Hardworking and passionate job seeker with strong organizational skills eager to secure an exciting precertification and/or medical billing position. Readily available to help team achieve company goals.
Overview
17
17
years of professional experience
Work History
Medical Billing Clerk
Georgia Heart Specialists, LLC.
02.2014 - 01.2024
Handled sensitive patient information with utmost discretion, maintaining strict confidentiality in accordance with HIPAA regulations.
Precertification for office procedures utilizing telephone and online resources
Filed and updated patient information and medical records.
Posted payments and collections on regular basis.
Verified insurance of patients to determine eligibility.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Enhanced guest satisfaction by efficiently managing check-ins and checkouts.
Handled phone calls and inquiries professionally, directing callers to appropriate departments as needed.
Accurately processed high volume of payments and balanced daily cash drawer, maintaining financial integrity in billing department.
Front Desk Medical Receptionist
Dr. Aarti Pandya -Ophthalmologist
01.2012 - 01.2014
General Duties
Check In/Out 50-70 Patients A Day When Necessary
File/Pull Charts At The Beginning/End Of Day
Balancing Transaction
Referring Patients To Other Physicians
Heavy Phone Volume
Assisted Techs With Testing (Visual Fields & Scans)
Scheduling Patients Rapidly And Efficiently
Insurance Verification & Workman's' Compensation
Verifying Patients For The Next Business Day
Utilized Multiple Avenues To Verify Insurance Such As Internet, Phone, And Fax.
Ensuring That Workman's' Comp Patients Are Approved By Adjusters For Each Appointment
Sent Medical Records To Adjusters, Lawyers, Or Nurse Case Managers After Each Appointment
Correctly Imputing Each Insurance Change
Surgery Coordinator
Scheduling Patients For Surgery Through Rockdale Medical Center And The Medical Office
Maintaining A Positive Relationship With RMC And Dr. Aarti Pandya's Office
Deliver Orders For Surgery To RMC
Front Desk Medical Receptionist
Walnut Creek Family Practice
11.2006 - 09.2009
Enhanced patient satisfaction by consistently providing friendly and efficient service at front desk.
Streamlined appointment scheduling processes, resulting in reduced wait times for patients.
Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
Filing charts
Education
Criminal Justice
Gordon State College
Barnesville, GA
Criminal Justice
Clayton State College And University
Morrow
Medical Billing And Coding
Ashworth College
Norcross, GA
10.2024
Skills
Claim Submission (Waystar and Navicure Clearinghouse)
Billing and Coding
HIPAA Compliance
Medical Terminology
Insurance Verification
ICD-10 Proficiency (always learning)
Electronic Health Records (Medical Manager, Eclinicalworks, and EPIC)
CPT Knowledge
Data Entry Accuracy
Clerical Support
Records Management
Medicare and Medicaid Process
Work Prioritization
Payment Processing and Collections
Microsoft Office Word, Outlook, and Excel
Websites Utilized for Precertification and Eligibility: Availity, Cohere, Medicaid, Medicare, Humana, Evicore, Radmd (NIA)
Timeline
Medical Billing Clerk
Georgia Heart Specialists, LLC.
02.2014 - 01.2024
Front Desk Medical Receptionist
Dr. Aarti Pandya -Ophthalmologist
01.2012 - 01.2014
Front Desk Medical Receptionist
Walnut Creek Family Practice
11.2006 - 09.2009
Criminal Justice
Gordon State College
Criminal Justice
Clayton State College And University
Medical Billing And Coding
Ashworth College
Similar Profiles
Stacy MooreStacy Moore
OFFICE COORDINATOR AND PRECERTIFACATION SPECIALIST at Atlanta Heart Specialists LLCOFFICE COORDINATOR AND PRECERTIFACATION SPECIALIST at Atlanta Heart Specialists LLC