To secure a leading position of health care administrator having customer service ability and public relation skills while using over 9 years of diverse experience in hospitals and clinical practices and professional experience including completed bachelor's degree course in Science. With the help of my educational qualification I can be able to work as a health care administrator in well-established organization. 100 hours of volunteer work with a license Occupational therapist.
*Enhanced patient satisfaction level by 65% through demonstration of highly patient oriented, professional work ethic and strict compliance to HIPPA guidelines regarding patient care delivery.
MS Word, Outlook, PowerPoint & Excel.
Special expertise in health care policy and the health care industry, in general.
Extremely knowledgeable of all required reporting at federal, state and local levels (Medicare, CMS, etc.).
Insurance and collections procedures
Understands insurance benefits
Research and data analysis
02/2017 to Current
Office ManagerMadison Occupational Therapy － Brooklyn, NY
Correctly coded and billed medical claims for medical facilities.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Scheduled appointments, register patients in the database.
Professionally and courteously verified appointment times with patients.
Verified patients' eligibility and claims status with insurance agencies.
Entered patient demographics into the EMR system.
Prepared patient charts, pre-admissions and consent forms as necessary.
Maintained strict patient and therapist confidentiality.
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation,appropriate coding based on CMS HCC categories,protocols and third party requirements regarding billing.
Managed collections claim for unpaid bills against the estates of debtors.
Interacted with providers regarding billing and documentation policies, procedures and regulations.
Ensure all medical electronic/paper claims are entered and submitted with 48 hours of receipt.
Submit secondary claims upon processing of primary insurance for timely filing.
Identified and resolved patient billing and payment issues and established appropriate payment plans.
Confidently and adeptly handled claim denials and/or appeals.
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
Verrify and assign correct ICD-10 to Therapist diagnosis and insure correct level of service and various other CPT codes.
Set-up practice management software for submission of electronic claims to clearinghouse and work with clearinghouse to resolve file compatibility issues.
Retrieve Electronic Remittance Advice (ERA's).
Follow up and re-submit insurance claims as necessary.
08/2011 to 11/2015
Office Manager/ Administrative AssistantFidelity Health Care Agency － Brooklyn, NY
Answer high volume incoming telephone lines in a timely, friendly, professional manner; record messages with accuracy and appropriately handle or refer questions and requests.
Schedule and arrange appointments, meetings, conferences and travel accommodations.
Establish, maintain, Scan, and update files, database, records and other documents; develop and maintain data.
Perform other administrative duties such as documenting, photocopying, faxing, mailing and organizing filing system.
Maintains unit supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.
08/2006 to 02/2011
Unit Clerk/ Administrative AssistantLICH- Suny Downstate Medical Center － Brooklyn, NY
Answers telephone and intercom calls and provides information or relays messages to patients, physicians, nursing staff and other healthcare personnel and departments.
Greet people entering establishment, assisted patients and visitors in locating specific departments and services, and kept them updated on status of procedures and referral appointments.
Schedule and arrange patient's referral appointments, medical tests and procedures, and kept them updated on status of procedures and referral appointments.
Maintained the office database - retrieved and organized information for individual employees and clients.
Act as a resource for special assignments; proactively take on pending or urgent/critical assignments.
Managed patient records, verifying that all forms, paperwork, lab work and referrals were properly documented.
Education and Training
M.B.A: Health Care Management - Health Information SystemsSt. Joseph CollegeHealth Care Management - Health Information Systems
B.S: Health AdministrationSt. Joseph CollegeHealth Administration
Associates Degree: BiologyKingsborough Community CollegeBiology
administrative duties, Attention to detail, benefits, billing, charts, CMS, conferences, CPT, clients, customer service, data analysis, database, diagnosis, documentation, English, faxing, filing, forms, French, government, health care industry, HIPAA regulations, home care, ICD 10, ICD-9, Insurance, inventory, mailing, medical terminology, meetings, Excel, office, Outlook, PowerPoint, MS Word, multi-tasking, nursing, organizing, organizational, personnel, policies, coding, protocols, update files, reporting, Research, supervision, telephone, telephone etiquette