Janiel Surgeon
Springfield Gardens,NY
Summary
Highly organized and detail-oriented professional with experience as a medical receptionist and accounts receivable clerk. Seeking a position as a medical receptionist and accounts receivable clerk to utilize my strong administrative and financial skills to effectively manage patient accounts and provide exceptional customer service.
Overview
6
6
years of professional experience
Work History
Patient Access Representative
Ivy Rehab Physical Therapy
11.2023 - Current
- Answered phone calls, Scheduled patient appointments for initial evaluations, follow up appointments, MRI imaging as well as coordinating with physical therapists internally and offsite referring physicians
- Welcomed patients with genuine warmth, fostering a hospitable atmosphere while delivering personalized, patient-centered care tailored to individual needs
- Utilized Infinix prior authorization software to confirm insurance details accurately
- Provided explanation of benefits to patients in simple terms they could easily understand
- Obtaining information for workers compensation authorization referrals along with no fault cases
- Proficiently compiling and submitting all essential documentation to swiftly secure authorization approval
- Effectively communicated with medical facilities via fax, phone, and email to obtain updated patient prescriptions, ensuring uninterrupted treatment
- Cultivated strong connections through effective communication and interpersonal skills.
Medical Receptionist
Northwell - Pediatric Behavioral Health Urgent Care Center
10.2020 - 01.2023
- Greeted patients and visitors, ensuring a warm and welcoming atmosphere in the waiting area
- Scheduled patient appointments, coordinating with healthcare providers to maximize efficiency
- Verified insurance information and collected patient co-payments and fees
- Answered phone calls, addressed inquiries, and directed calls to appropriate departments
- Maintained patient records and updated electronic health records accurately and confidentially
- Assisted with administrative tasks, such as filing, faxing, and organizing medical documents.
Accounts Receivable Clerk
Northwell Health
02.2020 - 03.2022
- Conducted follow up on denied authorization for in-patient claims & authorization
- Made Outbound calls to health plans (Medicare, Medicaid, Commercial) companies to obtain status on appeals submitted to prove medical necessity
- Obtained all necessary correspondence while protecting HIPAA guidelines to proceed with the collection of claim payments for revenue cycle
- Obtained necessary documentation (claim info, determination letters) to proceed with collection action or payment for patient accounts
- Conducted Administrative reviews to include the processing of denied and/or paid cases for downgrades and closeouts
- Track and confirm receipt of medical records to insure timely processing per HIPPA guidelines
- Average Company Quality Review score of 97.8% throughout tenure
Medical office Pavilion Front Desk Receptionist
NewYork-Presbyterian Methodist Hospital
06.2019 - 02.2020
- Managed a high-volume front desk, ensuring smooth patient flow and minimizing wait times
- Checked patients in and out, verified personal and insurance information, and updated records, as necessary
- Scheduled appointments, surgeries, and diagnostic tests, coordinating with medical staff and patients
- Responded to patient inquiries and provided information about services, policies, and procedures
- Assisted with billing and insurance claims, ensuring accurate and timely submission.
Front Counter (Parts Department)
Royal Chevrolet
02.2018 - 04.2019
- Perform customer service one-on-one both in person and over the phone
- Read catalogs from General Motors, determine, and provide service technicians and customers with parts as required for part stock numbers and prices
- Obtained credit authorization as required and in accordance with company policies
- Ensures all cash, credit, charge, purchase order, invoice, issued credit for parts
- Returns and tax-exempt sales are processed in accordance with company policies.
Education
Queensborough Community College
Queens, NYHigh School Diploma -
Huguenot High School
Richmond, Virginia06.2017
Skills
- Excellent customer service skills, providing a compassionate and empathetic approach to patient care
- Proficient in scheduling software and electronic medical records systems
- Strong organizational and multitasking abilities, managing multiple priorities in a demanding environment
- Effective communication and interpersonal skills, fostering positive relationships with patients and medical staff
- Mindfulness and accuracy in completing administrative tasks
- Knowledge of medical terminology and understanding of healthcare processes
- Huron (aeos)
- Invision
- Kean
- Eagle
- ACM
- Med A/R
- POS
- Mac OS
- Windows
- Microsoft office suites
- GIT
Websites
Timeline
Patient Access Representative
Ivy Rehab Physical Therapy
11.2023 - Current
Medical Receptionist
Northwell - Pediatric Behavioral Health Urgent Care Center
10.2020 - 01.2023
Accounts Receivable Clerk
Northwell Health
02.2020 - 03.2022
Medical office Pavilion Front Desk Receptionist
NewYork-Presbyterian Methodist Hospital
06.2019 - 02.2020
Front Counter (Parts Department)
Royal Chevrolet
02.2018 - 04.2019
Queensborough Community College
High School Diploma -
Huguenot High School