Dwjuan Herrington
Summary
A dedicated healthcare professional with 10 years of experience in patient registration and management, billing and coding, customer service, and patient care. Seeking an opportunity to utilize my diverse professional and educational skills in an organization that aligns with my career goals.
Overview
10
10
years of professional experience
Work History
Authorization Specialist
Hijazi, LA Pain Doctor
12.2021 - 08.2023
- Responsible for securing daily pre-authorizations/prior authorizations for various procedures, surgeries, MRIs, CT scans, medications, and Physical Therapy Scheduled all procedures in different facilities including ambulatory surgery centers, outpatient hospitals, and medical offices Submitted authorization request through different online portals such as RADMD, Evicore, Health Help, CoverMyMeds, BCBS, UHC, Availity, Cohere, AIM, and more Scheduled peer-reviews for denied cases with the providers Sent out injection estimates to attorneys, and diligently followed up on payments Accurately written scheduling sheets, print demographics for procedures, and fax to respective facilities Ordered and maintained injectable medications for procedures such as botox, hyaluronic acid, euflexxa, monovisc, and synvisc, as well as IT pump refills Directly interacts with insurance companies to verify eligibility, benefits, and authorization requirements
- Completed and faxed 1010 form for procedures and PT to adjuster Completed 1009 form for appeals Worked in unison with the billing team to resolve billing issues Updated providers with procedure codes and scheduled meetings between reps and doctors for new procedures/surgeries such as Minuteman, PNS, SI Fusions, IT Pump Implant Completed doctor's registration for approval to perform procedures at the facilities.
Medical Assistant
Jack Jacob, OBGYN
12.2020 - 12.2021
- Provided assistance for 3 doctors Obtained vitals, chief complaint, medications hx, past medical hx, and entering/updating the information into the System (EPIC) Collect urine specimens, perform and read stat testing such as UA/UPT, glucose/A1C, and fetal heart tones Assisted with procedures such as colposcopy, endometrial bx, vulva bx, implant insertions/removal, and pap smears; scheduled appointments completed referrals for all imaging studies and colonoscopy; submitted and reviewed authorizations to insurance companies and responded to denials; scanned patient's medical records into the chart.
Medical Assistant
Judith Hackett Family Practice
10.2013 - 08.2020
- Responsible for overseeing front and back office, included patient registration, managing co-payments and out-of-pocket costs, and ensuring all billing and coding was accurate
- Ensured ICD-10 codes and CPT codes were in the correct sequence, and all necessary documentation was present in the electronic medical records before submitting to EMR system
- Researched and resubmitted denied claims for payments, sent explanation of payments when they came by mail Updated inventory, expiration and vaccine logs VFC (Links) to maintain current tracking documentation
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations
- Measured patient pulse oximetry
- Obtained and documented patient medical history, vital signs and current complaints at intake
- Sanitized, restocked, and organized exam rooms and medical equipment
- Administered vaccines, antibiotics, pain and insulin medications, and assisted with pap smears, incision and drainage, wound dressing, and trigger point injections
- Prescription Drug Monitoring Obtained authorizations for medications and procedures, as well as calling in the patient's medications per physician order
- Certifications:
- AAPC Certified Professional Coder
- Heartsaver First AID
Education
Certificate of Applied Science (CAS) Medical Billing and Coding -
Nunez Community College
Chalmette, LA05.2021
Diploma of Clinical Medical Assistant -
12.2013
High School Diploma -
Blue Cliff College
Metairie, LA.05.2010
Skills
- Knowledge, Skills, & Abilities:
- Interpersonal Skills
- Excellent & Efficient Communication Skills
- Self-Motivated
- Independent Judgement & Decision Making
- Proficient in Microsoft Software
- Medical Terminology
- ICD-10-PCS, ICD-10-CM, ICD-9-CM, HCPCS
- And CPT Coding
- HIPAA Privacy & Security Rules
- EHR Systems: Kareo, EPIC, Care360/Quanum, and PrognoCis
- EOB
- Insurance Verification
- Authorizations and Billing
- CMS 1500 Claim Submission/Superbills, 1010
- And 1009 forms
- Collecting of patient vital signs
- EKG
- Medical Documentation
- Authorizations Understanding
- Documentation and Reporting
- Appointment Scheduling
- Data Entry
- Effective Communication Skills
Reference
Reference:
Doctor
Satvik Munshi, MD
LA Pain Doctor
satvikmunshi@gmail.com
Professor
Michelle Johnson
Nunez Community College
mparkerjohnson@nunez.edu
Office Manager
Danyell Henry
Judith Hackett Family Practice
Danyell4drh@gmail.com
Timeline
Authorization Specialist
Hijazi, LA Pain Doctor
12.2021 - 08.2023
Medical Assistant
Jack Jacob, OBGYN
12.2020 - 12.2021
Medical Assistant
Judith Hackett Family Practice
10.2013 - 08.2020
Certificate of Applied Science (CAS) Medical Billing and Coding -
Nunez Community College
Diploma of Clinical Medical Assistant -
High School Diploma -
Blue Cliff College
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