Analytical-thinking individual that has 32 years of experience in the medical field. Driven professional that offers task prioritization and time management expertise in fast-paced environments. Looking for opportunity for professional growth as a CCMA.
Overview
17
17
years of professional experience
Work History
Certified Clinical Medical Assistant
East Lake Medical Clinic
Tyler, Texas
12.2023 - Current
Participated in continuing education courses relevant to clinical medical assisting duties.
Facilitated referrals from primary care providers to specialists for further testing or treatment options.
Answered phones promptly while providing excellent customer service to callers inquiring about services offered at the clinic.
Prepared treatment rooms by stocking supplies and ensuring sterile instruments were available.
Ordered laboratory tests and interpreted results in collaboration with healthcare team members.
Conducted EKG tests for patients and monitored heart rate during stress tests.
Communicated effectively with patients to provide a positive experience throughout their visit.
Responded quickly to emergent situations within the clinic setting by following established protocols.
Maintained accurate documentation of patient records in accordance with HIPAA guidelines.
Performed patient intake, including taking vital signs and medical histories.
Provided patient education regarding medications, treatments, diet modifications and lifestyle changes to improve health outcomes.
Ensured accuracy of all documents related to patient visits including consent forms, discharge instructions and follow-up appointments.
Provided support to nursing staff by performing tasks such as changing bed linens or restocking supplies.
Assisted in scheduling appointments for patients over the phone or via email communication.
Performed laboratory specimen collections such as urine samples or throat swabs according to established standards.
Maintained up-to-date records of patient care, condition, progress, and concerns in the electronic health record system.
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
Educated patients about medications, procedures and physician's instructions.
Contacted pharmacies to submit and refill patients' prescriptions.
Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
Documented notes during patient visits.
Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Incorporated outside records into charts and EHR.
Kept facility stocked with necessary supplies, equipment and instruments.
Handled general office duties to support administrative staff during peak hours.
Conducted routine laboratory tests and sample analyses to monitor diseases.
Administered medications under physician's supervision.
Patient Account Collector
Azura Vascular Care/Fresenius Medical Care NA
Malvern, PA
11.2021 - 05.2023
Completed and submitted appeals for denied claims.
Reviewed claims for coding accuracy.
Input details into accounts, and track payments.
Coordinated communications between patients, billing personnel and insurance carriers.
Contacted insurance providers to verify insurance information.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Submitted appeals using provider portals and phone communication.
Handled billing, waivers and claims for private and commercial clients.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Filed and submitted insurance claims.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
Verified proper coding, sequencing of diagnoses and procedures.
Researched and rectified account discrepancies.
Precisely completed appropriate paperwork and system
Provided support to patients by helping them fill out forms, and answering their questions about health care services.
Prepared specimens for laboratory testing and performed routine laboratory tests.
Administered injections, immunizations, medications, wound dressings and other treatments according to physician instructions.
Conducted diagnostic tests such as EKGs or hearing screenings in accordance with established protocols.
Collected urine samples from patients for drug screens or pregnancy tests when necessary.
Maintained cleanliness in examination rooms by stocking supplies and disposing of used materials properly.
Ensured that all equipment was functioning correctly prior to use during patient examinations or treatments.
Answered patient calls promptly and directed inquiries to the appropriate department when needed.
Managed inventory of medical supplies ensuring adequate stock levels were maintained at all times.
Processed payments from patients accurately using cash registers or computerized systems.
Maintained accurate records of patient visits including diagnosis information, treatment notes, prescriptions.
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Administered rapid tests for COVID and strep to help clinical staff assess conditions.
Measured vital signs and took medical h
Communicated effectively with external stakeholders such as third party vendors or attorneys when necessar
I took billing calls, addressed questions, and handled concerns from patients and third-party carriers.
Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
Entered patient charges and payments into electronic health records.
Corrected, completed and processed claims for payer codes.
Protected medical office operations and integrity by keeping patient information confidential.
