Aretha Rufus
Baldwin,NY
Summary
Detail-oriented Access Service Representative skilled in insurance claims processing and financial record management. Enhances patient satisfaction through effective communication and problem-solving. Ensures accurate data entry and regulatory compliance with healthcare software. Adapts quickly to new challenges and technologies.
Overview
24
24
years of professional experience
Work History
Access Service Representative
NS LIJ Medical Center
New Hyde Park, USA
09.2012 - Current
- Admits patients to the Medical Center and provides information regarding Medical Center regulations and policies, such as Patient Bill of Rights, Heath Care Proxy etc.
- Conducts interviews to obtain demographics, insurance information etc. and enter data into medical Center’s Patient Registration System.
- Communicates Medical Center’s Collection Policy and collects deductible and co-pay obligations.
- Contacted insurance carriers to gather necessary information for successful billing and re-verified insurance for recurring patients, facilitating efficient patient processing and reducing billing errors.
- Performed financial and sliding scale assessments for uninsured patients or those unable to meet financial obligations, ensuring appropriate financial support and reevaluated assignments annually.
- Obtained signatures on medical, legal, and financial forms; prepared charts, registration forms, and addressograph plates; forwarded items to nursing units and clinics to streamline patient admissions.
- Reconciles charge documents with the patient logs and enters charges into the Patient Registration System.
- Executed administrative tasks to support department operations.
Patient Service Representative Demographic (Temp)
NYU College of Dentistry
New York, USA
06.2011 - 04.2012
- Registered patients efficiently by collecting necessary personal information and medical history. / Insurance Verification / Co-payment in Dentrix / various HMO websites
- Input accurate demographic/ insurance information for accurate billing
- Resolved patient billing and financial inquiries, ensuring timely referral to appropriate departments
- Answered and directed telephone calls to various departments, enhancing communication flow
- Checked inpatient files and prepared new patient charts, ensuring accuracy for seamless patient onboarding
- Supported the Clinic Manager by coordinating staffing schedules.
- Register and enter procedure for Department of Orthodontics
- Analyze and adjust accounts receivables and general ledger
Internship (Manager Assistant)
VNSNY Choice Macc
Brooklyn, USA
03.2011 - 06.2011
- Maintained record keeping systems and assisted in preparing accurate monthly reports for management review
- Enter and retrieve financial data from computer and manual files
- Communicated effectively with members and VNSNY CHOICE staff to address inquiries and provide support
- Prepare letters, memos, and requisitions and other forms
- Organized transportation documentation to ensure compliance with regulations and standards set by transportation providers
Typist Clerk/Receptionist
BEGKL PC
New York, USA
04.2004 - 02.2010
- Coordinated and maintained employee and department directories to ensure accurate and up-to-date information.
- Maintained security compliance by following procedures and monitoring logbook while typing and filing paperwork.
- Documented and communicated action irregularities to uphold policies and procedures among teams.
Medical Billing/Customer Service Representative
Transcare Ambulance Corp
Brooklyn, USA
06.2002 - 10.2003
- Billed claims accurately to workers compensation, no-fault insurance, Medicare, Medicaid, private insurance companies, and health maintenance organizations, ensuring compliance with regulations
- Processed approximately 125 insurance claims daily, performing accurate CPT coding to facilitate timely reimbursements.
- Verified patient eligibility and resolved client issues through exceptional customer care and timely follow-up, enhancing patient satisfaction
Education
Certified Medical Administrative Assistant -
National Healthcare's Association
06.2011
Billing & Coding Specialist -
National Healthcare's Association
03.2011
Certified Medical Administrative Assistant -
Kingsboroigh Community College
Certified Billing & Coding Specialist -
Kingsboroigh Community College
Skills
- Microsoft Office Suite
- Medical coding expertise
- Healthcare software proficiency
- Insurance claims processing
- Financial record management
- Administrative operations
- Cross-platform computer skills
Timeline
Access Service Representative
NS LIJ Medical Center
09.2012 - Current
Patient Service Representative Demographic (Temp)
NYU College of Dentistry
06.2011 - 04.2012
Internship (Manager Assistant)
VNSNY Choice Macc
03.2011 - 06.2011
Typist Clerk/Receptionist
BEGKL PC
04.2004 - 02.2010
Medical Billing/Customer Service Representative
Transcare Ambulance Corp
06.2002 - 10.2003
Certified Medical Administrative Assistant -
National Healthcare's Association
Billing & Coding Specialist -
National Healthcare's Association
Certified Medical Administrative Assistant -
Kingsboroigh Community College
Certified Billing & Coding Specialist -
Kingsboroigh Community College