Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
23
23
years of professional experience
Work History
Clinical Research Coordinator
Family Medical Specialists Of Florida
03.2021 - Current
Enhanced patient safety by meticulously monitoring and documenting adverse events during clinical trials.
Streamlined data collection processes for increased efficiency and accuracy in study results.
Improved recruitment rates by developing and implementing effective patient outreach strategies.
Screened patient records, databases, and physician referrals to identify prospective candidates for research studies.
Followed informed consent processes and maintained records.
Gathered, processed, and shipped lab specimens.
Collected, evaluated, and modeled collected data.
Maintained compliance with protocols covering patient care and clinical trial operations.
Assessed patients'' eligibility criteria following strict adherence to inclusion/exclusion guidelines.
Charge Entry Specialist
Expert Claims Consultants
05.2009 - 03.2021
Precisely complete appropriate claims paperwork, documentation and system entry.
Verify patients’ eligibility and claims status with insurance agencies.
Diligently file and follow up on third party claims.
Research CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Accurately post and send out all medical claims.
Submit electronic/paper claims documentation for timely filing.
Post and adjust payments from insurance companies.
Evaluate patients’ financial status and establish appropriate payment plan.
Maintain and update collections tracking spreadsheet to help organize payment information.
Improved charge entry accuracy by diligently reviewing and verifying patient demographic information.
Enhanced revenue cycle management through timely and accurate charge entry for medical procedures and services.
Front Office Staff
Tampa Bay Women's Care
07.2001 - 05.2009
Scheduled appointments and registered patients.
Precisely completed appropriate claims paperwork, documentation and system entry.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Professionally and courteously verified appointment times with patients.
Assisted in the maintenance of medical charts (filing, Op Reports, test results, home care forms).
Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Verified patients’ eligibility and claims status with insurance agencies.
Prepared patient charts accurately and neatly for the office.
Prepared patient charts, pre-admissions and consent forms.
Compiled necessary documents for surgical billing packages.
Determined prior authorizations for outpatient procedures.
Pre-certified medical and procedures and surgeries.
Coordinated luncheons with Pharmaceutical Representatives.
Researched questions and concerns from providers and provided detailed responses.
Maintained strict patient and physician confidentiality.
Precisely evaluated and verified benefits and eligibility.
Responded to correspondence from insurance companies.
Identified and resolved patient billing and payment issues.
Evaluated patients’ financial status and established appropriate payment plans.
Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Updated patient financial information to guarantee accuracy.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Streamlined check-in and check-out processes for improved efficiency and reduced waiting times.
Enhanced guest satisfaction by providing exceptional front office services and addressing inquiries promptly.
Education
High School Diploma - undefined
Plant City High School
Plant City, FL
1998
Skills
Records maintenance professional
Familiar with commercial and private insurance carriers