Elizabeth Vergez
Senior Medical Secretary
New York,NY
Summary
Dynamic Senior Medical Secretary with extensive experience at Columbia Presbyterian, adept at securing prior authorizations and managing complex patient cases. Proficient in EPIC and Microsoft Office, demonstrating strong organizational skills and attention to detail. Bilingual communicator, committed to enhancing patient care and streamlining processes for optimal efficiency.
Overview
29
29
years of professional experience
Work History
Senior Medical Secretary
Columbia Presbyterian Neuro Billing Department
06.2022 - Current
- Obtained Prior Authorizations for elective Inpatient AEMU, Neuropsychological Testing, WADA/Neuro-Surgery, Out-Patient EEG's, REEG's, AEEG's, CEEG'S, Sleep Study testing, Home Sleep study testing, Single Case Agreement, Gap Exceptions, MRI's, Lumbar Puncture, Nerve Block Procedures and Epilepsy Medications
- Document Procedure codes, ICD 10 diagnosis codes, D.O.S, Attending POR, NPI's, Tax ID's, Insurance notes & Prior authorizations notes in the EPIC patient station.
- Initiated all urgent and emergent inpatient cases with Medical Directors & Nurse case managers over the phone.
Precertification Specialist/Senior Clerk
Columbia Presbyterian Neuro Epilepsy Department
10.2008 - 05.2022
- Coordinated inpatient AEMU, PEMU, IOM, OR procedures and Out-Patient EEG's, REEG'S, AEEG's, SSEP, Evoked Potentials, Bone Density Research Patients and Epilepsy Protocol 3-T MRI's.
- Obtained Prior Authorizations for AEMU, PEMU, EEG's, REEG's, AEEG's, CEEG's, WADA, Inpatient Neuro-Psych's, Out-Of-Network PA's, Peer-to-Peer Reviewss, Appeals & Referrrals.
- Audited, Tracked & Processed All Inpatient Missing Charges.
- Responsible for Provider Master Schedules, Risk Management EEG CD Cases, TES Billing and Compliance Edits Spreadsheets.
Medical Billing Representative/Front Desk
Columbia Presbyterian Neuro Billing Department
09.2003 - 10.2008
- Obtained Prior Authorizations & Referrals for EMG's, NCS's, Allen Pavilion EEG'S, Carotid Dopplers, Intra-Cranial Dopplers, MRI's.
- Processed Compliance Billing Charge Entry Tickets
- Print out out-patient balance reports.
- Collected and posted copayments, previous balances, negotiated payment plans, processed patient refunds & insurance refunds.
- Maintained & Completed spreadsheet Audits.
- Printed out insurance claims.
- Registered Phlebotomy orders in Eagle.
Medical Secretary-Dr. Casilda Balmaceda
Columbia Presbyterian Neuro Oncology & General Neurology
10.2001 - 09.2003
- Coordinated , Obtained Prior Authorizations and Referrals for Neuro-Oncology Chemo Treatments, Procedures and Follow up appointments.
- Scheduled and obtained Prior Authorizations for MRA's, MRV's, MRI's, Tilt Table Testing, CT's, Bone Scans, EMG's, NCS's, EEG'S.
- Managed the provider's calendar and Obtained Clinical Research Patient notes, charges and IRB consents.
- Registered patients, ran daily schedule reports and superbills.
- Collected copay's and self-pay payments.
Medical Secretary-Dr. William H. Sherman
Columbia Presbyterian Hematology/Medical Oncology
08.1998 - 10.2001
- Coordinated, Obtained Prior Authorizations and referrals for outpatient and inpatient Chemo Treatments, Chemo Medications, Office Visits and procedures.
- Scheduled, Obtained Prior Authorizations and referrals for Radiation Treatments, IVIG treatments, Inpatient Admissions, Bone Marrow Biopsies, CT's Scan's, MRI's, DVT Dopplers, Mammograms, Bone Scan's, PET Scans, Ultra-sounds, Echo Cardiograms.
- Collected and posted copay's, outstanding balances, insurance payments and printed out insurance claims.
- Processed patient refunds, insurance refunds and charge corrections
Data Entry Clerk
Columbia Presbyterian Patient Relations Department
03.1998 - 07.1998
- Registered walk-in patient cases, inhouse patient complaints, problems, special accommodations requests & compliments.
- Processed Health Care Proxy Forms & DNR Forms.
- Reviewed and recorded patient satisfaction surveys.
- Printed out daily patient reports for NYP & Allen Pavilion.
Front Desk Clerk
Columbia Presbyterian Volunteer Department
01.1997 - 03.1998
- Reviewed all volunteer applications and volunteer medical forms.
- Registered volunteers for work assignments and lunch vouchers.
- Recorded and processed volunteer timesheets and work logs.
- Typed Correspondence and Medical Terminology Translations pamphlets in English & Spanish.
- Answered phones, took messages, retrieved voicemail and processed faxed application.
Education
Associate of Science - Office Systems Management
Berkeley College
New York, NY01-1997
Skills
EPIC
IDX Allscripts
Microsoft Office
EMR
Spreedsheets
Availity Provider Portal, Emblem Provider Portal, Oxford/UHC Provider Portal, Fidelis Provider Portal, Affinity Provider Portal, Health First Provider Portal & Cover My Meds Provider Portal
Bilingual
Timeline
Senior Medical Secretary
Columbia Presbyterian Neuro Billing Department
06.2022 - Current
Precertification Specialist/Senior Clerk
Columbia Presbyterian Neuro Epilepsy Department
10.2008 - 05.2022
Medical Billing Representative/Front Desk
Columbia Presbyterian Neuro Billing Department
09.2003 - 10.2008
Medical Secretary-Dr. Casilda Balmaceda
Columbia Presbyterian Neuro Oncology & General Neurology
10.2001 - 09.2003
Medical Secretary-Dr. William H. Sherman
Columbia Presbyterian Hematology/Medical Oncology
08.1998 - 10.2001
Data Entry Clerk
Columbia Presbyterian Patient Relations Department
03.1998 - 07.1998
Front Desk Clerk
Columbia Presbyterian Volunteer Department
01.1997 - 03.1998
Associate of Science - Office Systems Management
Berkeley College