ALICIA FINCH
Forest Hill,MD
Summary
Highly competent professional looking to expand my resume and work ethics in the working industry. Proven capability of handling multiple tasks effectively while paying attention to detail and demonstrating quality work ethics individually and as part of a team in busy, fast past surroundings. Skilled in optimizing workflow efficiency, prioritizing tasks, and meeting deadlines without compromising quality.
Overview
7
7
years of professional experience
Work History
Pharmacy Biller
Allied Pharmaceutical Services
Rockville, MD
05.2022 - 07.2022
- Billed medications to insurances for long term care, assistant living and skilled nursing homes.
- Research and establish patient eligibility for prescription coverage.
- Determine and process insurance rejections and authorizations.
- Maintain and update patient billing and insurance information in the system.
- Send prior authorizations for various insurances.
- Engaged with insurance companies on a daily basis, i.e., overrides, rejections, determine coverage, and insurance updates.
- Interact with client facilities and family if needed.
- Follow up and resolve pending billing issues.
- Meeting timely filing deadlines.
- Efficient in month end claim processing.
Medical Billing Specialist
Towson Orthopaedic Associates
Towson, MD
08.2017 - 04.2022
- Verify CPT, IDC-10 and charges to be billed.
- Added appropriate modifiers to claims when needed.
- Posted office visit, minor procedures and surgery charges to submit to insurance companies.
- Verify coverage and referrals.
- Assisted patients with co-pays, deductibles, out of pocket expenses, and remaining balances.
- Facilitate patients with bill pay and payment plans.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Applied HIPAA privacy and security regulations while handling patient information.
- Collected and calculated daily payments from all parties.
- Generated statements.
- Calculated self pay rates for varies visits and procedures.
- Ability to achieve and maintain month end claims and timely filing limits.
Medical Assistant Receptionist
Woman's Health Associates
Towson, MD
06.2016 - 08.2017
- Set up appointments for multiple physician visits and procedures.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Checked patients in and out for appointments and collected co-payments.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Aid doctors with exams and minor procedures.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Labeled and completed lab requisitions and referrals using ICD and CPT coding.
- Cleaned and maintained medical equipment following procedures and standards.
- Accounted cash and transactions balance at the end of the work day for deposits.
Medical Assistant Receptionist
Frizzera, Berlin & Collerius OB-GYN
Towson, MD
06.2015 - 06.2016
- Contacted pharmacies to submit and refill patients' prescriptions.
- Checked patients in and out for appointments and collected co-payments.
- Aided doctors with exams and minor procedures.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Labeled and completed lab requisitions and referrals using ICD and CPT coding.
- Cleaned and maintained medical equipment following procedures and standards.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Educated patients about medications, procedures and physician's instructions.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Measured vital signs and took medical histories to prepare patients for examination.
- Prepared super bills for submitting claim to insurance companies.
- Balanced daily transactions any cash for end of day deposits.
Education
Medix School
Towson, MD2005
Skills
- Multitasking and Organization
- Verbal and Written Communication
- Teamwork and Collaboration
- Settlement request from Patients, Insurance Companies, Lawyers and Workman's Comp Agencies
- Claims Processing
- Commercial and Private Parties
- Charge Entry
- Front Desk Operations
- HIPAA Guidelines and compliance
- Referral Verification
- Scheduling
- Patient Eligibility Requirements
- Data Entry
- Medical Terminology
- Medical Transcription
- Procedure Assistance
- Prescription Refills
- Insurance Billing Procedures
- Transaction Reconciliation
- Invoicing Proficiency
- Fiscal Reporting
- Billing, Invoicing, Credits and Collections
- Financial Documentation
- Cost Tracking
- Fee and Charge Computation
- Error Revision
- Statement Distribution
- Itemized Statement Preparation
- Time Management
- Precision and Accuracy
- Creative Problem Solving
- Investigative Research
- Document Coding and Classification
Timeline
Pharmacy Biller
Allied Pharmaceutical Services
05.2022 - 07.2022
Medical Billing Specialist
Towson Orthopaedic Associates
08.2017 - 04.2022
Medical Assistant Receptionist
Woman's Health Associates
06.2016 - 08.2017
Medical Assistant Receptionist
Frizzera, Berlin & Collerius OB-GYN
06.2015 - 06.2016
Medix School
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