The way to get started is to quit talking and begin doing.
Walt Disney
Summary
Energetic Patient Care Representative offering wealth of experience in interacting with office staff and patients, supply restocking and scheduling appointments. Hardworking, educated and willing to go extra mile to complete tasks.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Biller/Medical Coder
Sixteenth Street Community Health Center
Milwaukee, Wisconsin
03.2021 - 06.2021
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Applied charges and updated patient records .
Receptionist
Microsoft
Milwaukee, Wisconsin
12.2021 - 12.2021
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Receptionist
Metropolitan Associates
Milwaukee, Wisconsin
06.2021 - 09.2021
Managed multiple tasks and met time-sensitive deadlines.
Confirmed appointments, communicated with clients and updated client records.
Answered central telephone system and directed calls accordingly.
Answered large volume of incoming calls daily to resolve customer issues and schedule appointments.
Patient Registrar
Ascension Franklin
Franklin, WI
01.2020 - 03.2021
Facilitated timely check-in by greeting visitors and establishing purpose of visits.
Coordinated with nursing staff to process and direct patients to appropriate departments
Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
Collected and processed co-payments and out-of-pocket charges using
Accurately inputted patient and insurance information into company's computer system.
Assembled and disassembled patient charts based on specific departmental policies.
Imaged and scanned patient and registration documentation into electronic patient records.
Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.
Interpreted physician's orders accurately to input correct testing information and verify admissions criteria.
Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Obtained payments from patients and scanned identification and insurance cards.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Answered phone calls and messages for -physician, medical facility, scheduling appointments and handling patient inquiries.
Registered and verified patient records before triage with most up-to-date information.
Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.
Organized patient files and streamlined operations to improve efficiency.
Placed new supply orders, managed inventory and restocked clerical spaces.
Carried out front office duties utilizing data entry skills in framework of medical database.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Received, recorded and addressed incoming and outgoing communication via telephone and email.
Greeted visitors and initiated triage processes for clients to streamline patient flow.
Used Epic] to schedule and manage patient appointments
Insurance Pre-authorization Representative
Advanced Pain Management Group
Milwaukee, WI
08.2006 - 10.2018
Researched missing or inaccurate information to establish insurance eligibility and patient liabilities.
Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
Received patient type change notification and took action necessary to meet third-party payer care and coverage guidelines.
Communicated required insurance information in person and by telephone to patients, physician offices, third party payers and agencies.
Offered patients and physician offices estimated costs for services documentation.
Contacted clients about verifying account information and updated services, answered questions and resolved concerns to uphold exceptional customer service standards and promote brand loyalty.
Updated client accounts with new information and verified data for informed credit approvals.
Education
No Degree - NHA Certified Medical Administrative Assistant
Med Certs, Livonia, MI
Skills
Time Management
Government Forms
Medical Billing Processing
Attention to Detail
Clerical Functions
Interpersonal Communication
Word Processing Software
Patient Medical Records Maintenance
Information Sourcing
Health Record Index Maintenance
Verbal and Written Communication
Medical History Recording
Appointment Scheduling
Information Classification
Standard Classification Systems
DRGs Patient Assignments
Insurance Billing
Patient Data Coding
Epic Systems
Problem Solving
Certified Professional Coder
Data Entry
Hospital Inpatient and Outpatient Records
ICD-10 Coding
Patient Information Verification
Records Accuracy
Electronic Health Record Applications
Medical Information Computerization
Patient Admission
EMR Systems
Medical Terminology
Patient Health Information Access
ICD-9 Coding
Compliance Verification
Electronic Filing System Organization
Protected Health Information
Physicians Orders
Patient Admission Documents Processing
Medical Release of Information ROI
Doctor Communication
Paperwork Processing
Patient Rights
Microsoft Excel
Records Scanning
Inpatient Coding
Certification
Medical Administrative Assistant Training - November 2019 thru November 2021
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Receptionist - Microsoft
12.2021 - 12.2021
Receptionist - Metropolitan Associates
06.2021 - 09.2021
Medical Biller/Medical Coder - Sixteenth Street Community Health Center
03.2021 - 06.2021
Patient Registrar - Ascension Franklin
01.2020 - 03.2021
Insurance Pre-authorization Representative - Advanced Pain Management Group
08.2006 - 10.2018
Med Certs - No Degree, NHA Certified Medical Administrative Assistant
Senior Clinical Applications Analyst at Sixteenth Street Community Health CenterSenior Clinical Applications Analyst at Sixteenth Street Community Health Center