Dynamic medical professional with extensive experience at The Joint Replacement Center of Scottsdale, excelling in insurance billing and claims management. Proven ability to enhance patient scheduling and surgical coordination while demonstrating exceptional adaptability and communication skills. Proficient in QuickBooks and adept at resolving complex billing issues, ensuring seamless operations in fast-paced environments.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Assistant / Surgery Scheduler / Medical Billing / QuickBooks & ADP Payroll
The Joint Replacement Center of Scottsdale
Scottsdale, USA
01.2017 - Current
Billing, Claims, and Insurance Management.
Responsible for insurance billing, managing the submission of claims, handling denials, and submitting appeals.
Processed weekly EOB postings and generated patient statements, ensuring accuracy in billing and insurance claims management.
Provided backup support for check and cash deposits when necessary.
Clinical and Surgical Coordination.
Rooming patients, collecting detailed medical histories, and assisting with various procedures, including cortisone injections, during clinic days.
Scheduled surgeries, initiated the surgical clearance process, and communicated with patients' PCPs and specialists for necessary clearances.
Managed surgery schedules by manually uploading patient data into MedNet and Thompson Peak, and ensuring accuracy in surgical details.
Collaborated with surgeon-managed implants and communicated specific implant needs to vendors and reps.
Oversaw the coordination of post-operative supplies, including communication with OneSource, RomTech, and Home Health/Physical Therapy.
Acted as the primary contact for in-office aspirations, managed lab orders, and followed up on results.
Administrative Support and Operational Duties.
Managed all incoming mail, sorting and distributing documents, while ensuring proper handling of billing-related materials.
Ordered medical supplies and maintained adequate stock levels to ensure clinic readiness and smooth operation during appointments.
Created surgical packets for patients, and developed a detailed Surgical Flow Sheet, including medical history, lab results, post-op dates, and customized medication instructions.
Made proactive calls to patients prior to surgeries to confirm arrival times, review instructions, and ensure all surgical clearances were completed.
Managed incoming calls from new patients, effectively communicating the benefits of cash pay options, and guiding them through the process, as we are out of network with most insurance providers.
Medical Assistant / Surgery Scheduler
Pinnacle Surgery Center
Colorado Springs, USA
03.2015 - 10.2017
Patient scheduling for 19 ophthalmology doctors/surgeons.
Medical Assistant for pre-op, OR, and PACU.
Managed and vetted patients for a nonprofit organization – EFS.
Assisted at the front desk/reception, checking in, and collecting copays.
Medical Records: Assembling Patient Charts.
Personal Assistant for the Clinical Director, spreadsheets, KPI reports, credentialing.
Sterilization, prepping OR tables, and turning over rooms.
Insurance Coordinator / Administrative Assistant
Star Ranch Family Dental
Colorado Springs, USA
09.2014 - 03.2015
Manage the day-to-day operation of the dental office.
Open and close the office according to protocol.
Oversee patient relations and handle patient complaints.
Manage and update the schedule daily.
Billing - submit insurance claims at the end of each day, with follow-ups.
Follow up on insurance claims and delinquent accounts.
Prepare financial treatment plans, and present plan options.
Administrative Assistant / HR Management
BrightStar Care
Colorado Springs, USA
08.2013 - 09.2014
Administrative, clinical, and human resources management for a small home health care company.
Reconstructed policy and procedures.
Cross-trained in scheduling, payroll, and HR duties.
Part-time medical assistant for in-home patients.
Inbound/outbound sales calls for prospective clients.
Interviewed CNAs and MAs for open positions.
Education
Registered Medical Assistant -
PIMA Medical Institute
Colorado Springs, CO
Skills
Medical office management
Insurance billing and coding
QuickBooks proficiency
ADP payroll processing
Check issuance and invoice payment
Patient vital signs monitoring
Blood draw and injection administration
Patient scheduling and intake
Surgical assistance in pre-op, OR, and PACU
Surgical flow sheet development
Insurance claims processing and denial resolution
EOB posting and patient statement preparation
Cash pay and out-of-network communication
Phone etiquette for patient interactions
Adaptability to changing priorities
References
Dr. Theodore Firestone – Orthopedic Surgeon – 602-568-4887 (cell)
Accounts Receivable and Billing Specialist at Joint Replacement Center of LouisianaAccounts Receivable and Billing Specialist at Joint Replacement Center of Louisiana