Jana Rivera
Rock Hill
Summary
A seasoned Certified Medical Assistant II with a proven track record at Atrium Health-Charlotte Pediatric Clinic, showcasing exceptional patient care and HIPAA compliance. Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Demonstrates a unique blend of compassion and multitasking abilities, enhancing patient experiences and operational efficiency. Known for collaborative approach and commitment to excellence.
Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Certified Medical Assistant II
Atrium Health-Charlotte Pediatric Clinic
03.2018 - Current
- Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
- Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Prepare, document and administer vaccines necessary for patients.
- Prepared and administered medications and/or lab specimens needed to alleviate patient symptoms.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Consistently maintained up-to-date certifications, demonstrating dedication to professional development and quality patient care.
- Facilitated continuity of care through proper scheduling of follow-up appointments based on physician recommendations.
- Knowledge and ability to provide coverage when needed to the front desk.
- Oriented and trained new staff on proper procedures and policies.
Reimbursement Counselor/Copay Analyst
Beacon Hill Via Lash Group
09.2016 - 06.2017
- Provided exceptional customer service to patients regarding billing inquiries, resolving issues promptly to maintain satisfaction levels.
- Improved patient reimbursement rates by streamlining insurance verification and authorization processes.
- Educated patients on their insurance benefits, out-of-pocket costs, and financial responsibility prior to receiving services.
- Responsible for processing multiple pharmaceutical claims for copay reimbursements to patients, physicians, or specialty pharmacy's.
- Reduced claim denials by meticulously reviewing medical documentation for accuracy and completeness before submission.
- Resubmitted claims with new and amended information to insurance companies for processing.
- Managed high-volume caseloads, ensuring timely and accurate billing for medical services rendered.
Billing Manager
Carolina Eye Cataract & Laser
02.2015 - 09.2016
- Enhanced customer service, reduced outstanding debts, directly contacting clients and setting up manageable payment plans tailored to their financial situations, all while maintaining a positive relationship with clients.
- Reviewed billing problems, researched issues, and resolved concerns.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Created a transparent work environment that fostered open communication between team members, promoting collaboration and problem-solving skills development.
- Mastered front desk tasks, provided coverage throughout office, as needed.
- Supported financial director with special projects and additional job duties.
Medical/ Billing Assistant
Clinton Crossings Dermatology
02.2007 - 06.2014
- Optimized workflow efficiency within the department using strong organizational skills when prioritizing tasks under tight deadlines.
- Increased team efficiency by providing cross-functional support in medical coding, insurance verification, data entry tasks, clinical, and clerical tasks.
- Contributed to a well-organized office environment through meticulous record-keeping and file management practices.
- Assisted in reducing patient wait times by efficiently managing appointment scheduling and all front desk operations.
- Assisted Office manager and provided coverage in her absence.
- Enhanced revenue collection rates with timely follow-ups on outstanding claims and appeals, as well as posting payments and collections on a regular basis.
- Maximized reimbursement opportunities by staying current on industry trends and new billing procedures.
- Assisted in the creation of training materials for new team members, ensuring a smooth onboarding process and consistent work quality, as well as supervising medical students and new employees.
Cashier/Receptionist/Registration Clerk (Temp Pos)
Piehler Pontiac
08.2003 - 12.2003
Office Manager
N & W Associates
09.2001 - 06.2003
Education
Associate of Applied Science - Medical Assistant
Bryant And Stratton College
Rochester, NY12-2006
Skills
- Self confident and courteous
- Dedicated and success oriented
- Versatile and compassionate
- Multitasking and organization
- HIPAA compliance
- Medical terminology, ICD-9, CPT, EPIC, Cerner
Certification
- Basic Life Support Certification (BLS)
- Preceptor/ Mentorship
- American Associates Of Medical Assisting Certified (AAMA)
Timeline
Certified Medical Assistant II
Atrium Health-Charlotte Pediatric Clinic
03.2018 - Current
Reimbursement Counselor/Copay Analyst
Beacon Hill Via Lash Group
09.2016 - 06.2017
Billing Manager
Carolina Eye Cataract & Laser
02.2015 - 09.2016
Medical/ Billing Assistant
Clinton Crossings Dermatology
02.2007 - 06.2014
Cashier/Receptionist/Registration Clerk (Temp Pos)
Piehler Pontiac
08.2003 - 12.2003
Office Manager
N & W Associates
09.2001 - 06.2003
- Basic Life Support Certification (BLS)
- Preceptor/ Mentorship
- American Associates Of Medical Assisting Certified (AAMA)
Associate of Applied Science - Medical Assistant
Bryant And Stratton College
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