Bernisabel Then
New York,NY
Summary
Organized and dedicated Biller and Coder/Administrative Assistant with over 10 years of experience, with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
15
15
years of professional experience
5
5
years of post-secondary education
1
1
Certificate
Work History
Administrave
Columbia University Medical Center/Lung Transplant
12.2016 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Fostered strong relationships with patients and their families by providing compassionate support and answering questions about medical care.
- Assisted physicians with medical administrative task, ensuring high-quality patient care and safety.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Entered lab orders in patient's chart.
Community Associate
DHS/Vanguard Staffing
02.2022 - 03.2023
- Trained new team members on site policies and procedures.
- Maintained records and logs of work performed, materials and equipment used.
- Worked with personnel and managers to meet strict timelines.
- Oversaw personnel safety and efforts at work site.
- Played a key role in the development and implementation of organizational policies and procedures related to case management, ensuring alignment with best practice standards.
- Improved client outcomes by implementing effective case management strategies and streamlining processes.
- Oversaw accurate documentation of client progress notes, maintaining compliance with legal requirements as well as organizational policies and procedures.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
Office Manager
Specialty Medical Center
07.2014 - 12.2016
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Coordinated regular staff meetings to address challenges, discuss solutions, and share best practices within the team.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Consulted with healthcare professionals on business decisions.
- Ensured a safe, comfortable environment for patients by promptly addressing any concerns or issues that arose during their visits.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Administrative Assistant/ Medical Assistant
Academy Medical
07.2011 - 12.2016
- Answered multi-line phone system, routing calls, delivering
- messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Scan Document in to Patient's chart.
- Schedule appointments
- Initiate Prior Authorizations for Procedures and Medications.
- Verifying Insurance
- Entering referrals & collecting copays
- preparing daily charts
- translating
Dental Assistant
DDS Miller
07.2010 - 07.2011
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Maintained a clean and sterile work environment to prevent cross-contamination and infection.
- Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety.
- Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
- Assisted in the hiring process for dental staff, conducting interviews and participating in onboarding activities for new hires.
- Ensured strict adherence to HIPAA regulations by maintaining secure storage of confidential patient information.
Education
Medical Assistant Certificate - Clinical Medical Assistant Certificate
AMCA
06.2017
High School Diploma -
Graphics Communication Arts
09.2001 - 06.2005
Associate of Arts - Psychology
Bronx Community College
Bronx, NY 08.2016 - 05.2018
Skills
- Customer Service
- Data Entry
- Computer Skills
- knowledge in insurance benefits and contracts
- knowledge in claim forms, exclusions and billing requirements
- knowledge in HMO, PPO, Medicare, and Medicaid and compliance program decoration
- Office Administration
- Team Player
- Attention to detail
- Organized
- Conflict resolution skill
- Professional phone etiquette
- Adaptability
Languages
Spanish
Full Professional
English
Full Professional
Certification
- CCMA - Certified Clinical Medical Assistant
Timeline
Community Associate
DHS/Vanguard Staffing
02.2022 - 03.2023
Administrave
Columbia University Medical Center/Lung Transplant
12.2016 - Current
Associate of Arts - Psychology
Bronx Community College
08.2016 - 05.2018
Office Manager
Specialty Medical Center
07.2014 - 12.2016
Administrative Assistant/ Medical Assistant
Academy Medical
07.2011 - 12.2016
Dental Assistant
DDS Miller
07.2010 - 07.2011
High School Diploma -
Graphics Communication Arts
09.2001 - 06.2005
Medical Assistant Certificate - Clinical Medical Assistant Certificate
AMCA
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