Enthusiastic, motivated and highly organized healthcare administrative support professional, offering more than eight years of commendable experience in office administration, secretarial functions, financial management, customer service and patient relations. Known for accuracy and attention to detail. Skilled at problem-solving, quality review, scheduling, leadership, training and development. Hardworking and ethical associate with exceptional presentation, written and verbal communication, and an ability to utilize time effectively. Quick learner who can work independently and as part of a team in a fast-paced work environment, meeting tight deadlines, and schedules.
Skills
Accounts Receivable Expertise
Medical Billing and Collections
Claims Processing
Microsoft Word
Data Entry
Office Administration
Team Building
Office Management
Appointment Scheduling
Schedule Coordination
Microsoft Office
Motivational Leadership
Staff Development and Training
Experience
04/2020 to CurrentPatient Registration Representative Mount Sinai Medical Center Of Miami Beach | Key West, FL,
Responsible for the intake and patient registration process.
Conducts accurate patient interviews, schedules appointment, enters correct patient demographics, verifies third party payers' information, accurately posts charges when applicable, calculates the amounts due from the patient FPL's at POS, and balances and deposits daily collections.
Performing these duties accurately and efficiently is critical to optimizing the hospital revenue.
Performs multi-task clinic duties to ensure efficiency in daily operations.
Performs all duties in accordance with all regulatory guidelines and the Grady Health System's vision, mission, philosophy, policies and procedures, while focusing on Excellence Customer Service
10/2019 to 03/2020Referral Specialist Uc Health | Littleton, CO,
Resolves pre- certifications, registration and case related concerns prior to patients appointments
Gathers patients information from insurance carriers, financial counselors and other ancillary staff to make certain the patients financial obligations for services are provided
Ensure that all dates of service and services rendered match the Explanation of Benefits (EOB) and ultimately submit the claims to payor for payment in EPIC
Speak with providers and verify coverage and create authorizations needed for service
03/2015 to 08/2019Infusion Billing Specialist /Accounts Receivable SpecialistUniversity Of Pennsylvania | City, STATE,
Welcomed patients, guests, and their families by greeting them in-person or on the telephone; answered and directed inquiries in a friendly, courteous manner; successfully collected information and ensured messages were routed to the appropriate staff via the electronic medical record on EPIC
Efficiently verified insurance plans on new and existing patients to ensure plan coverage was current; obtained authorizations and referrals to secure reimbursement for services rendered.
Checked patients in and out, while collecting co-pays and balances when necessary, accurately posting payments to patient accounts; provided information regarding financial policies.
Updated patient registration and scheduled new and return appointments, including chemotherapy treatments and radiology tests on EPIC
Assures that the claims data submitted to the insurance carriers is complete, accurate and in accordance with third party reimbursement guidelines prior to submission on EPIC
Follow up on all claims that are missing supporting documentation or pending authorizations in order to be processed on EPIC
Ensure that all dates of service and services rendered match the Explanation of Benefits (EOB) and ultimately submit the claims to payer for payment in EPIC
Determine which claims are unbillable due to missing documentation and perform adjustments on accounts as necessary.
11/2012 to 03/2015Claims Resolution Research Analyst KEYSTONE MERCY/AMERIHEALTH CARITAS | City, STATE,
Effectively researched, analyzed and escalated claims, while identifying systems, configuration and processing problems, errors and trends - exceeding the 85% departmental goal.
Served as a Team Lead on various projects, while successfully ensuring all department, contract and regulatory requirements were met, in accordance with departmental and company policies and procedures.
Accurately responded to and resolved provider and health plan claim inquiries
Efficiently researched and reviewed claims, utilizing investigation and research skills on complex cases and ensuring they were properly submitted by the provider, i.e. prior-authorization, if needed, and proper ICD-9 coding.
Education and Training
Expected in 12/2022Associate of Science | Pre Nursing South College, Knoxville, TNGPA:
Expected in 12/2013Bachelor of Science | Health AdministrationPeirce College, Philadelphia, PAGPA:
Expected in 06/2010Associate of Arts | Cultural Science And Technology Community of Philadelphia , Philadelphia , GPA:
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