Denise Pesulima
Simi Valley,CA
Summary
Medical Administrative Representative with 12 years of medical experience. Enjoys working with others, as well as independently. Honest and dependable, with the ability to provide quality work. Looks forward to new challenges, and applying initiative to learn, and become an important asset to any team. Friendly and reliable team player offering over 25 years of experience in Administrative and Customer Service roles. Flexible and responsive to team needs. Skilled in building trust to ensure team confidence in the work provided.
Overview
19
19
years of professional experience
Work History
Administrative Medical Assistant
Specialty Surgery Center
06.2023 - Current
- Open the facility and pre register patients for out patient procedures.
- Process same day forms and collect estimated portions due.
- Provide guidance for the patients and family through the arrival process.
- Work closely with Pre Op staff to help patient feel comfortable while prepping for procedure.
- Process all medical records requests.
- Receive and process all operative reports for billing and have physicians sign off.
- Receive and process pathology reports and have physicians sign off.
- Post all A/R and non A/R.
- Chart audits to ensure complete prior to scanning to HST chart.
- Provide back up to front desk for patient registration.
- Provide back up for scheduler when needed.
Medical Administrative Assistant/Credentialing Coordinator
Aspen Surgery Center
12.2020 - 06.2023
- Provider Credentialing and Support
- Insurance Verification and Authorizations
- Insurance Contracts
- Gather forms and insurance cards to collect patient information for billing and insurance filing.
- Communicates with patients, ensuring that medical information was kept private.
- Schedule surgeries, manage pre-certifications and verified insurance coverage.
- Successfully negotiate client contract renewals to create increased revenue.
- Collections
- Material Estimates and Reimbursements.
- Provide backup to front desk staff. Answering and routing calls and emails. Check in for patient procedures. collecting and posting payments.
- Pathology Reports
- Patient Pre-Registration and Education
Patient Registration Representative
Atlas Healthcare Partners, LLC
06.2019 - 11.2019
- Public relations
- Trained in ambulatory patient-focused care
- EHR Training
- HIPAA Certified
- Medical coding and Billing
- First Aid CPR AED
- Pre-registration and registration process for out-patient surgery
- Verified insurance eligibility and obtains authorization
- Provided financial counseling and collected estimated portions due date of service
- Prepared and processed surgical documents and charts.
Patient Service Representative
Barnet Dulaney Perkins Eye Surgery Center
05.2017 - 05.2019
- A liaison between patients and physicians
- Communicated with physicians, clinical and hospital staff, nursing and surgical staff
- Resolved outstanding issues
- Surgery Scheduling
- Maintaining a team based, positive work environment daily
- Received multiple positive reviews acknowledging dedication to excellent patient customer service
- Staying in full communication with the Ambulatory Surgery Center Manager and the surgery team of any changes and/or issues with the surgery schedule
- Responded to all patient inquiries thoroughly and professionally
- Prepared and reviewed medical and surgical documents
- Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each patient
- Processed cash and credit payments
- Coordinated with other internal departments and patients to keep operations running smoothly and solve
Administrative Medical Assistant
Arroyo Oaks Medical Group
07.2015 - 02.2017
- Lori McFarland (805) 495-1066
- Carried out front office duties utilizing data entry skills in framework of medical database
- Completed skilled administrative work to support all office staff and operational requirements
- Enhanced office efficiency by handling 200+ callers per day
- Coordinated front office duties, including customer service, patient scheduling and billing
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
- Maintained current and accurate medical records for over 200 patients.
Caregiver, Kathleen Callahan
09.2012 - 07.2015
- Contact: Kathleen Callahan (805) 527-7306
- During this time, I was earning my Associates Degree in Medical Coding and Billing, and became certified in Administrative and Clinical Medical Assisting
- Kept household clean and well-stocked, running errands, weekly grocery shopping, and meal preparation
- Bookkeeping
- Coordinating and transportation for medical appointments.
Assistant Manager
Seaport Village Inn
08.2006 - 09.2012
- Raul Alvarez (310) 510-0344
- Developed loyal and highly satisfied customer base through proactive management of team customer service strategies
- Trained employees and oversaw production staff
- Submitted monthly reports to senior management to aid in business decision-making and planning
- Assisted Manager with leadership requirements by coordinating schedules and workflows to meet projected business levels
- Oversaw employee performance, corrected problems and increased efficiency to maintain productivity targets.
Education
Associate of Applied Science -
Medical Coding and Billing Certified Administrative Medical Assistant/ National Certified Medical Office Assistant/ Electronic Health Records Training/ HIPAA Certified - undefined
Skills
- Medical Records
- Critical thinking
- Professional telephone etiquette
- Organizational and planning skills
- Time management efficiency
- HIPAA regulations
- Detail-oriented approach
- Patient confidentiality maintenance
- Effective communication techniques
- Electronic health records management
- Positive attitude
- Multitasking and organization
- Attention to detail
- Problem-solving
Timeline
Administrative Medical Assistant
Specialty Surgery Center
06.2023 - Current
Medical Administrative Assistant/Credentialing Coordinator
Aspen Surgery Center
12.2020 - 06.2023
Patient Registration Representative
Atlas Healthcare Partners, LLC
06.2019 - 11.2019
Patient Service Representative
Barnet Dulaney Perkins Eye Surgery Center
05.2017 - 05.2019
Administrative Medical Assistant
Arroyo Oaks Medical Group
07.2015 - 02.2017
Caregiver, Kathleen Callahan
09.2012 - 07.2015
Assistant Manager
Seaport Village Inn
08.2006 - 09.2012
Medical Coding and Billing Certified Administrative Medical Assistant/ National Certified Medical Office Assistant/ Electronic Health Records Training/ HIPAA Certified - undefined
Associate of Applied Science -
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