Cheryl Tarsia
Toms River,NJ
Summary
Experienced in patient administration with background in managing medical records, scheduling appointments, and coordinating healthcare services. Strong organizational skills paired with ability to communicate effectively with patients and healthcare professionals alike. Demonstrated success in streamlining office operations for increased efficiency and patient satisfaction. Committed to maintaining confidentiality and compliance within healthcare settings.
Overview
44
44
years of professional experience
Work History
Patient Administration
Ocean Orthopedic Associates
Toms River, NJ
08.2015 - Current
- Responsible for the final checkout of patients, consisting of follow-up appointments, and providing all paperwork ordered by the doctor for authorization purposes and referrals to specialists. Also provide patients with suggestions for physical therapy facilities that accommodate their needs.
- Obtain authorizations utilizing precertification portals through Evicore and Carelon for ancillary tests ordered. Tests consist of MRIs, CT scans, arthrograms, and bone scans.
- Follow-up phone calls for the status of pending authorizations for MRIs, CT scans, arthrograms, and bone scans, as well as looking them up on the portal.
- Obtain authorizations with various insurance companies for motor vehicle and workers' compensation claims, as well as follow-up phone calls with workers' compensation adjusters/NCMs and various motor vehicle precertification companies.
- Responsible for ancillary test denials, consisting of obtaining appeal letters from the ordering doctor, and complete follow-through until completion.
- Responsible for following up with patients through voicemail for pending authorization status, as well as communicating with the doctors' medical assistants with any concerns or questions the patient might have through computer messages.
- Assist patients in obtaining appointments for ancillary tests ordered by their doctor.
- Responsible for the collection of patient encounters for all doctors for the day, for billing purposes.
- Responsible for daily faxes that pertain to pending authorizations, as well as denials.
- Responsible for daily follow-up with patients regarding paperwork in my to-do list, consisting of scripts for physical therapy and any ancillary tests ordered.
Patient Administration
Shore Orthopedic Associates
Lakewood, NJ
01.2006 - 04.2015
- Responsible for the final checkout of patients and scheduling of follow-up appointments for five orthopedic surgeons and two pain management physicians.
- Coordinate efforts with interoffice personnel and patients on prescribed medical procedures.
- Responsible for the daily billing of patients, as well as closing out daily batches for copays.
- Coordinated efforts with motor vehicle precertification companies to obtain authorization for radiologic procedures ordered by a physician.
- Experienced in scheduling all types of pain management procedures.
- Trained new personnel.
- Responsible for entering new patient demographics, insurance information, adjuster/case manager data for workers' compensation, and motor vehicle claims.
- Responsible for the preparation of quick notes for the adjusters for workers' compensation.
- Responsible for the preparation of daily routers for billing purposes.
- Responsible for the daily preparation of patient charts for their appointments.
- Responsible for the confirmation of daily appointments.
- Updated charts with current dictation, as needed.
- Responsible for answering phones and directing patients to the proper assistant, as well as speaking with case managers and adjusters regarding patient status for motor vehicle and workers' compensation claims.
Assistant Office Personnel
Contact Full Service Mailing
Toms River, NJ
10.2003 - 06.2005
- Responsible for the receiving, sorting, and organization of various types of literature for the purpose of mass mailings for the advertisement/informational correspondence for small businesses.
- Responsible for producing laser-quality documents for high-profile customers using databases provided by customers.
- Responsible for the operation of professional bindery equipment, such as label machines, tabbing machines, folding machines, as well as inkjet equipment.
Office Manager
Jack Birnberg & Associates
Little Falls, NJ
10.1980 - 06.2000
- Coordinated the management of over forty personal and business accounts, including monthly billing and reconciliation of said accounts.
- Responsible for coordinating wire transfers and preparing bank deposits.
- Processed high volumes of attorney, bankruptcy, and personal company correspondence through dictation.
- Provided administrative assistance to attorneys, accountants, and business partners, consisting of Chapter 7 and Chapter 11 bankruptcies, rent receiverships, and small business loan administration.
- Provided accurate time reporting documents for bankruptcies, as well as timetables for financial consulting fees.
- Responsible for the research and accurate documentation for bankruptcy audits.
- Prepared final packages for a real estate company to be sent out for funding.
Education
Some College (No Degree) - Medical Office Specialist Program (296 hours)
Ocean County College
Toms River, NJSome College (No Degree) - Business Administration
Berkeley Business School
West Paterson, NJSkills
- Patient scheduling
- Authorization processing
- Insurance verification
- Patient follow-up
- Medical record management
- Billing procedures
- Documentation accuracy
- Customer service
- Team collaboration
- Time management
- Problem solving
- Communication skills
- Confidentiality adherence
- Detail orientation
- Technical proficiency
Timeline
Patient Administration
Ocean Orthopedic Associates
08.2015 - Current
Patient Administration
Shore Orthopedic Associates
01.2006 - 04.2015
Assistant Office Personnel
Contact Full Service Mailing
10.2003 - 06.2005
Office Manager
Jack Birnberg & Associates
10.1980 - 06.2000
Some College (No Degree) - Medical Office Specialist Program (296 hours)
Ocean County College
Some College (No Degree) - Business Administration
Berkeley Business School