Jihan Said
Guttenberg,USA
Summary
Dedicated and empathetic, offering more than 10 years in direct patient care and medical office management experience. Committed to obtaining highest level of patient satisfaction by ensuring regulatory compliance and adherence to practice standards. Documented ability to cultivate trust and rapport with patients and maintain strong relationships. Excellent communication and interpersonal skills with patients, families and other healthcare professionals.
Overview
12
12
years of professional experience
Work History
RetroAdjudication Specialist/ AR
Columbia University
02.2020 - 07.2021
- Investigate billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems
- Process automatically voided charges and reposting it with, correct coverage, properly priced and adjudicated
- Review claims for accuracy before submitting for billing
- Efficiently and effectively processed large volume of medical claims on daily basis
- Remain up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs
- Analyze and interpret patient medical and surgical records to determine billable services
- Oversee regulatory and strategic initiatives to ensure accuracy of medical claims
- Meticulously track and resolve underpayments
- Submit refund requests for claims paid in error and corrected any data entry error to prevent later issues such as duplication or data degradation
- Kept optimal quality levels to prevent critical errors and support team performance targets
- Complete data entry tasks with accuracy and efficiency
Medical Assistant/ Patient Navigator Assistant
New Jersey Bariatric Center
02.2019 - 02.2020
- Conducted patient interviews to gather health history, vital signs and information about current medical issues
- Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies
- Experienced in front and back offices, controlling patient flow, collecting payments and assisting in delivery of quality healthcare
- Sterilized instruments and disposed of contaminated supplies in adherence to OSHA regulations
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment
- Carefully prepared, reviewed and submitted patient statements
- Interviewed patients to verify information, record medical history and confirm purpose of visit
- Educated patients about medications, procedures and physician's instructions
- Acted as a liaison between physician and patient
- Prepared prescription refill requests on behalf of the physician
- Contacted pharmacies to submit and refill patients' prescriptions
- Explained pre and post-operative procedures to patients and monitored conditions throughout treatments
- Served as liaison between management, clinical staff and the community
- Checked daily doctor schedules and verified insurance
- Organized patient schedules and assisted in planning transportation and payments
Medical Biller
Patient Financial Services
12.2017 - 12.2018
- Addressed customer service inquiries in a timely and accurate fashion
- Maintained up-to-date records at all times
- Properly directed inbound calls in phone queues to improve call flow
- Submitted claims to insurance companies
- Reviewed medical records to meet insurance company requirements
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology
- Documented and filed patient data and medical records
- Assessed medical codes on patient records and prepared invoices to be submitted to insurance companies
- Collected, posted and managed patient account payments
- Reviewed all claims for accurateness and appropriateness
- Reviewed payments that had been received and applied them to the appropriate patient accounts
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes
- Verified the accuracy and integrity of motor vehicle and workers' compensation claims
- Applied HIPAA Privacy and Security Regulations while handling patient information
- Added modifiers, coded narrative diagnosis and verified diagnoses
- Set up patients accounts on payment plans to avoid being sent to collections
- Performed insurance verification, pre-certification and pre-authorization
- Answered desk phone and handled phone calls and questions, with a minimum of 60 calls a day
Administrative Assistant -Temp
NJ Urology
06.2017 - 11.2017
- Organized files, developed spreadsheets, faxed reports and scanned documents
- Recorded and filed patient data and medical records
- Carefully reviewed medical records for accuracy and completion as required by insurance companies
- Scheduled radiology exams for patients
- Posted charges, payments and adjustments
- Efficiently performed insurance and pre-certification and pre-authorization functions
- Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories
- Provided administrative support for 4 physicians
- Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays
- Confirmed patient information, collected co-pays and verified insurance
- Scheduled patient appointments, accounting for physician availability and optimal patient loads
- Completed a daily list of insurance verifications for scheduled appointments
- Reached out to patients the day before scheduled appointments to confirm times and instructions
- Interviewed patients to collect medical information and insurance details
Patient Care Representative
Riverside Medical Group
10.2014 - 05.2017
- Manage insurance records, health care forms, patient charts and company files using online tracking system
- Represent patients at management and policy meetings to find ways to reduce liability and improve health care quality
- Recorded and filed patient data and medical records
- Maintained patient privacy and confidential patient information
- Set and managed patient appointment schedules using EPIC
- Greeted visitors and established the purpose of their visit to ensure timely completion of check-in procedure
- Escorted patients to examination rooms and prepared them for physician exams
- Verified insurance eligibility day before patients appointment
- Obtained patient address, insurance information, contact information and medical history
- Scheduled patient appointment and procedures with EPIC
- Maintained HIPAA compliance across all patient data-handling, systems and training
- Helped physicians examine and treat patients by assisting with instruments, injections and suture removal
- Maximized office efficiency by answering more than 40 incoming calls per day to provide office information and transfer calls to desired personal
- Informed patients of financial responsibilities prior to rendering services
- Straightened up the waiting room so that it remained neat and organized
- Took messages from patients and relayed to the appropriate staff
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files
- Processed patient payments and scanned identification and insurance cards
- Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories
Teaching Assistant
09.2009 - 05.2010
- Prepared material for lab experiments, helped students study for exams, something about inventory, and assisted with exam prep and grading
- Developed interesting course plans to meet academic, intellectual and social needs of students
- Challenged and motivated students through in-depth lectures and discussions
- Cleaned and organized classrooms, materials, and supplies for maximum efficiency
- Helped students take advantage of other available subject matter and study resources
- Prepared lesson materials and visual aids to reinforce lesson concepts
- Took attendance, graded assignments, and maintained routine student records
- Attended all scheduled sessions and maintained open hours for general availability
Education
Associate of Science - Biology
Hudson County Community College
Jersey City, NJ01.2010
Bachelor of Arts - Psychology/Biology
Rutgers University
Newark, NJDoctor of Medicine -
American University of Antigua College of Medicine
Antigua And Barbuda 07-2023
Doctor of Medicine -
St. Matthews University School of Medicine
Cayman Islands / Present Skills
- Employee training and development
- Microsoft Office
- Schedule management
- Strong interpersonal skills
- Data entry
- Epic Cadence
- Supporting Medical Patients
- Quickbooks
- Patient-Focused Quality Service
- HIPAA
- Anatomy Knowledge
- Medical Office Experience
- Medical Office Management
- Physiology Knowledge
- Medical Records
- EMR Systems
- Medical Terminology
- Patient Care
- Medical Billing
- Insurance Verification
- ICD-10
Timeline
RetroAdjudication Specialist/ AR
Columbia University
02.2020 - 07.2021
Medical Assistant/ Patient Navigator Assistant
New Jersey Bariatric Center
02.2019 - 02.2020
Medical Biller
Patient Financial Services
12.2017 - 12.2018
Administrative Assistant -Temp
NJ Urology
06.2017 - 11.2017
Patient Care Representative
Riverside Medical Group
10.2014 - 05.2017
Teaching Assistant
09.2009 - 05.2010
Associate of Science - Biology
Hudson County Community College
Bachelor of Arts - Psychology/Biology
Rutgers University
Doctor of Medicine -
American University of Antigua College of Medicine
Doctor of Medicine -
St. Matthews University School of Medicine