Unit Secretary Resume Example

UNIT SECRETARY

Professional Summary

Driven professional with 10 + years hands-on experience in fast-paced hospital environments. Open and disciplined communicator with analytical and adaptable approach.

Skills

EPIC experienced
Performed insurance verification, pre-certification and pre-authorization
Medical billing code accuracy
Strong computer skills and working knowledge of Microsoft
Regulatory compliance
Strategic decision-making

Analytical thinking
Electronic Medical Record
Strong work ethic, reliable, resourceful, with enthusiastic attitude
Strong ability to work independently
ICD-10 medical terminology experience preferred

Work History

Unit Secretary
Company Name

City, State
October 2009 to January 2015

• Developed training protocols for new unit secretaries.
• Welcomed and directed patients and visitors anticipating needs.
• Provided information for patient admissions and discharges to foster timely processing.
• Pick up discharged patient charts from units.
• Organized paperwork such as charts and reports for office and patient needs.
• Ordered and distributed nursing unit stock and supplies.
• Maintained rapport with all unit staff, including physicians, nurse and other healthcare personnel.
• Monitored and managed patient census for a high volume 24-hour outpatient nursing unit.
• Maintained current and accurate medical records.
• Executed clerical tasks and assisted with all unit duties as directedManaged medical supply inventory, insurance records, patient charts and company files using online tracking system

Billing Specialist I
Company Name

City, State
January 2015 to September 2016

Proficiently handled claims follow-up and denials for hospital and professional billing
Verified final claim submissions by comparing account charges with documentation
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management
Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis
Reviewed medical records to meet insurance company requirements
Filed and submitted insurance claims
Documented and filed patient data and medical records
Reviewed all claims for accurateness and appropriateness
Investigated denials and collaborated with internal team members and third-party representatives to identify solutions
Submitted claims to insurance companies
Flagged return claims and dealt with insufficient payments
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules

Patient Account Representative
Company Name

City, State
September 2016 to May 2017

Reviewed account information to conform patient and insurance information is accurate
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management
Reviewed medical records to meet insurance company requirements
Utilized computer programs to create invoices, letters and other documents
Posted payments and processed refunds
Processed and managed insurance appeals
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes
Verified final claim submissions by comparing account charges with documentation
Addressed and responded to provider inquiries regarding CPT and diagnosis codes
Added modifiers, coded narrative diagnosis and verified diagnoses
Utilized electronic charge capture systems to consolidate and streamline billing processes
Answered desk phone and handled phone calls and questions

Central Authorization Specialist
Company Name

City, State
May 2017 to Current

Procuring insurance verification, pre-certification and pre-authorization for outpatient ordered services
Verifying authorization requirements through payer portal and payer grid
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes
Monitor and track patient authorizations
Communicate data with clinical staff to ensure that services are provided within parameters of authorization
Create, manage and maintain referrals for accuracy
Upload all correspondence letters pertaining to authorizations
Review medical records in Epic for retrieval for authorization submission
Pull electronic medical records and transferred information to appropriate parties
Ensured timely processing of benefits information by utilizing interactive face sheet real-time eligibility check
Identified important patient and demographic information
Gathered information to file appeals for denials and minimized inaccuracies by maintaining accurate records of approvals
Address, document, and respond to incoming and outgoing calls and correspondence

Education

Associate of Applied Science - Interior Design
Baker College

City, State
June 2001

Certifications

Certified Medical Billing and Coding Specialist ( CBCS)- National Health Care Association.-2015

Resume Overview

School Attended

Baker College

Job Titles Held:

Unit Secretary
Billing Specialist I
Patient Account Representative
Central Authorization Specialist

Degrees

Associate of Applied Science - Interior Design

Unit Secretary Resume Example

Resume Score: 80%

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