Jennifer Roman CPC
Coder
Orlando,FL
Summary
Experienced healthcare professional with 15+ years specializing in outpatient surgery and expertise in interpreting operative notes. Proven proficiency in CPT, ICD-10-CM, and HCPCS coding, medical billing, and ensuring HIPAA compliance. Adept in medical terminology, anatomy & physiology, and quality assurance. Demonstrates strong leadership, analytical, and problem-solving abilities. Skilled in MS Office Suite and detail-oriented with a focus on delivering high-quality patient care.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Patient Resource Specialist
VivoInfusion
02.2024 - Current
- Review EOBs and account notes to assess and advise on patient responsibility
- Ensure patients are evaluated, educated and enrolled in medication/administration assistance programs, external and internal financial programs
- Advocate for patient needs around insurance and financial management of healthcare expenses
- Input all documentation of conversations with patients and insurance carriers into EMR
- Communicate and maintain contact with multiple departments regarding patient's accounts, which include: COB issues, EOBs, APPs, authorizations/referrals to discuss patient responsibility portions
- Investigate any insurance issue concerning loss of coverage and determine a course of action (ie: Appeals Dept, Billing Dept, and Insurance Dept).
Lead Patient Enrollment Specialist
Spire Health
08.2022 - 02.2024
- Handle 80 plus calls daily, with duties including signing up new patients, retrieving data, presenting relevant product information, and helping to deactivate/ cancel service
- Assist in team development and operational improvements by training new staff and offering strategic recommendations to enhance service quality and profitability
- Provide exceptional customer service and positive experience for potential patients/caregivers
- Manage over 400 open caseload until the enrollment process is complete
- Navigate Zendesk, salesforce, Five9, Slack, Pverify, Livevox & Dialpad along side multiple other systems and portals to determine eligibility and obtain authorization
- Exceeded daily sales goals
- Maintain data input, scheduling, document uploading and initiate patient enrollment confirmation or rejection communications via phone or email for CCM patients under HIPAA & PHI regulations
- Coordinates the insurance verification procedure, ensuring clear communication with the client about their co-pay obligations
- Proficiency in interpreting Explanation of Benefits (EOB) to patients.
Sterile Processing Technician
Orlando Avenue Surgery Center
08.2021 - 12.2024
- Operates sterilizers and all equipment in the department
- Manages daily department logs
- Cleans, inspects, prepares, wrap and sterilizes surgical trays
- Ensures all supplies and equipment are ready and available prior to procedures
- Provide assistance and support to all members of the surgical team in the operating room
- Assist with safe positioning and transfer of patient
- Anticipates surgeon needs during procedures
- Assist in safe and rapid room turnovers
- Clean, maintain, and participates in scope cleaning.
Surgeon Liason
Nemours
09.2018 - 03.2021
- Interpreted over 50+ operative notes efficiently daily in pediatric surgery
- Abstract and assign CPT codes for patient surgeries
- Maintain instrumentation and supplies needed for patient surgical procedures
- Monitor and maintain supply stock for surgery equipment
- Assist Supply Coordinator to ensure cost-saving opportunities
- Communicated with OR staff for workload
- Trained and developed new nurses and technicians in the OR.
Lead Surgical Assistant
Advent Health
01.2015 - 09.2018
- Serve as the Lead Technician within the sterile processing department/ OR
- Verified surgical codes prior to procedure
- Skilled in interpreting 100's of operative notes efficiently
- Assisted in various surgeries (GYN, Ortho, Urology, ENT & Gastroenterology)
- Maintained and operated all sterilizers and surgical equipment
- Provide assistant to surgical team including nurses and providers
- Order and maintain stock supply of surgical equipment
- Assist Manager with scheduling of patient cases
- Coordinate with Bio-Medical Services and outside representatives
- Trained and developed new staff in Outpatient Surgery.
Education
Certifícate - Medical Coding & Billing
UCF
Orlando, FL03.2023
Skills
- CPT, ICD-10-CM, and HCPCS coding
- Medical billing
- Abundant knowledge in medical terminology
- Strong leadership skills
- Strong analytical & problem-solving skills
- Proficient in MS Word, Excel & PowerPoint
- Detail-oriented
- HIPAA Compliance
- Anatomy & Physiology
- Quality Assurance
- Data Entry
- Insurance Verification
- EHR/EMR Documentation
Certification
CPC, AAPC
Timeline
Patient Resource Specialist
VivoInfusion
02.2024 - Current
Lead Patient Enrollment Specialist
Spire Health
08.2022 - 02.2024
Sterile Processing Technician
Orlando Avenue Surgery Center
08.2021 - 12.2024
Surgeon Liason
Nemours
09.2018 - 03.2021
Lead Surgical Assistant
Advent Health
01.2015 - 09.2018
Certifícate - Medical Coding & Billing
UCF
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