Processed refund requests and reconciled deposit and patient collections.
Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
Attended provider meetings and workshops when appropriate.
Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Accepted and processed customer payments and applied toward account balances.
Received payments and posted amounts to customer accounts.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Completed month-end and year-end closings, kept records audit-ready, and monitored the timely recording of accounting transactions.
Contacted customers with delinquent accounts to solicit payment.
Performed administrative functions for assigned accounts, recorded address changes and purged records.
Arranged debt repayment or established schedules for repayment based on customer's financial situation.
Advised delinquent customers on strategies for debt repayment.
Worked closely with delinquent account holders to collect and reconcile accounts through app
Monitored overdue accounts using automated information systems.
Encouraged customers to pay due amounts on credit accounts, claims or overdrawn checks.
Negotiated credit extensions and wa
Wrote appeal letters to insurance companies for denial of claims.
Notified credit dattempts.
Located new addresses of delinquent customers through research, contacting cred
Collections/Senior Medical BIller
Baylor Scott & White Texas Spine & Joint Hospital
Tyler, TX
05.2017 - 11.2021
Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
Completed and submitted appeals for denied claims.
Reviewed claims for coding accuracy.
Input details into accounts and tracked payments.
Coordinated communications between patients, billing personnel and insurance carriers.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Submitted appeals using provider portals and phone communication.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
Handled billing, waivers and claims for private and commercial clients.
Called insurance companies to verify patient benefits.
Verification Specialist
Baylor Scott & White Texas Spine & Joint Hospital
Tyler, TX
05.2014 - 05.2017
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Updated patient and insurance data and input changes into company computer system.
Checked documentation for appropriate coding, catching errors and making revisions.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Navigated through multiple online systems to obtain documentation.
Entered data in EMR database to record payer, authorization requirements and coverage limitations.
Accessed third-party insurance databases to identify coverage of benefits.
Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
Created and sent time of service letter to inform patient of estimated self-pay balance.
Liaised between physician, site of service and billing department to obtain appropriate documentation.
Communicated with cross-functional teams to report insurance company trends.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Medical Receptionist
Short Family Medical Group
Tyler, TX
03.2013 - 05.2014
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Reviewed and verified benefits and eligibility.
Checked in surgery patients upon arrival.
Processed patient paperwork and created charts.
Communicated with physicians' offices to obtain surgery information.
Billed surgery claims electronically.
Worked accounts receivable and followed up as needed.
Answered phone, screened calls and forwarded as needed.
Entered insurance, demographics and health history into patient database.
Checked patients in and out for appointments and collected co-payments.
Called patients to confirm scheduled appointments and obtain additional details.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Processed patient payments and scanned identification and insurance cards.
Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
Took messages from patients and promptly relayed to appropriate staff.
Answered multi-line phone system and directed callers to requested personnel and departments.
Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
Informed patients of financial responsibilities prior to rendering services.
Conducted patient intake interviews to collect medical information and insurance details.
Maintained patient accounts by obtaining, recording and updating personal and financial information.
Trained new staff on office procedures, insurance processes and medical terminology.
Medical Receptionist/Billing Specialist
Turtle Creek Surgery Center
Tyler, TX
05.2008 - 05.2010
Entered insurance, demographics and health history into patient database.
Checked patients in and out for appointments and collected co-payments.
Processed patient payments and scanned identification and insurance cards.
Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
Took messages from patients and promptly relayed to appropriate staff.
Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Answered multi-line phone system and directed callers to requested personnel and departments.
Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
Compiled physical and digital documents, charts and reports.
Maintained patient accounts by obtaining, recording and updating personal and financial information.
Greeted patients and visitors to answer questions or refer inquiries to appropriate personnel.
Administrative Assistant-Bookkeeper-Registrar at Holloway Middle School - Whitehouse ISDAdministrative Assistant-Bookkeeper-Registrar at Holloway Middle School - Whitehouse ISD