DAWN RIVERA
SANFORD,FL
Summary
Skilled in insurance verification,surgery scheduling, obtaining authorization for office visits and diagnostic testing, appointment scheduling and multi phone lines.Trained in Cerner,Greenway EMR
Overview
20
20
years of professional experience
Work History
Medical Receptionist
Florida Neurology
07.2020 - Current
- Provides support across two office locations, in accordance with business needs
- Manages the full cycle of patient interactions including: initial registration, scheduling and rescheduling requests, patient check in and check out, and any customer support style inquiries
- Support is provided in person and via incoming calls
- Verifies and maintains medical records to ensure accuracy and compliance with the office’s records retention policies
- Issues referral requests and follows up on any pending referrals
- Submits orders to external facilities for supplemental patient testing
- Provides medical billing support such as calculating applicable co-pays, deductibles, and outstanding balances
- Processes super bills, and verifies demographic information.
Medical Receptionist/Call Center
Pulmonary Practice Associates
05.2018 - 07.2020
- Manages the full cycle of patient interactions including: initial registration, scheduling and rescheduling requests, patient check in and check out, and any customer support style inquiries
- Support is provided in person and via incoming calls
- Verifies insurance thru Navinet, Availity or any other applicable insurer’s interface
- Facilitates required lab work by faxing appropriate documentation for upcoming diagnostic studies and forwarding office notes
- Distribute incoming faxes through Updox to appropriate personnel
- Unison MD consults put in a rounding schedule
- Submitted patient inquiries to nurses digitally.
Medical Receptionist
West Orlando Pediatrics
01.2018 - 05.2018
- Manages the full cycle of patient interactions including: initial registration, scheduling and rescheduling requests, patient check in and check out, and any customer support style inquiries
- Submitted patient inquiries to nurses digitally.
Customer Service
Physician Dispensing Solutions
09.2017 - 01.2018
- Made outbound calls to patients to verify if refills are needed
- Processes refill request to billing department
- Supported inbound customer service calls.
Reimbursement Specialist
Express Scripts
12.2016 - 04.2017
- Verified Pre authorizations
- Submitted referrals for specialty medication to specialty pharmacies
- Verification of benefits
- Assisted patients with enrollment into assistance programs.
Patient Service Representative
True Health
04.2012 - 10.2016
- Verify insurance and setting eligibility dates in system
- Collect payments and patient responsibility balances
- Post charges to patient accounts
- Scan and import demographics and clinical documents into patient charts
- Schedule appointments
- Answer multi line telephone system
- Operate office equipment is fax, computer, cc machine
- Provide copies of medical records needed.
Benefits Coordinator
Medical Office
11.2006 - 03.2011
- Verified benefits, eligibility for insurances, payment or non payment from insurances and coverage per doctor for various procedures
- Claims reconciliation for commercial and medicare insurances
- Answered phone regarding bills or insurance participation
- Protected the security of medical records to ensure that confidentiality is maintained
- Accurately entered data such as demographic characteristics.
Medical Receptionist
Front Desk/Referrals
06.2006 - 10.2006
- Checked in and out patients
- Referrals per doctors instructions to major diagnostics center
- Kept records of all call and referrals
- Assigned the patient to diagnosis-related groups (DRGs), using appropriate computer software.
Medical Office Clerk/Surgery Scheduler
Medical Records
03.2004 - 04.2005
- Checked in and out patients
- Appointment and surgery scheduler, performing day-to-day administrative tasks such as maintaining information files and processing paperwork
- Communicated with Supervisors, Peers, or Subordinates - Providing information to supervisors, co workers, and subordinates by telephone, in written form, e-mail, or in person.
Education
Vocational - Medical Coding
Central Florida
01.2006
Vocational - Medical Assistant
Vocational School
01.2000
Skills
- Medical Terminology (10 years)
- Emr (10 years)
- Front Desk (10 years)
- Medical Billing (4 years)
- Front Office
- Reception
Timeline
Medical Receptionist
Florida Neurology
07.2020 - Current
Medical Receptionist/Call Center
Pulmonary Practice Associates
05.2018 - 07.2020
Medical Receptionist
West Orlando Pediatrics
01.2018 - 05.2018
Customer Service
Physician Dispensing Solutions
09.2017 - 01.2018
Reimbursement Specialist
Express Scripts
12.2016 - 04.2017
Patient Service Representative
True Health
04.2012 - 10.2016
Benefits Coordinator
Medical Office
11.2006 - 03.2011
Medical Receptionist
Front Desk/Referrals
06.2006 - 10.2006
Medical Office Clerk/Surgery Scheduler
Medical Records
03.2004 - 04.2005
Vocational - Medical Coding
Central Florida
Vocational - Medical Assistant
Vocational School