Computer Skills: Microsoft Word, Excel, PowerPoint and Claimgear
EMR Systems: Athena, Epic, Echo
Overview
14
14
years of professional experience
Work History
Enrollment Coordinator
The Children's Hospital Of Philadelphia
08.2019 - Current
Enroll providers and Medicaid, Medicare, private and commercial insurance plans.
Update provider credentials in ECHO.
Keeping providers CAQH profile current and up to date.
Making sure the provider stays active with insurance companies
Collaborated with healthcare providers to gather necessary information for accurate credentialing applications.
Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
Billing Service Representative
Mercer Bucks Cardiology
12.2015 - 08.2019
Responsible for working charge review work queues
Responsible for billing claims in a timely manner
Answers patients questions regarding billing
Enters charges for four different practices
Responsible for accuracy of submitted charges for physicians
Review coding information about procedures performed and diagnosis on charges.
Customer Service Representative
Optum
08.2015 - 12.2015
Answer member questions regarding premiums, claims, payment status, providers in network, etc
Receive calls from providers and brokers verifying coverage and status of payments
This position promotes advocacy for the member and focuses strongly on customer satisfaction
Enters members information into computer system.
Medical Records Technician
Examination Management Services Inc.
08.2014 - 07.2015
Travel to Facility to secure records
Convert visual and textual records and documents into electronic images using a scanner
Adhere to quality policies and procedure to ensure criteria met
Conduct quality assurance tests to ensure images meet quality standards
Append or correct images in response to quality assurance findings
Transfer Images to EMSI system
Keep equipment safe and secure at all times.
Medical Insurance Billing and Coding Extern
Oxford Valley Pain and Spine
02.2014 - 04.2014
Greeted patients in a pleasant manner
Scheduled patient appointments
Contacted insurance companies to verify eligibility for pre-certification
Collected patient co-pays
Recorded patient deductibles on charts and entered information into Source One computer system
Posted payments for billing.
Medical Assistant Extern
Morrisville-Yardley Family Practice
07.2010 - 08.2010
Greeted patients and answered telephones
Scheduled patient appointments
Updated and filed patient records
Vital Signs
Performed EKG's
Venipuncture.
Education
Medical Insurance Billing and Coding -
Everest Institute
Bensalem, PA
04.2014
Medical Insurance Billing and Coding -
Everest Institute
Bensalem, PA
04.2014
Medical Assistant Certificate -
Bucks County Community College
Newtown, PA
08.2010
Medical Assistant Certificate -
Bucks County Community College
Newtown, PA
08.2010
Morrisville Middle-Senior High School
Morrisville, PA
06.2008
Morrisville Middle-Senior High School
Morrisville, PA
06.2008
Skills
Strong Organization
Maintaining confidentiality
Exceptional communication
Maintaining records
Data entry skills
Customer service background
Telephone Etiquette
Externshipexperience
Oxford Valley Pain and Spine, Langhorne, PA, Medical Insurance Billing and Coding Extern, 02/2014, 04/2014, Greeted patients in a pleasant manner, Scheduled patient appointments, Contacted insurance companies to verify eligibility for pre-certification, Collected patient co-pays, Recorded patient deductibles on charts and entered information into Source One computer system, Posted payments for billing
Morrisville-Yardley Family Practice, Morrisville, PA, Medical Assistant Extern, 07/2010, 08/2010, Greeted patients and answered telephones, Scheduled patient appointments, Updated and filed patient records, Vital Signs, Performed EKG's, Venipuncture
Coursework
Medical Terminology
Medical Law and Ethics
ICD-9 and CPT-4
ICD-10
Health Insurance Claims- CMS 1500
Medicare, Medicaid
Personal Information
Title: NCICS
Community Service
True Servant Worship and Praise Church, Hamilton, NJ, 09/2010, Volunteered at a soup kitchen
Habitat for Humanity, Trenton, NJ, 08/2010, Painted and cleaned homes for families in need
Century 21, Morrisville, PA, 09/2007, 06/2008, After School Assistant, Assisted with recording attendance, Prepared snacks for children, Assisted children with their homework
Sr. Director Facilities Services, Maintenance at The Children's Hospital of PhiladelphiaSr. Director Facilities Services, Maintenance at The Children's Hospital of Philadelphia