Medical Professional versed in many aspects of the healthcare process. Hoping to obtain a full time position as a Financial Navigational Supervisior at Kings Daughters Medical Center. My experience in Oncology and Long term care of the crititcally Ill would be a great asset to the KDMC Medical Administaion team.
Skills
Regulatory compliance
Medical records management
Direct patient care
Team Building Skills
Time Management
Interpersonal Communication Skills
Clinical training
Speaking clearly
Claims analysis and review specialist
Speech comprehension
Filing mastery
Charting
Healthcare billing proficiency
Inpatient and outpatient care
Computerized charting specialist
Experience
Medical Billing Specialist, 06/2019 - Current Regions Hospital – Maplewood, MN,
Performed full-cycle medical billing for fast-paced company, reducing errors.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Determined prior authorizations for medication and outpatient procedures.
Identified errors correctly and re-filed denied or rejected claims promptly when received from Patient Account Representative.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Posted and adjusted payments from insurance companies.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Applied payments, adjustments and denials into medical manager system.
Performed quality control of data entry system to verify proper posting of claims and payments.
Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
Reviewed and verified benefits and eligibility with speed and precision.
Consistently informed patients of financial responsibilities prior to services being rendered.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Precisely completed appropriate paperwork and system entry regarding claims.
Referral Specialist/Front Office Receptionist, 11/2018 - 06/2019 Ashland Bellefonte Cancer Center – City, STATE,
Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories.
Updated patient financial information to ensure accuracy.
Managed front office activities, including customer service, patient appointment management, billing and collections, and office administration.
Managed physician calendar, including scheduling patient appointments and procedures.
Interviewed patients to collect medical information and insurance details.
Called patients to schedule appointments, consistently double-checking information and availability.
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Addressed, documented, and responded to incoming and outgoing calls and correspondence.
Received and scheduled new referrals according to diagnosis under constant supervision of attending Physician.
KMA, SRNA, 11/2007 - 11/2018 Oakmont Manor Nursing And Rehabilitation – City, STATE,
Documented patient intake and dietary requirements and assisted with feeding.
Examined and addressed lacerations, contusions and other physical symptoms in need of further attention.
Collected specimens, monitored vitals and maximized patient comfort.
Cleaned and sanitized rooms and equipment using aseptic technique to prevent infection and cross-contamination.
Managed supplies and restocked inventory to ensure optimal availability for patient care.
Documented information in patient charts and communicated status updates to interdisciplinary care team.
Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.
Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.
Monitored expiration of medications and medical supplies.
Safely and accurately prepared all medications and sterilized products by using proper techniques, calculations and standards of precautions.
Maintained documentation of all repackaged medications.
Prevented spread of infection by consistent hand washing, universal precautions and special isolation procedures.
Education and Training
High School Diploma: , Expected in 05/2007 - Dawson-Bryant High School - Coal Grove, OH GPA:
Associate of Applied Science: Medical Information Technology, Expected in 05/2019 - Ashland Community And Technical College - Ashland, KY GPA:
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