Answered up to 100 inbound and outbound calls a day.
Processed Debit/Credit card and E-Check payments.
Posted E-Check payments to member's AR.
Set payment plans for member balances.
Processed bad debt write off's and reversals.
Processed refunds via Debit/Credit card or E-check.
Submitted grant information to appropriate departments.
Submitted claim reprocessing requests.
Worked Inactive and Multi member accounts by sending statements or processing write off's.
Sent activity statements to members.
Sent payment confirmation letters.
Sent patient consent forms.
Assisted members with locating available grants for assistance with payment for medications.
Surgery Authorization Specialist
Oasis ENT
08.2022 - 05.2023
Check surgery authorization requirements.
Submitted 40+ surgery authorizations a day via phone, fax and insurance portal.
Checked pending authorizations.
Submitted appeals, requested peer to peers and reconsiderations for denied authorizations.
Provided out of pocket costs for surgery to patients.
Assisted surgery scheduler with confirming upcoming surgery appointments.
Filled in for front office and assisted with checking in/out patients.
Scheduled patients for future appointments.
Medical Coding And Billing Specialist
Arizona Asthma & Allergy Institute
06.2022 - 07.2022
Posted 400+ Allergy serum charges a day.
Posted Allergy serum payments to charges.
Started training in coding and posted Office visit charges.
Reviewed and corrected rejected/denied claims and re-submitted to insurance.
Expansion Specialist
Arizona Asthma & Allergy Institute
03.2022 - 06.2022
Order office supplies and equipment for 5 offices.
Coordinated deliveries and conducted inventory of deliveries for 5 offices.
Spoke with the contractors and design company, to ensure we met ADA compliance and make any necessary changes for 2 new offices.
Made purchases in store and delivered supplies to new office.
Coordinated and assisted with set up of office, for opening day.
Pre Registration Lead
Arizona Asthma & Allergy Institute
02.2019 - 03.2022
Verify patient insurance benefits
Create New patient and Allergy serum estimates
Call patients to discuss their benefits and out of pocket costs
Collect patient payments and post to patient accounts
Train new hires
Add new insurance plans to main EMR system
Create employee schedules
Take employee call outs
Approve time off
Write/Perform employee reviews
Conduct interviews and hire new employees
Monitor the work of up to 6 Pre Reg employees
Conducted employee meetings and huddles
Contacted insurance companies to resolve billing issues
Post Allergy injections
Post Allergy serum
Post Allergy serum payments
During this time I was trained to complete inventory for 2 of 5 of our medical offices. I was also responsible for submitting and approving those orders, as well ensuring we received those supplies and loaded them into the appropriate areas. I then became the main point of contact for all medical supplies for the remainder of our 3 offices.
When the Pandemic hit in 2020, I then was responsible for finding/ordering all critical supplies needed including PPE for all 5 of our locations. I kept inventory of all supplies for the 5 offices and distributed these supplies to them.
I also was looked upon to assist with basic IT issues. I would set up and move computer equipment around 2 of our offices. I would also order basic equipment needed for all 5 locations.
8/2021 I was then asked to assist with the expansion of 1 of our new offices opening in June 2022. I was responsible for ordering all supplies and equipment needed for the new office. I coordinated deliveries and conducted inventory of these items. I spoke with the contractors and design company to ensure we met ADA compliance and make any necessary changes.
This was in addition to all my Pre Reg Lead duties.
Pre Registration Associate
Arizona Asthma & Allergy Institute
12.2017 - 02.2019
Verified 100+ patient insurance benefits daily.
Create new patient and Allergy serum estimates.
Call 50+ patients to discuss their benefits and out of pocket costs daily.
Collect patient payments and post to patient accounts.
Train new hires.
During this time I was trained to add new insurance plans to the main EMR system, as well as how to post Allergy injection & Allergy serum charges and patient payments for those specific charges.
Front Office Associate
Arizona Asthma & Allergy Institute
08.2017 - 12.2017
Check in/out 100+ patients daily for 5 providers.
Prep charts for 200+ upcoming appointments.
Print schedules for providers.
Schedule patient appointments.
Prepare new patient packets.
Scan patient forms into patient accounts.
Take patient payments and post to patient account.
Balance end of day journals.
Medical Records.
Trained new hires.
Front Office Associate
Just 4 Kids PLC
09.2006 - 08.2017
Check in/out 35+ patients.
Collect patient demographic data.
Create New patient packets.
Prep 100+ charts for upcoming appointments.
Verify insurance eligibility for 80+ patients daily.
Schedule and confirm appointments.
Process requests for medical records.
Submit 15+ referrals for authorization daily.
Collect patient payments.
Phone Triage.
Set up exam rooms for routine physicals.
Fill out EPSDT forms.
Log Vaccines on VFC forms.
Enter vaccines for patients in state VFC registry.