Motivated and committed healthcare professional with a proven history of superior performance at individual, team, and organizational levels. Detail-oriented and highly skilled at performing both administrative and clinical tasks. Dedicated to efficiency and maintaining workflow.
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- Managed Office Infusion Department, which included planning and coordinating areas of administration, preparing and processing purchases and invoices, requisitions, scheduling, supporting office teamwork, maintaining inventory and infusion records and billing for all infusions
- Enrolled patients in copay card programs and researched best option for each patient and their financial needs
- Contacted insurance carriers to obtain authorizations, notifications, and pre-certifications for procedures and medications
- Utilized online eligibility systems to verify patient coverage and policy limitations
- Created master spreadsheet to record procedures, denials, and approvals
- Entered authorizations into EMR
- Coordinated resolutions for issues and appealed denied authorizations
- Helped billing department with correcting denials, which included calling insurance companies, writing appeal letters, etc
- Updated reference materials with Medicare and third-party payer requirements, guidelines, policies, and lists of accepted insurance plans
- Answered questions regarding patients bills and posted checks to patient accounts
- Verified and corrected grammatical composition of work by others. Determined most appropriate layouts, formats, arrangements, and other details
- Finalized correspondence, reports, presentations, memos and other material of important and often confidential nature from notes, general direction, personal knowledge, and research
- Reviewed records for completeness, accuracy, and compliance with regulations while applying knowledge of Medicare and third-party requirements
- Released information to persons or agencies according to HIPAA regulations
- Operated multi-line telephone to answer, screen, or forward calls, schedule and cancel appointments, provide information and take messages
- Greeted patients on arrival and checked them in through EMR and checked them out after visit
- Collected forms, scanned insurance cards into EMR and coordinated patient information for billing and insurance processing verifying insurance and printing benefits
- Collected copayments at time of visit, took payments over phone, mailed monthly statements to patients
- Oversaw patient registration, insurance verification, form completion, and appointment scheduling to maintain operational efficiency
- Batch-scanned and indexed patient charts to improve data availability while maintaining security
- Conducted patient interviews to gather health history, vital signs, and information about current medical issues
- Prepared treatment rooms for patient examinations, kept rooms neat and clean
- Assisted physicians with procedures and entered information within patient records and charts
- Educated patients about medications, procedures, and physician's instructions
- Performed allergy skin tests and EKG's and administered allergy immunotherapy injections
- Cleaned and sterilized instruments and disposed of contaminated supplies
- Contacted pharmacies to submit and refill patients' prescriptions
- Kept inventory and ordered medical and office supplies
- Resolved or clarified ICD I0 codes with conflicting, missing, or unclear information by consulting with doctor
- Responsible for passing Meaningful Use (now MIPS) yearly
- Ordered labs online (Care360, Labcorp) per doctor's orders
- Explained treatment procedures, medications, diets, or physicians' instructions to patients
- Helped physicians examine and treat patients by handing them instruments or materials or performing such tasks as giving injections
- Contacted medical facilities or departments to schedule patients for tests or admission
- Operated electrocardiogram (EKG) or other equipment to administer routine diagnostic tests
Indeed Assessment Results
Medical receptionist skills — Expert
July 2021
Managing physician schedules and maintaining accurate patient records
Data entry: Attention to detail — Highly Proficient
November 2020
Maintaining data integrity by detecting errors
Verbal communication — Highly Proficient
November 2020
Speaking clearly, correctly, and concisely
Data entry: Accuracy — Highly Proficient
November 2020
Entering data quickly and accurately
Medical billing — Highly Proficient
June 2021
Understanding the procedures and forms used for medical billing
Active listening — Highly Proficient
June 2021
Actively listening and appropriately responding in conversations
Working with MS Word documents — Highly Proficient
July 2021
Knowledge of various Microsoft Word features, functions, and techniques
Customer focus & orientation — Expert
July 2021
Responding to customer situations with sensitivity
Filing & organization — Expert
July 2021
Arranging and managing information or materials using a set of rules
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Resume Overview
School Attended
- Boston Reed College
- Sequoia District Adult School
Job Titles Held:
- Prior Authorization Coordinator
- Front and Back Office Medical Assistant
- Medical Assistant
Degrees
- Some College (No Degree)
- GED
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