Janene Pruss
Toledo
Summary
Professional with significant experience in healthcare administration, equipped to handle patient interactions and manage front-office tasks efficiently. Skilled in scheduling, record-keeping, and insurance verification, with strong communication abilities. Reliable team member, adaptive to changing needs, and consistently focused on achieving results.
Overview
21
21
years of professional experience
Work History
Medical Receptionist
Sylvan Lakes Family Physicians
10.2018 - 10.2024
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Managed multi-line phone system and pleasantly greeted patients.
- Maintained current and accurate medical records for patients.
- Developed strong relationships with patients, fostering loyalty and trust in the practice''s services.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
- Streamlined appointment scheduling for improved patient flow and reduced wait times.
- Supported patient care by scheduling appointments to accommodate urgent health needs.
- Performed various administrative tasks by filing, copying and faxing documents.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained payments from patients and scanned identification and insurance cards.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Answered phone calls and messages for 5-physician family practice medical facility, scheduling appointments, and handling patient inquiries.
Medical Biller and Coder
Dr. Kris Kostrzewski Family Practice
11.2003 - 10.2018
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
Education
High School Diploma -
Adrian High School
Adrian, MISkills
- Front desk operations
- Telephone etiquette
- Appointment scheduling
- Medical terminology
- Office administration
- HIPAA compliance
- Payment collection
- Records management
- Medical billing
- Proficient in Epic
- Records maintenance
Timeline
Medical Receptionist
Sylvan Lakes Family Physicians
10.2018 - 10.2024
Medical Biller and Coder
Dr. Kris Kostrzewski Family Practice
11.2003 - 10.2018
High School Diploma -
Adrian High School
Similar Profiles
Adrianna ColeAdrianna Cole
Medical Assistant at Sylvan Lakes Family PhysiciansMedical Assistant at Sylvan Lakes Family Physicians
Marsha RaymondMarsha Raymond
RN Care Coordination at Sylvan Lake Family PhysiciansRN Care Coordination at Sylvan Lake Family Physicians
Craig VealeCraig Veale
Licensed Practical Nurse at Sylvan Family Health CenterLicensed Practical Nurse at Sylvan Family Health Center
Elisabeth VarnerElisabeth Varner
Certified Occupational Therapy Assistant at Ayden of WatervilleCertified Occupational Therapy Assistant at Ayden of Waterville
ANTONIO TARLETONANTONIO TARLETON
Case Manager at Harbor Behavioral HealthCase Manager at Harbor Behavioral Health