Driven medical office professional specializing in insurance authorizations, team orientation, and a strong ability to balance administrative precision and compassionate patient care
Overview
15
15
years of professional experience
Work History
Authorization/Billing Specialist
Advanced Dermatology Associates, Psc
Sparta, NJ
04.2023 - Current
Obtained prior authorizations for surgical procedures and biologic medications by verifying medical necessity and submitting required clinical documentation
Coordinated with providers, insurance companies, and specialty pharmacies to ensure timely approvals and continuity of care
Reviewed and interpreted Explanation of Benefits (EOBs) to ensure accurate payment posting compliance with insurance policie regulations, and office procedures
Office Manager
North Jersey Dermatology Center, P.C.
Rockaway, NJ
02.2022 - 02.2023
Maintained computer and physical filing systems.
Handled patient concerns, complaints, billing questions, etc.
Oversaw office/medical inventory by ordering and stocking shipments.
Entering accurate information into Payroll.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of staff.
Interview and train new hires.
Coordinated and managed weekly, office schedule.
Arranged and held regular staff meetings.
Created OSHA safety plans
Assisting and supporting employees when shorthanded, Front Desk and Medical Assistants.
Front Desk Supervisor
North Jersey Dermatology Center, P.C.
Rockaway, NJ
11.2020 - 02.2022
Trained new staff on correct procedures, compliance requirements and performance.
Oversaw front desk operations with staff productivity and operational efficiency.
Prepared weekly employee work schedules for office staff.
Contacted the correct department regarding any patient concerns and complaints.
Key holder to the office and available petty cash.
Front Desk Receptionist
North Jersey Dermatology Center, P.C.
Rockaway, NJ
12.2018 - 11.2020
Greeted and engaged in pleasant conversations with patients while managing the check-in process.
Answered phone calls and sent efficient messages to medical assistants and providers.
Resolved customer issues and notified manager immediately when problems escalated.
Maintained a clean and organized desk area, including waiting room, and employee break room.
Inputted insurance information into database, collected copays/outstanding balances, created new patient accounts in system, verified daily close out is correct.
Schedule appointments and submit necessary prior authorizations if required.
Scanning charts into EMA-EMR to create a paperless office environment.
Handle Medical Record request, and send out accordingly in a timely manner.
Front Desk Assistant
Little Learner Academy
Lake Hopatcong, NJ
09.2014 - 12.2018
Delivered an exceptional level of service to each customer by listening to concerns and answering questions.
Handled money regarding each customer's tuition.
Answered phones and messages.
Made copies, sent faxes and handled all incoming/outgoing documents.
Greeted and assisted visitors when they arrived at the office.
Solved minor customer issues and ensured that any major problems were immediately noted to the Director.
Dispersed paychecks to correct recipients throughout the office.
Wrote reports and handwritten notes for director/Owner
Head Teacher
Little Learner Academy
Lake Hopatcong, NJ
09.2011 - 12.2018
Combined discipline plan with effective and various lesson plans to increase concentration, participation, and progress in students.
Earned positive feedback from parents regarding classroom cleanliness and student progress.
Observed and documented behaviors and actions, when appropriate.
Created hands-on curriculum to promote student interest in learning.
Created lesson plans to teach course materials according to schedule.
Educated students in foundational concepts such as shapes, numbers and letters.
Worked cooperatively with other teachers, administrators and parents to help students reach learning objectives.
Incorporated multiple types of teaching strategies into classroom.
Education
Early Childhood Education
County College of Morris
Randolph Township, NJ, United States
MUA
Christine Valmy International School of Esthetics & Cosmetology
Pine Brook, NJ, United States
2016
High School Diploma -
Jefferson High School
Oak Ridge, NJ, USA
2012
Skills
Communication
Team Leader
Multi Task
Customer Service
Quick Learner
Problem Solving
Organization
Affiliations
CPR
First Aide
CDA
MUA
Timeline
Authorization/Billing Specialist
Advanced Dermatology Associates, Psc
04.2023 - Current
Office Manager
North Jersey Dermatology Center, P.C.
02.2022 - 02.2023
Front Desk Supervisor
North Jersey Dermatology Center, P.C.
11.2020 - 02.2022
Front Desk Receptionist
North Jersey Dermatology Center, P.C.
12.2018 - 11.2020
Front Desk Assistant
Little Learner Academy
09.2014 - 12.2018
Head Teacher
Little Learner Academy
09.2011 - 12.2018
MUA
Christine Valmy International School of Esthetics & Cosmetology
Specialist II, Authorization & Billing at MSKCC (Memorial Sloan Kettering Cancer Center)Specialist II, Authorization & Billing at MSKCC (Memorial Sloan Kettering Cancer Center)