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medical office coordinator resume example with 14+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Top-performing experienced Patient Access Specialist eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Specialized in working with commJessical and government reimbursement, health reimbursement law, claim denial management, and patient access to bio-pharmaceuticals on the market. Excel in the development and maintenance of complex, client-driven reimbursement programs in highly competitive markets.

Skills
  • Motivated, detailed oriented self -starter
  • HIPPA regulations and compliance
  • Insurance Billing
  • Patient focused reimbursement support
  • ICD9/ICD10
  • HCPCS and CPT coding guidelines
  • Knowledge and understanding of health insurance trends and developments in professional practice
  • Highly organized and results-oriented, with ability to multi-task and prioritize workload
  • Familiar with commJessical and managed care insurance carriers
  • Insurance Verification
  • Benefit Investigation
  • Prior Authorization Processing
  • Formularies
  • Front desk operations
Work History
08/2021 to 06/2022
Medical Office Coordinator Johns Hopkins University Baltimore, MD,
  • Supported billing staff by making corrections to invoices and insurance submissions.
  • Created and maintained medical records from time of admission through patient discharge.
  • Entered procedure codes and diagnosis codes into medical billing software.
  • Verified benefits and worked with insurance companies to obtain payments.
  • Coordinated patient care changes and relayed updated plans to various staff members assigned to patients.
  • Performed time and attendance data entry, printed completed payroll and made necessary corrections.
  • Maintained optimal supply levels by closely monitoring and proactively replenishing supply inventory.
  • Managed over 50 patient related calls per day
  • Aided with prescription refill requests.
06/2018 to 06/2021
Patient Access Specialist Catholic Medical Center Manchester, NH,
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Reported adverse events to assigned department
  • Managed over 60 patient calls per day.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Resolved patient financial and insurance problems with guidance from documented guidelines and procedures.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered. Relay benefits and provide next steps.
  • Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
  • Collected and validated patient demographics and insurance information.
  • Completed weekly conference calls with providers and FRMs to discuss patient journey, payer trends, and address needs of office and patients.
11/2014 to 06/2018
Senior Reimbursement Manager Devereux Philadelphia, PA,
  • Insurance benefit investigation and coordination of benefits
  • Drove operational and patient access improvements which resulted in program product to grow from being number 7 on preferred market list to number 2
  • Reported adverse events to assigned department
  • Welcome calls to patient and providing program details
  • Relayed benefits to patient, provided next steps, enroll into copay assistance, injection trainings and provided education on third party financial funding.
  • Prior authorization initiation and tracking
  • Denial and appeals support
  • Specialty pharmacy coordination
  • Managed at least 50 patient related calls per shift
  • Observed strict data confidentiality procedures to protect patients' information.
  • Collaborated with team members to achieve target results
05/2007 to 09/2014
Medical Assistant Dr Kiran K Bhat City, STATE,
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Prepared blood, urine, stool and sputum lab specimens for diagnostic evaluation.
  • Prepared and administered medications to alleviate patient symptoms.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Obtained client medical history, including medication information, symptoms and allergies.
  • Front desk management. Managed over 50 patient calls per day.
Education
Expected in 09/2018 to to
Bachelor of Science: Health Sciences
South University - Savannah, GA
GPA:
Certifications
  • Certified Medical Assistant

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Resume Overview

School Attended

  • South University

Job Titles Held:

  • Medical Office Coordinator
  • Patient Access Specialist
  • Senior Reimbursement Manager
  • Medical Assistant

Degrees

  • Bachelor of Science

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