intake case management specialist resume example with 16+ years of experience
- Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
- (555) 432-1000
- resumesample@example.com
- :
DIVERSIFIED MEDICAL SPECIALIST
Over twenty years as an accomplished diversified coordinator of patient care, coding, billing, and insurance authorization. I have experience in the fields such as neurology, cardiology, rheumatology, and skilled nursing. I am proficient in CPC-A, CPC, CPC-H, RHIT, CCS, CCS-P, HIPPA, and medical transcription. I take great pride in producing an exceptional quality of work and I am looking to join a growing rewarding team. I am available to start immediately and have a remote Windows Professional double monitor system with abilities to work from home. I have worked with Medicare, Anthem, Humana, Aetna, and Cigna. I am able code ICD-10 PCS, CCP, and have all the ICD-10 books and am currently enrolled at Ashworth College for medical billing and coding.
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Ohioguidestone – Euclid, OH,
- Worked with Phone Fax team filing pertinent patient records to patient's case for review.
- I also worked on the peer-to-peer denial team, to call in denials to the facilities and schedule one-on-one appointments with the medical directors.
- Updated demographics for further discharge planning after hospitalization and worked on special cases with the intake team to reach out to patients after discharge to order the care needed i.e.
- Meals for patients to be delivered post-discharge, PT, OT, and Home health.
Philips – Lockbourne, OH,
- Verified patient insurance eligibility and responsibility, such as co-payments and deductibles and MOP Reviewed extensive hospital records to identify billable ICD 10 codes for insurance authorization Organized and prioritized all work to ensure that delivery of authorization and benefits were given in a timely manner to our facilities Maintained strictest confidentiality; adhered to all HIPAA guidelines/regulations Completed admission and entered authorization information into electronic medical record and followed through until discharge Multitasked several projects at one time while meeting strict deadlines.
PRIMED CARDIOLOGY – City, STATE,
- Provided administrative support to 4 physicians and interpreted data to assign ICD-9, and patient information into billing software by reading operative reports and assigning the appropriate CPT procedure codes for complicated cardiology procedures such as stenting and vascular interventions Initiated authorization for multiple diversified cardiology procedures Reviewed and validated accuracy of charges including dates of service, services provided, location, patient identification and provider signature Managed patient records and files; reinforced and upheld patient confidentiality as required by HIPAA and clinic.
INDIANA NEUROSCIENCE ASSOCIATES – City, STATE,
- Daily downloading and proofing of all patient dictations for 13 neurologists while tracking all documents to ensure compliance while keeping extensive records and excel spreadsheets to notify doctors of delinquent dictations and reporting this to the executive committee Transcribing diversified medical reports including EEG's, EMG's, H&P's, and operative reports.
- Troubleshooting computer issues and networking medical records for office use.
- Entering office charges, patient demographics, ICD-9 coding, CPT coding, daily posting of patient and insurance payments to accounts.
- Disputing insurance denials and refilling insurance claims.
enrolled for the following certifications CPT coding, ICD-10-PCS, ICD-10-CM
- Continuing education in [Subject] Currently still in school
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Resume Overview
School Attended
- Ashworth College
- Ashworth College formerly Professional Career Development Institute
- Indiana University/Purdue University IUPUI
- University of Southern Indiana
Job Titles Held:
- INTAKE/CASE MANAGEMENT SPECIALIST
- INTAKE SPECIALIST
- MEDICAL BILLING SPECIALIST
- TRANSCRIPTION DEPARTMENT TEAM LEAD
Degrees
- Some College (No Degree)
- Associates Degree
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