Medical Support Assistant Resume Example Company Name

MEDICAL SUPPORT ASSISTANT

Summary

I am seeking a challenging, rewarding Business Administration position utilizing my education and 10 years of experience with health care, private insurance, revenue management, and customer service.

Skills

Knowledge of IHS Eligibility
Purchased Referred Care/Contract Health
Medical Billing, Claims, and Reimbursement
RPMS/EHR systems
Patient Referrals and Pre-Authorization

AHCCCS, Medicaid, Medicare, Private Insurance
Marketing, Advertising, Public Relations
Revenue Management
Excellent Customer Service
Knowledge of HIPAA Privacy Act

Experience

Company NameCity, StateMedical Support Assistant12/2015 to Current

Verify PRC/Contract health eligibility, Medicaid, Medicare (part A, B, and D), VA benefits, and Private Insurance resources for reimbursement.
Participate in Purchased Referred Care review for determination of payment for medical services.
Obtain pre-authorizations for radiology services, MRI, MRA, CT scans, ICD-10 diagnostic coding.
Identify patient IHS eligibility, establish new patient charts, schedule patient visits in adult primary care and pediatric clinics.
Confirm patient demographic data, obtain CIB/Tribal enrollment verification, and input into IHS database.
Knowledge of medical terminology, procedures, RPMS/EHR systems, Vista imaging, Emdeon software, AHCCCS eligibility database.

Company NameCity, StateContact Representative12/2011 to 11/2015

Provide excellent customer service for Emergency Room and Express Care Departments.
Verify patient private insurance, AHCCCS, and Medicare resources for reimbursement.
Update patient files, create new charts, re-establish old files, and obtain all necessary info for RPMS system.
Determine patient eligibility, demographics, and financial work history.
Pre-screen patients being medically transported out of hospital.

Company NameCity, StateContract Health Administrative Assistant02/2009 to 05/2009

Determined eligibility status, monitored payment for services, process accounts payable and receivable for contract health patients in the Fort Defiance IHS service area.
Provided customer service to incoming patients, filed claims, and updated patient data in RPMS system.
Updated provider federal DUNS numbers within the area for payment of services.

Company NameCity, StateProperty Loss Claims Representative II12/2006 to 12/2008

Monitored, managed, and disbursed insurance claim funds for the repairs of homeowner properties damaged by natural disasters throughout the United States.
Received, deposited, and endorsed checks for national GMAC Mortgage Company.
Disbursed draw checks for GMAC and Select Portfolio Services.
Monitored vested interest in property for Fannie Mae and Freddie Mac financial lenders.

Conducted extensive property damage analysis through inspection of properties, high level interaction with homeowners, contractors, insurance companies, adjusters, inspectors, and financial lenders.

Company NameCity, StateMedical Collection Specialist06/2006 to 09/2006

Filed medical claims for in-patient and out-patient hospital services and/or equipment.
Experienced in medical UB-92 and HCFA 1500 claim forms, HCPC, CPT, ICD-9 coding.
Negotiate collections from third party payers on patient accounts and patient appeals.
Knowledge of HIPAA Privacy Act, and policy collection procedures.

Company NameCity, StateRevenue Management Collection Specialist02/2004 to 03/2006

Filed medical claims for orthopedic durable medical equipment.
Collection of insurance payment for medical equipment provided.
Determine in-network and out of network reimbursement.
Account Receivable collection average of $75,000 monthly.

Company NameCity, StateLegal Assistant02/2001 to 03/2003

Filed lawsuits, defaults, and motions for judgments in Arizona Justice Courts.
Prepared legal documentation, filings, and correspondence related to homeowner association litigation.
High level interaction with homeowners, property management, accountants, and HOA board members.
Management of 180 homeowner cases throughout the state of Arizona.

Education and Training

BACHELOR DEGREE::Business Administration

August 2011Fort Lewis College

Magna Cum Laude Top Honors Graduate 3.53 GPA

Marketing, Consumer Behavior, Advertising/Public Relations, Managerial Economics, Managerial Accounting, Strategic Management, Operations Management, Financial Management, Business Statistics, Organizational Behavior, Real Estate Investment

Skills

Microsoft Office Excel, Word, Access, PowerPoint, Outlook, Publisher
Knowledge of RPMS, EHR systems
65 WPM, 10-Key experience
Accounts payable and receivable
Contract negotiations
Problem Solving
Technical communication
@Risk Statistical Analysis Software, POM program experience.

Resume Overview

School Attended

Fort Lewis College

Job Titles Held:

Medical Support Assistant
Contact Representative
Contract Health Administrative Assistant
Property Loss Claims Representative II
Medical Collection Specialist
Revenue Management Collection Specialist
Legal Assistant

Degrees

BACHELOR DEGREE: : Business Administration
August 2011

Medical Support Assistant Resume Example

Resume Score: 90%

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