Aisha Peele
Drexel Hill,PA
Summary
To obtain a position in the healthcare field where I can utilize my medical billing skills and knowledge, while at the same time giving me the opportunity to grow and learn more
Experienced with managing complex student records and registration processes. Utilizes strong organizational and database management skills to ensure accuracy and compliance. Track record of effective communication and collaborative teamwork to meet institutional goals.
Overview
20
20
years of professional experience
Work History
Registrar
Penn Presbyterian Hospital
02.2022 - Current
- Insurance verification
- Coordinating and managing a positive customer experience
- Guiding the patient through pre-encounter and pre-certification activities i.e. reservation process, financial counseling, insurance verification
- Providing on-going support for the ER as it relates to hospital based services
- Serving as the Managed Care liaison
- Performing accurate, efficient and timely scheduling of all reservations into the EPIC information systems Registration
Financial Counselor
Children's Hospital of Philadelphia, GI Infusions
01.2022 - Current
- Verify coverage & benefit information via electronic eligibility or by contacting payor and documenting relevant information in Epic
- Update patient registration as needed, specifically demographics and insurance information
- Educate and inform families of outstanding financial obligations if appropriate.
- Electronically collect or facilitate payment of outstanding balances as needed
- Review diagnosis/procedure codes to ensure they are documented correctly and accurately reflect the clinical information and services to be performed.
- Discuss and send pertinent medical history to complete the authorization process.
- Stay abreast of changing third party payer criteria to aid in revenue capture as it relates to the hospital financial policy.
- Coordinates denials, complete retrospective review as needed, and inform physician offices of denial.
Surgical Services Coordinator
Wills Eye Hospital
09.2018 - 02.2022
- Surgical scheduling / registration
- Obtain signatures and authorization for surgery
- Contact patients for surgical appointment reminders
- Provides coverage for decrementing
- Assists with additional back office duties
Financial Service Representative
Pennsylvania Hospital, Hematology/Oncology
05.2014 - 12.2021
- Verify patient’s insurances and obtain insurance referrals when needed
- Obtain precertification for all chemotherapy/infusion therapy treatments
- Manage account, charge review, follow up, and claim edit work queues for multiple practice locations (work queues 174, 267, 274, 520, 554, 320)
- Perform insurance appeals and reconsiderations when necessary
- Work closely with physicians and nurses to ensure patient satisfaction
- Review insurance medical policies and guidelines
- Complete billing and coding for all office and chemo visits
- Perform Arrival and/or departure activities of patients
- Managing and handling patient calls and inquiries
- Coordinating patient appointments
- Reconcile receipts, balance daily batches
Lead Call Center Representative
University of Pennsylvania, Department of Dermatology
03.2005 - 05.2014
- Triage incoming telephone calls appropriately, provides coverage to all Divisions and sections of Dermatology
- Provides New patients with directions and Departmental information as needed
- Retrieves messages from auto attendant, and document them in EPIC to their appropriate physicians
- Creating, Maintaining Schedules and Templates. Manages Bump List
- Registering and updating all Patients demographics and Insurance information
- Assists in training of all new staff
Education
medical billing and coding
not completed
surgical technician
06.2009
surgical certification
high school diploma, academic diploma - undefined
06.1997
Skills
- Epic APM Billing
- Data Entry
- CPT & ICD-9/10 coding
- Chemotherapy, GI and neurology Prior Authorizations
- Computer: Microsoft Word, IDX, EPIC APM, I Payment, Navinet
- Amkai Office
Languages
English
Full Professional
Timeline
Registrar - Penn Presbyterian Hospital
02.2022 - Current
Financial Counselor - Children's Hospital of Philadelphia, GI Infusions
01.2022 - Current
Surgical Services Coordinator - Wills Eye Hospital
09.2018 - 02.2022
Financial Service Representative - Pennsylvania Hospital, Hematology/Oncology
05.2014 - 12.2021
Lead Call Center Representative - University of Pennsylvania, Department of Dermatology
03.2005 - 05.2014
CHI Institute - , surgical technician
Overbrook high school - high school diploma, academic diploma,
Drexel University - , medical billing and coding
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