Highly driven to provide exceptional customer service while being a team player, maintaining a positive attitude, and applying my excellent communication and administrative skills. Specializing in offering emergency response on top of normal care and assistance. Capable of performing needs assessments and psychosocial evaluations to determine appropriate plans, set goals and ultimately improve individual quality of life.
Medical Billing and Coding/Administrative Skills Graduate
ICD-9 / ICD-10
Knowledge of MediSoft
Familiar with Nextgen
Experienced with Microsoft Word Office/Power Point
Triaging patient concerns
Microsoft Office, eClincalWorks EMR, Word, PowerPoint, Bright Tree, Snapworks, Excel, Microsoft Teams
Compassionate patient care
MediSoft, Excel, Microsoft Office, PowerPoint, Microsoft Word and Office/Power
Multidisciplinary team collaboration
Adaptable under pressure
Communicate with all departments: billing, intake, shipping, and clinics. Investigated and reported issues relating to patient care and conditions which might hinder patient well-being. Helped verify eligibility and benefits with patients insurance. Worked with Blue Shield, United health care, Aetna, Anthem and Tricare insurances. Check on DME benefits and call patients to explain. Reviewed new referrals and sent to the right department as well as reached out to the patients. Worked with supervisory medical staff to review cases and improve care. Communicate with patients to determine and confirm their CPAP supply needs. Arrange and coordinate provision of special equipment for sleep therapy and at home care. Assist the care team with goal setting by contributing to team effort and accomplishing related results as needed.
Handel inbound calls and patient questions. Connect with new patients via phone and email. Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
Provided ongoing compassionate patient care for each client.
Ability to multi-task in a fast paced environment. Proficient in checking patients in and out of appointments while obtaining up to date information including insurance and all required forms. Efficient in answering 10 multiple lines (7 office lines, 3 hospital lines) and ensuring they are transferred to the appropriate department. Coordinate doctor calls for 6 providers. Verify 200-300 insurances per week. Check schedule a week in advance for eligibility to ensure patients are seen in a timely manner. Update all insurance FSC for accuracy for electronic health records and billing. Verify new patients insurances if we are contracted. Send provider letters and referrals to various doctors. Assist with medical records as needed.
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency. Conducted patient intake interviews to collect medical information and insurance details.
Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations. Took messages from patients and promptly relayed to appropriate staff. Informed patients of financial responsibilities prior to rendering services.
Answered multi-line phone system and directed callers to requested personnel and departments.
Coordinate with doctors to review patients appropriate for treatment. Interview patients and thoroughly obtain information about their social life to ensure proper approach. Initiate and follow up on all prior authorizations for medical treatment. Schedule all patients for all 5 physicians in office. Efficient auditing of patient charts to ensure patient's insurances are approved and patients are able to receive treatment in a timely manner. Constant communication with providers to approve medical necessity and follow up on making adjustments with current treatment received. Following up with patients per physician orders. I prepare a little graduation for the patients to get their certificate. Participate in monthly meetings with all physicians and staff. Send out reports every Friday on what's being processed and worked on Back Office/Medical records. Resolved customer complaints and adjusted policies to meet changing needs.
Performed scheduled and surprise inspections of worksites to gauge technician skill and performance in field. Provided ongoing training to address staff needs.
Job Titles Held: