted claims, analyzed accounts for coding and other errors, processed adjustments and credits, and issued corrected entries when necessary. Followed up on unpaid claims and resubmitted. Posted patient and insurance payments into electronic system and updated account information accordingly. Reviewed incoming correspondence and phone inquiries and took appropriate action. Quickly and effectively resolved any issues with assigned accounts. Always worked above my expected productivity while constantly seeking new ways to improve my work flow. Often helped team members with extra reports or accounts.
Progressively promoted to Paser, responsible for patient reception, scheduling appointments, medical records filing, opening/closing charts, and working the walk-in clinic. Gathered and entered information for registration, discharge, and filing of insurance claims. Collected patient co-payments, and assisted with insurance precertification, and patient referrals.
In my previous role as a Registrar, I answered incoming calls, made new patient charts, and entered physician charges into the Medical Manager system. As a Collector, duties included working and collecting on self pay accounts. This also included processing charity requests, taking payments on accounts and setting up payment arrangements. As clinical assistant, I traveled with a psychiatrist to outreach offices working closely with office staff, patients and physicians.
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