Amira Brown
Bloomfield,NJ
Summary
Focused professional motivated to deliver seamless and pleasant healthcare experience to patients. Offering extensive background assisting medical teams in examining and treating patients. Skillful in measuring vitals, preparing, and drawing blood samples and preparing treatment rooms for examinations.
Overview
7
7
years of professional experience
Work History
Referral Coordinator
Hackensack Meridian Health
10.2024 - Current
- Scheduled appointments with specialists on behalf of clients.
- 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.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
Medical Insurance Representative
MEDICAID OF VIRGINIA
02.2023 - 10.2024
- Resolved customer inquiries related to medical insurance plans, including eligibility, billing, and claims processing.
- Maintained detailed records of customer interactions and transactions while adhering to data privacy laws.
- Performed regular reviews of medical insurance accounts to identify any potential issues or changes in policy terms.
- Processed applications for new medical insurance plans and reviewed existing plans for renewal.
- Developed training materials for staff members regarding procedures related to the processing of claims or administering of policies.
- Evaluated customer feedback from surveys and implemented changes accordingly.
- Assessed customer needs and recommended appropriate medical insurance solutions based on individual requirements.
- Provided advice and assistance on medical insurance coverage options to clients.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Sent clinical request and missing information letters to obtain incomplete information.
- Accurately processed large volume of medical claims every shift.
- Reviewed administrative guidelines whenever questions arose during processing of claims.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Medical Insurance Representative
Get Covered NJ
06.2022 - 02.2023
- Resolved customer inquiries related to medical insurance plans, including eligibility, billing, and claims processing.
- Responded promptly and accurately to requests for information from both internal teams and external customers and providers.
- Maintained detailed records of customer interactions and transactions while adhering to data privacy laws.
- Performed regular reviews of medical insurance accounts to identify any potential issues or changes in policy terms.
- Processed applications for new medical insurance plans and reviewed existing plans for renewal.
- Analyzed claim trends to develop strategies for improving the efficiency of processes related to medical insurance services.
- Assessed customer needs and recommended appropriate medical insurance solutions based on individual requirements.
- Provided advice and assistance on medical insurance coverage options to clients.
- Reviewed medical insurance policies to ensure accuracy of information and compliance with legal regulations.
- Accurately processed large volume of medical claims every shift.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Customer Service Representative
NJ Ezpass
09.2021 - 03.2022
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided exceptional customer service to ensure customer satisfaction.
- Maintained a high level of professionalism when dealing with difficult customers.
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
- Gathered customer feedback through surveys and used the data to improve customer service.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
- Answered inbound calls, chats and emails to facilitate customer service.
Nursing Assistant
Allaire Rehab And Nursing
04.2018 - 09.2020
- Provided companionship to patients, monitored their emotional well-being, and offered reassurance when needed.
- Maintained patient records accurately by documenting daily activities and changes in conditions or treatments.
- Provided emotional support to family members during difficult times.
- Collected specimens for laboratory testing such as urine samples and blood draws.
- Performed basic nursing skills such as changing wound dressings and administering enemas.
- Observed patients' conditions regularly for any physical or mental changes and reported findings to the appropriate personnel promptly.
- Assisted nurses and physicians with patient care, including bathing, dressing, transferring to beds and wheelchairs, and taking vital signs.
- Assisted patients with their activities of daily living, including eating, grooming, toileting, ambulation, and hygiene.
- Maintained sanitary conditions by providing immediate wound care and dressing changes.
- Assisted patients with daily activities under nurse's supervision to provide essential care and emotional support.
Education
Some College (No Degree) - Nursing
Allen University
Columbia, SCCertification NCCT Medical Assistant - Medical Assisting
AMG Medical Institute
Bloomfield, NJ10-2024
High School Diploma -
Barringer High School
Newark, NJ, US06.2016
Skills
- HIPAA Compliance
- Healthcare billing
- Microsoft Office
- Claims Processing
- Policy Interpretation
- Medical Coding
- Claim validity determination
- Insurance Verification
- Medical Terminology
- Telephone Etiquette
- Insurance claims processing
- Information Security
- Paperwork Processing
- Product Knowledge
- Account updating
- Data Collection
- Data Entry
- Inbound and Outbound Calling
- Problem-solving abilities
- Reading Comprehension
- Customer consulting
- Vital Sign Monitoring
- Supply Restocking
- Specimen Collection
- Patient Feeding
- Medical terminology knowledge
- Medication Administration
- Quality Assurance
- Patient Care and Safety
- Direct Patient Care
- Computer literate
- Infection control procedures
- Patient scheduling
- Pre-authorizations
- Caseload management
- Healthcare systems
- Electronic patient charts
- Patient records oversight
- Diagnostic appointments
Timeline
Referral Coordinator
Hackensack Meridian Health
10.2024 - Current
Medical Insurance Representative
MEDICAID OF VIRGINIA
02.2023 - 10.2024
Medical Insurance Representative
Get Covered NJ
06.2022 - 02.2023
Customer Service Representative
NJ Ezpass
09.2021 - 03.2022
Nursing Assistant
Allaire Rehab And Nursing
04.2018 - 09.2020
Some College (No Degree) - Nursing
Allen University
Certification NCCT Medical Assistant - Medical Assisting
AMG Medical Institute
High School Diploma -
Barringer High School