Andrea Carvalho

Responsible for completeness, maintenance, and security of medical records. Assess completion and timeliness of documentation by nursing staff and IDT. Provide ICD-10 codes for prior authorizations. Assist in clinical review for skilled residents. Admit patients into the system, assist in billing reconciliation and discharge. Assist in NFLOC certification, and prior authorizations.

ICD-10 Coding

Assist the Office Manager with billing, accounts receivable and overall census of building.

Tracking of Medicaid Applications and renewals.

Manage patient/resident Trust funds and confidential files in compliance with state and federal regulations.

Meet with patients/residents upon admission and discharge to explain financial obligations.

Oversee claims filing, research and processing

Updated patient demographic information in medical records. Uploaded physician progress notes, history and physicals into electronic medical records.

Released information to persons or agencies according to regulations.

Retrieved patient medical records for physicians, technicians and other medical personnel.

Reviewed records for completeness, accuracy, and compliance with regulations.

Assist in NFLOC certification, and prior authorizations.

ICD-10 Coding

Process medical claims.

Contacted physician offices for clarification of claims. Investigated and analyzed requirements to improve timeliness of reports to customers.

Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.

Provided administrative assistance to program managers to ensure successful completion of program objectives.

Assisted in reception duties answering phone lines and transferring to correct departments.

Ensured accuracy and timeliness of documentation. Scanned, filed copied medical records.

Oversaw heavy load of administrative tasks while verifying accuracy and prompt completion of paperwork.

Manage Administrative intake of members or the admission/discharge information post notification.

Work with hospitals, clinics, facilities, and clinical team to manage requests for services from members and or providers.

Manage referral processes.

Assist clinical staff with setup of documents/triage cases for clinical coverage.

Review, handle resolution inquiries from member and providers.

Answer multiphone line, sign for incoming packages.

Phlebotomy, processing, and shipping of specimens Scheduling of subjects for clinical trial participation Organizing study charts, regulatory binders and filing laboratory reports.

Assisting physician in conduct of study procedures

Obtain medical history.

Maintain study related logs.

Setting up and using specialized equipment refrigerated centrifuge, Instrument sterilization and packaging Interacting with sponsors, monitors, and IRBs.

Research and place advertisements for recruiting purposes.

Laboratory Technician

Tricore Reference Laboratories, Albuquerque, NM

Tracked and organized specimens for immediate retrieval and testing.

Set up and operated laboratory instruments to perform standardized testing in accordance with industry and standard operating procedures.

Utilized laboratory software to track and process data. Expedited critical testing results without compromising sample validity or quality assurance.

Kept laboratory space and equipment in clean and safe condition.

Technical Lab Assistant III

Process requisitions and enter all information into computer system

Performs order entry, inquiry, and specimen transport functions as needed.

Performs clerical functions including answering phone calls and client questions.

Performs billing functions.

Works closely with physicians and clients to ensure correct testing is being performed.

Client Services

Inbound/outbound call center for Clinics and Hospitals

Fax, mail and give verbal lab results to physicians, clinics and/or hospitals.

Troubleshoot problems and answer questions.

Correct demographic information, add-on tests upon request File incident reports for unhappy customers (patients and/or clients)

Assist, advise and educate taxpayers with all inquiries including preparation and completion of tax forms. Provide information to ensure compliance with policies and procedures of Taxation and Revenue.

Research using computer system for liabilities, payment history, and collection payments.

Resolve customer complaints.

Maintain Cash drawer

Process mail

Meet and greet patients

Registered patients for exams

Verified insurance and eligibility

Knowledge of medipac system

Knowledge of ICD-9 and CPT coding

Assisted patients with any questions or concerns they had. Assisted in correcting orders from Doctors