Amanda Adams
Webster,MA
Summary
Proactive AR Specialist and Medical Office Receptionist with extensive experience in insurance coverage verification, patient coordination, and billing processes. Proven track record in reducing accounts receivable balances and ensuring HIPAA compliance. Skilled in relationship building, problem-solving, and utilizing Epic software for efficient office operations.
Overview
17
17
years of professional experience
Work History
AR Specialist I
Umass Memorial Medical Group
2021.06 - Current
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Documented medical claim actions by completing forms, reports, logs and records.
- Reduced aging accounts receivable balance with timely appeal submissions for denied claims.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
Office Medical Biller
Cater2Kids OT
2019.12 - 2020.09
- Safeguarded confidential patient information through strict adherence to HIPAA policies and regulations when handling sensitive documents and data entries.
- Streamlined the billing process with efficient invoice generation and timely submission to insurance companies.
- Managed accounts receivable aging report, identifying overdue balances for immediate follow-up actions towards timely debt recovery efforts.
- Expedited payment processing by accurately posting payments from insurance carriers and patients to respective accounts.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
Patient Coordinator
Inbalance Chiropractic Health And Wellness Center
2018.12 - 2019.11
- Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
- Provided excellent customer service to all patients, addressing concerns and answering questions promptly and professionally.
- Maintained up-to-date knowledge on insurance policies, medical terminology, and clinic protocols in order to provide accurate information and assistance to patients.
- Managed incoming calls from patients, directing them appropriately while maintaining confidentiality at all times.
- Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
- Supported clinical staff in providing high-quality care by organizing necessary paperwork and ensuring timely access to information.
- Answered incoming calls, scheduled appointments and filed medical records.
Medical Office Manager
Comprehensive Psychiatric Care
2014.04 - 2017.11
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Confirmed appointments, communicated with clients, and updated client records.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
Hairstylist
The Strand Hair Salon
2008.03 - 2013.09
- Consistently maintained cleanliness of the workspace, ensuring a safe and welcoming environment for clients.
- Built a loyal clientele through exceptional customer service and attention to detail in styling techniques.
- Processed payments, entering sales in register for prompt customer service.
- Enhanced client satisfaction by providing personalized haircuts, styling, and color services.
- Collaborated with fellow stylists to create a positive work environment and share best practices.
Referral Coordinator
Boston Children's Hospital
2011.07 - 2012.08
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
Education
Associate of Science - Nursing
Quinsigamond Community College
Worcester, MA12.2026
Skills
- Payment tracking
- Relationship Building
- Attention to Detail
- Insurance Coverage Verification
- Medical Terminology
- HIPAA Compliance
- Microsoft Office
- Problem-solving abilities
- Epic trained
- Multitasking
Timeline
AR Specialist I
Umass Memorial Medical Group
2021.06 - Current
Office Medical Biller
Cater2Kids OT
2019.12 - 2020.09
Patient Coordinator
Inbalance Chiropractic Health And Wellness Center
2018.12 - 2019.11
Medical Office Manager
Comprehensive Psychiatric Care
2014.04 - 2017.11
Referral Coordinator
Boston Children's Hospital
2011.07 - 2012.08
Hairstylist
The Strand Hair Salon
2008.03 - 2013.09
Associate of Science - Nursing
Quinsigamond Community College
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