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Unit Secretary Resume Example

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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
  • Children's Hospital Of The King's Daughters
  • Hampton , VA
  • 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
  • Amerisourcebergen Corporation - Corporate
  • Kearny , NJ
  • 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
  • Good Shepherd Rehab
  • Levittown , PA
  • 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
  • Baycare Health System, Inc
  • Valrico , FL
  • 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

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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

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