Referrals Clerk resume example with 15 years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Enthusiastic Administrative Assistant with excellent people skills and dedicated work ethic. Strong attention to detail and extensive knowledge of medical terminology.Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.


Certified Medical insurance Billing and Coding Specialist.

Skill Highlights
  • Extensive anatomy/physiology knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • CPT and HCPCS coding
  • Ophthalmology coding
  • HIPAA compliance
  • Medical billing software
  • Patient-focused care
  • Strong work ethic
  • Team player with positive attitude
  • Good written communication
  • Exercises good judgment
  • Knowledge of HMOs, Medicare

  • Maintains strict confidentiality
  • Patience and self-discipline
  • Patient-oriented
  • Personal and professional integrity
  • Relationship and team building
  • Effectively influences others
  • Cultural awareness and sensitivity

Professional Experience
Referrals clerk, 2005 - 01/2007
University Of Michigan Ann Arbor, MI,

Obtained insurance authorizations and scheduled appointments for patients requiring medical treatment for ten physicians. Served as liaison between physicians and insurance companies.

Ophthalmic Technician, 05/2008 - 09/2010
Fountainhead Development Ester, AK,

• Assist the Optometrist in the examination and treatment of patients

• Perform visual tests and procedures

• Prepare patients and act as special surgical assistant in clinical procedures

• Apply ocular dressings, perform suture removal, and obtain eye cultures

• Record patient case history, conduct visual screening tests including pupillary testing, visual acuity, cover test, color vision and depth perception

• Take ophthalmic photographs

• Perform cyclic maintenance and calibration checks on clinic diagnostic equipment

Front Desk Clerk, 08/2010 - Current
St Elizabeth After Hours City, STATE,
  • Recorded and filed patient data and medical records.
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Strictly followed all federal and state guidelines for release of information.

.Directed patient flow during practice hours, minimizing patient wait .Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Acquired insurance authorizations for procedures and tests ordered by the attending physician.

Scheduled patient appointments.

Completed registration quickly and cordially for all new patients.

Monitored shared email in-boxes and ensured inquiries were addressed.

Scheduled radiology exams for patients.

Carefully coded disease and injury diagnoses, acuity of care and procedures in an inpatient setting.

Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature.

Consistently ensured proper coding, sequencing of diagnoses and procedures.

Quickly responded to staff and client inquiries regarding CPT codes.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.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.

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.

Education and Training
Diploma/ Certification: Medical insurance Billing and Coding, Expected in 2007
Remington College - Baton Rouge, La.
Work History
Referrals Clerk, 2005 - 04/2007
Lake Ascension Phy. Gonzales, la.
Ophthalmic Technician , 05/2008 - 09/2010
Williamson's eye center Gonzales, la.
St. Elizabeth After Hours, 09/2010 - 11/2012
St. Elizabeth Physicians Gonzales, la.
  • Patient-focused
  • Compassionate and trustworthy
  • Detail-oriented
  • HIPAA compliance
  • Medical terminology
  • Effectively interacts with patients and families
  • .Charting and record keeping

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Resume Overview

School Attended

  • Remington College

Job Titles Held:

  • Referrals Clerk
  • Ophthalmic Technician
  • St. Elizabeth After Hours


  • Diploma/ Certification

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