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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

Medical Receptionist and surgery scheduler experienced at registering patients, scheduling appointments and surgeries, and recording and filing patient medical records. Enters information quickly and accurately. Very quick learner and team player who is looking for a job to utilize my abilities to the best of my ability.

Skill Highlights

Maintains strict confidentiality

Electronic Medical Record (EMR) software
ICD-9 coding
Interpreting instruction
Quality assessment of coded data
HIPAA compliance
Medical billing software
  • Strong planning skills
  • Technical expertise
  • Patient-focused care
  • Strong work ethic
  • Team player with positive attitude
  • Deadline-driven
  • Good written communication
  • Exercises good judgment
Professional Experience
01/2014 to
Patient Account Rep/Surgery Scheduler Open Systems Healthcare Mars, PA,
  • Recorded and filed patient data and medical records.
  • Carefully reviewed medical records for accuracy and completion asrequired by insurance companies.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory,radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Strictly followed all federal and state guidelines for release of information.
  • Directed patient flow during practice hours, minimizing patient wait time.Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Arranged and assistedwith hospital admissions.
  • Scheduled surgeries and procedures in conjunction with Surgical Coordinator.
  • Scheduledpatient appointments.
  • Completed registration quickly and cordially for all new patients.
  • Monitored shared email in-boxesand ensured inquiries were addressed.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Confirmed patient information, collected copays and verified insurance.
  • Posted charges, payments and adjustments.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.
  • Efficiently performed insurance verification and pre-certification and pre-authorization functions.
01/2013 to 02/2014
Billing Specialist Suny Upstate Medical University , ,
  • TNRecorded and filed patient data and medical records.
  • Carefully reviewed medical records for accuracy and completion asrequired by insurance companies.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory,radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Strictly followed all federal.
  • and state guidelines for release of information.
  • Wrote clear and detailed clinical phone messages for physicians.Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Monitored shared emailin-boxes and ensured inquiries were addressed.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations.
  • by appropriately handling patient information.
  • Appropriately and correctly identified errors and re-filed denied/rejectedclaims as they were received from the Patient Account Representative.
  • Thoroughly reviewed remittance codes fromEOBS/AR's.
  • Confirmed patient information, collected copays and verified insurance.
  • Posted charges, payments andadjustments.
  • Applied payments, adjustments and denials into medical manager system.
  • Carefully prepared, reviewed andsubmitted patient statements.
  • Ensured timely and accurate charge submission through electronic charge capture,including the billing and account receivables (BAR) system and clearing house.
  • Consistently informed patients of their.
  • financial responsibilities prior to services being rendered.
  • Performed quality control of the data entry system to verify thatclaims and payments were posted correctly.
08/2008 to 12/2010
Billing/Coding Specialist , ,
  • Crittenden Regional HospitalWest Memphis, arEnsured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
  • Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
  • Performed quality control of the dataentry system to verify that claims and payments were posted correctly.
  • Billed all lab claims with attached lab slips.Thoroughly investigated past due invoices and minimized number of unpaid accounts.
  • Recorded and filed patient dataand medical records.
  • Carefully reviewed medical records for accuracy and completion as required by insurancecompanies.
  • Strictly followed all federal and state guidelines for release of information.
  • Wrote clear and detailed clinicalphone messages for physicians.
  • Directed patient flow during practice hours, minimizing patient wait time.
  • Monitoredshared email in-boxes and ensured inquiries were addressed.
  • Accurately entered procedure codes, diagnosis codesand patient information into billing software.
  • Consistently ensured proper coding, sequencing of diagnoses andprocedures.
  • Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Appropriately and correctly identified errors and re-filed denied/rejected claims as they were receivedfrom the Patient Account Representative.
  • Added modifiers as appropriate, coded narrative diagnoses and verifieddiagnoses.
  • Thoroughly reviewed remittance codes from EOBS/AR's.
  • Confirmed patient information, collected copaysand verified insurance.
  • Posted charges, payments and adjustments.
  • Applied payments, adjustments and denials intomedical manager system.
07/2000 to 08/2008
Medical Receptionist Ciox , ,
  • ARRecorded and filed patient data and medical records.
  • Carefully reviewed medical records for accuracy and completion asrequired by insurance companies.
  • Strictly followed all federal and state guidelines for release of information.
  • Wrote clear.
  • and detailed clinical phone messages for physicians.
  • Directed patient flow during practice hours, minimizing patient waittime.
  • Scheduled patient appointments.
  • Completed registration quickly and cordially for all new patients.
  • Scheduledradiology exams for patients.
  • Acted as a liaison between the business department, billers and third party payers inresolving billing and reimbursement accuracy.
  • Communicated with medical transcriptionists regarding patient medicalrecords.
  • Posted charges, payments and adjustments.
  • Applied payments, adjustments and denials into medical managersystem.
  • Consistently informed patients of their financial responsibilities prior to services being rendered.
Education and Training
Expected in 1993
High School Diploma:
Marion Sr. High SchoolMarion - , AR
GPA:
Expected in 2011
Cosmotology License: Cosmetology2012Arkansas State University, Marked TreeMarked Tree, AR, United States:
Mid South Commuity CollegeWest - Memphis, AR
GPA:
Skills
AR, billing, CPT, client, data entry, diagnosis, email, financial, insurance, medical manager, coding, quality control, phone

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Resume Overview

School Attended

  • Marion Sr. High SchoolMarion
  • Mid South Commuity CollegeWest

Job Titles Held:

  • Patient Account Rep/Surgery Scheduler
  • Billing Specialist
  • Billing/Coding Specialist
  • Medical Receptionist

Degrees

  • High School Diploma
  • Cosmotology License: Cosmetology2012Arkansas State University, Marked TreeMarked Tree, AR, United States

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