Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
To secure a position that would utilize my capabilities and experiences and would allow me to further enhance my knowledge and ideas to the best of my capacity.
Licenses
Skill Highlights
Guest services
Inventory control procedures
Merchandising expertise
Loss prevention
Cash register operations
Product promotions
Professional Experience
04/2000 to CurrentOffice Manager/Billing Coordinator/Medical AssistantConcentra | Amarillo, TX,
Perform payroll functions, such as maintaining timekeeping information and processing and submitting payroll.
Maintain Physician's Official and Credentialling status for Hospital reinstatement.
Fully trained to use EMR system.
Maintain all staff rules and regulation documents.
Trained and supervised staff in Medical and Office Assisting.
Observe and document patient status and report patient complaints to the doctor.
Directed patient flow during practice hours, minimizing patient wait time.
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and vClairedating accurate HCC information.
Read and record vital signs, including blood pressure, temp, pulse, and weight.
Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Assist with minor procedures.
Resolved and clarified issues with patient medications and collaborated with local pharmacies.
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Communicates physician recommendations and test results to patients.
Performed routine tests such as urine dip stick, EKG, phlebotomy, h.pylori breath tests for lab pickup, all aspects of other bloodwork or lab requirements.Handles high volume of phone messages.
Write clear and detailed clinical phone messages for physicians.
Prepare prescription refill requests on behalf of the physician.
Schedules and confirms patients' appointments for office visits and procedures.
Communicated with medical transcriptionists regarding patient medical records.
Scheduled radiology exams for patients.
Schedule surgeries and procedures in conjunction with Surgical Coordinator.
Carefully reviewed medical records for accuracy and completion as required by insurance companies.
Handles pre-authorization for radiology and for GI procedures as necessary online or by phone.
Wrote clear and detailed clinical phone messages for physicians.
Strictly followed all federal and state guidelines for release of information.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature.
Handles every aspect of office, outpatient and inpatient billing for internal medicine and gastroenterology.
Thoroughly investigate past due invoices and minimized number of unpaid accounts.
Assign additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Examine diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Carefully reviewed medical records for accuracy and completion as required by insurance companies.
Consistently ensure proper coding, sequencing of diagnoses and procedures.
Quickly responds to staff and client inquiries regarding CPT codes.
Acquire insurance authorizations for procedures and tests ordered by the attending physician.
Receive, organize and maintained all coding and reimbursement periodicals and updates.
Acts as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
Review patient bills for accuracy and completeness and obtain any missing information.
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Thoroughly investigated past due invoices and minimized number of unpaid accounts.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Initiate claims adjustments and resubmission of claims to the insurance carrier, intermediary, facility or other responsible party.
Process refund requests, and process monthly credit card payments.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Confirm patient information, collected copays and verified insurance.
Monitored shared email in-boxes and ensured inquiries were addressed.
Quickly responded to staff and client inquiries regarding CPT codes.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Received, organized and maintained all coding and reimbursement periodicals and updates.
 Consistently ensured proper coding, sequencing of diagnoses and procedures.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Interpreted medical reports to apply appropriate ICD-9, ICD-10, CPT-4 and HCPCS codes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Thoroughly reviewed remittance codes from EOBS/AR's.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Completed appeals and filed and submitted claims.
Posted charges, payments and adjustments.
Applied payments, adjustments and denials into medical manager system.
Submitted refund requests for claims paid in error.
Carefully prepared, reviewed and submitted patient statements.
Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
Meticulously tracked and resolved underpayments.
 Consistently informed patients of their financial responsibilities prior to services being rendered.Â
Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
Performed quClairety control of the data entry system to verify that claims and payments were posted correctly.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
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10/1998 to 04/2000Medical SecrataryPaula Randolph, MD | City, STATE,
Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.
Scheduled and confirmed appointments.
Recorded and filed patient data and medical records.
Confirmed patient information, collected copays and verified insurance.
Called in prescriptions for patients.
Pre-authorized all procedures and obstetrical delivery, carefully reviewed medical records for accuracy and completion as required by insurance companies.
Operate office equipment, such as fax machines, copiers, or phone systems and arrange for repairs when equipment malfunctions.
Confirmed patient information, collected copays and verified insurance.
Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Strictly followed all federal and state guidelines for release of information.
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Communicated with medical transcriptionists regarding patient medical records.
Arranged and assisted with hospital admissions.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
1992 to 10/1998Medical AssisantRichard Wind, MD | City, STATE,
Directed patient flow during practice hours, minimizing patient wait time.
Escorted patients to examination rooms and prepared them for physician exams.
Obtained and record vital signs in the patients' charts.
Help physicians examine and treat patients, handing them instruments or materials or performing such tasks helping collect biopsies.
Performed routine tests such as urine dip stick, non-stress test.
Peformed venipuncture and other laboratory specimen, log in specimen, and prepare them for testing.
Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Cleaned and sterilizeed instruments and disposed of contaminated supplies in exam rooms before and after each patient.
Organized, updated and maintained over 200 patient chart
Recorded patients' vital statistics and test results in medical records.
Efficient in phlebotomy.
Tested patients' blood glucose levels for GCT testing
Educated patients about their treatments.
Proficient with lab specimen  and blood transportation requirements.
Checked patients in and out.
Documented lab results in patients charts.
Handled high volume of phone messages.
Scheduled patients' appointments.
Kept facility stocked with necessary supplies, equipment and instruments.
Maintained a clean, orderly and well-stocked environment.Â
Ensured HIPAA compliance.
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Achievement: Service-oriented Medical Office Management with over 20 years background in medical assisting, medical billing and medical office management.
Core competencies include strong organizational and prioritization abilities as well as excellent communication and time management skills.
Handles tasks with accuracy and efficiency.
Computer Literate in most updated softwares.
Very strong attention to Detail.
Excellent communication skills between doctor, staff and patients.
Proficient in EKG, Phlebotomy, and patient communication skills with various medical and billing terminology due to over 20 years in these fields.
Knowledge of billing codes and proficiency of all aspects of billing procedures.
Proficiency in insurance research resulting in a reduction of unpaid claims.
Personally trained for Medical Assisting By Dr Richard Wind and has been working in the medical field since 1992.
Since then, has been trained in several different versions of Medical Technological Programs, including several EMR systems.
Can conform to different Medical Programs with minimal training.
Education and Training
Expected in Aug 1996Associate of Applied Science | Administrative and Office TechnologyTECHNICAL CAREER INSTITUTE, New York, NYGPA: Administrative and Office Technology [Number] GPA 3.8
Expected in 2017 | HeallthcareASHWORTH COLLEGE, Norcross, GAGPA:
Expected in 2017 | ASHWORK COLLEGE, Norcross, GAGPA:
Skills
Strong attention to Detail, Resilient in Research, Excellent communication, Computer Literate skills, EMR efficient, Medical Billing, Computerized Charting, Advanced Problem-solving skills, Excellent interpersonal skills.
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