Dynamic Medical Assistant with extensive experience at MA, Women's Medical & Surgical Clinic, excelling in HIPAA compliance and medical coding. Proven ability to enhance patient care through effective communication and meticulous billing processes. Skilled in electronic health records management, ensuring accuracy and efficiency in patient interactions and insurance verifications.
Overview
13
13
years of professional experience
Work History
Medical Assistant/ Billing & Coder
MA, Women's Medical & Surgical Clinic
Mamou
08.2022 - Current
HIPAA Compliance
Clinical Skills:
Obtaining & Recording Patients' Chief Complaints, Medical History and Vital Signs
Urine Specimen Collections
Phlebotomy (Venipuncture and Capillary Puncture)
Medication & Vaccine Administration (ID, SQ, IM)
Check-In and Check-Out Procedures
Billing and Coding
Assisted provider with patient exams and prepared rooms for specific procedures
Assisted in maintaining patient's medical record by verifying patient information upon each visit
Aided in the care of patient by helping with notifications for test results, lab orders, scheduling patients for testing, etc.
Scheduled appointments for patients via phone and in person.
Measured vital signs and took medical histories to prepare patients for examination.
Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
Organized charts, documents and supplies to maintain team productivity.
Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Contacted pharmacies to submit and refill patients' prescriptions.
Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
Creating and submitting medical claims to patients and insurance companies, ensuring accuracy and completeness.
Checking patient insurance coverage and eligibility before billing.
Following up on unpaid claims and initiating appeals for denied ones within standard billing cycle timeframes.
Handling patient inquiries about bills, offering explanations, and setting up payment plans for those unable to pay in full.
Collaborating with medical coders and other healthcare professionals to ensure accurate billing and to resolve discrepancies.
Navigating and maintaining electronic health records (EHR) and billing software, posting payments to patient accounts.
Calling insurance companies for updates on claim status and to clarify billing details.
Adhering to HIPAA regulations, ensuring patient confidentiality at all times.
Staying updated on healthcare regulations, medical terminology, and coding practices.
Tracking, reviewing, and reporting on billing metrics, trends, and periodic audits to ensure compliance and accuracy.
Are responsible for submitting claims and following up with health insurance companies to collect payment. They make sure patients are billed accurately and providers are paid for their services.
Registration Clerk
Acadian Medical Center
Eunice
11.2020 - 03.2023
Greet and care for all incoming patients and obtain complete and accurate demographic and insurance information
Maintain patient confidentiality at all times
Obtain signatures on all necessary forms for registration
Responded to incoming department phone calls and directed callers to appropriate team members based on need.
Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
Carefully checked insurance information for benefits coverage and input pre-authorization documents into the system.
Contacted insurance carriers to verify coverage, copays and deductible information for patients.
Direct Service Worker
Heaven on Earth
Mamou
10.2019 - 11.2021
Assisted clients with daily living activities
Communicated ongoing care results and updates to relevant parties
Collaborated with clients and families for best care opportunities
Assistant Steward
Evangeline Downs Casino
Opelousas
07.2012 - 02.2016
Consistently delivered positive, courteous and professional guest service in all interactions with guests, visitors, vendors and fellow employees
Responsible for proper and safe use of kitchen dishwashing and cleaning equipment and supplies
Maintained a work environment that was safe, professional, friendly and conducive to a high level of productivity and performance
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