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JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (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 Current Office Manager/Billing Coordinator/Medical Assistant Concentra | 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. 
  • 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.
10/1998 to 04/2000 Medical Secratary Paula 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 10/1998 Medical Assisant Richard 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. 
  • Ensured HIPAA compliance.
  
 
 
 
 
 
  • 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 1996 Associate of Applied Science | Administrative and Office Technology TECHNICAL CAREER INSTITUTE, New York, NY GPA:
Administrative and Office Technology [Number] GPA 3.8
Expected in 2017 | Heallthcare ASHWORTH COLLEGE, Norcross, GA GPA:
Expected in 2017 | ASHWORK COLLEGE, Norcross, GA GPA:
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.
Additional Information
  • Salary:Negotiable

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School Attended

  • TECHNICAL CAREER INSTITUTE
  • ASHWORTH COLLEGE
  • ASHWORK COLLEGE

Job Titles Held:

  • Office Manager/Billing Coordinator/Medical Assistant
  • Medical Secratary
  • Medical Assisant

Degrees

  • Associate of Applied Science

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