Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Skills
Interdepartmental collaboration
Patient relations
Insurance practices
Appointment confirmation
Patient interviewing skills
Medical billing
People skills
Experience
05/2004 to Current
Patient Referral CoordinatorUniversity Of Michigan – Ann Arbor, MI,
Communicated with patients to ensure quality of care and develop care plans.
Completed insurance verifications and claim forms for patient intake and processing.
Scheduled evaluations and procedures for patients.
Processed patient intake information and updated medical records prior to treatment.
Established strong work network by building professional relationships with physicians and fellow employees.
Demonstrated flexibility during changes to patient care practice.
Received and routed care team messages and documents to appropriate staff.
Collaborated with nursing staff to advocate for individual patient needs and insurance coverage.
Verified patients' insurance and payment methods during admissions or check-in processes.
Collaborated with clinical and administrative staff to meet patient needs.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Explained policies, procedures and services to patients.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Obtained informed consent and payment documentation from patients and filed in system.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Organized timely and accurate referrals to help patients obtain health care services and access available resources.
Stayed current on community-based resources and services useful to patients.
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Obtained necessary signatures for privacy laws and consent for treatment.
Communicated financial obligations to patients and collected fees at time of service.
Explained various admission forms and policies, acquiring signatures for consent.
Assembled registration paperwork and placed identification bands on patient.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Processed patient responsibility estimate determined by insurance at pre-registration.
Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
Reviewed eligibility responses to assess patient benefit level and prepare estimates.
Optimized provider time and treatment room utilization with appropriate appointment scheduling.
Checked stock to determine inventory level and placed orders for needed supplies.
Verified patients' insurance and payment methods during admissions or check-in processes.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Explained policies, procedures and services to patients.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Obtained informed consent and payment documentation from patients and filed in system.
Received patient inquiries or complaints and directed to appropriate medical staff members.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Organized timely and accurate referrals to help patients obtain health care services and access available resources.
Instructed patients on policies and required actions for different types of appointments and procedures.
Stayed current on community-based resources and services useful to patients.
05/2004 to Current
Medicare Billing SpecialistMoffitt Cancer Center – Tampa, FL,
Applied HIPAA privacy and security regulations while handling patient information.
Completed and submitted appeals for denied claims.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Submitted appeals using provider portals and phone communication.
Reviewed claims for coding accuracy.
Coordinated communications between patients, billing personnel and insurance carriers.
Input details into accounts and tracked payments.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
Leveraged EMR software to post payments received for medical services.
Answered customer questions to maintain high satisfaction levels.
Submitted claims to insurance companies.
Managed all payments processing, invoicing and collections tasks.
Collected, posted and managed patient account payments.
Performed insurance verification, pre-certification and pre-authorization.
Checked claims coding for accuracy with ICD-10 standards.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Executed account updates and noted account information in company data systems.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Reconciled codes against services rendered.
Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
Expedited payments by verifying accuracy and currency of vendor information.
Enforced compliance with organizational policies and federal requirements regarding confidentiality.
Reviewed engine assigned codes and modifiers to update and verify accuracy.
Education and Training
Expected in 05/2017 to to
Associate of Arts: General Studies New Mexico State University - Grants, NM, GPA:
[Semester, Year] - Dean's List all semesters from Jan 1996 through graduation May 1999 from Faith Bible School Mitchell, SD. Graduated as the salutatorian of the class
Graduated as the salutatorian of my high school class in May 1994.
Volunteered as a teacher's aid at my high school for the 94-95 school year.
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