Knowledgeable Medical Representative highly proficient in coordinating smooth admissions and appointment registrations, looking to branch out into healthcare revenue cycle. Well-versed in current codes and insurance procedures. Detail-oriented in building and updating files. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Delivers top-notch service and support and works well under pressure. Expert in diffusing conflicts and solving patient or staff problems.
Overview
17
17
years of professional experience
Work History
Registration Clerk, Scheduling Coordinator
St. Mark's Medical Center
04.2022 - 12.2023
Processed patient registration forms, collected fees, and issued receipts for services rendered.
Verified insurance coverage and eligibility for services.
Performed data entry tasks to update patient information in system.
Worked collaboratively with other departments to ensure smooth operations within facility.
Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
Contacted insurance carriers to verify coverage, copays and deductible information for patients.
Worked with nurses and other clinic staff to process patients and direct to appropriate departments.
Explained forms and documents to patients, guardians and family members, distributing copies and confirming comprehension.
Registered patients for outpatient and inpatient procedures and emergency services.
Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
Scanned documents and insurance cards to include in patient charts.
Advised patients of monies required to be paid prior to services.
Scheduled and coordinated imaging procedures for patients; communicated with physicians, nurses and other medical staff to ensure proper patient care.
Verified insurance coverage for all scheduled imaging procedures; ensured patient was informed of any out-of-pocket expenses prior to procedure.
Maintained knowledge of current insurance policies and reimbursement guidelines related to imaging services.
Informed patients of preparation requirements needed prior to their scheduled appointments; provided instructions as necessary.
Reviewed physician orders to ensure accuracy before scheduling appointments; identified discrepancies between order entry and actual physician order.
Conducted pre-registration process for incoming patients; obtained demographic information from patient charts.
Developed relationships with referring physicians and office staff to ensure timely communication about upcoming appointments or changes in orders and schedules.
As needed I helped the billing department with different projects. Did daily deposits, insurance follow up, posting miscellaneous payments and adjustments. Responding to patient phone calls regarding balances and taking payments over the phone.
Medical Receptionist
Laura Birnbaum, M.D.
03.2012 - 04.2022
Checked patients in and out for appointments and collected co-payments.
Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Called patients to confirm scheduled appointments and obtain additional details.
Entered insurance, demographics and health history into patient database.
Answered multi-line phone system and directed callers to requested personnel.
Greeted and checked in patients, updating patient information in computer system.
Verified insurance coverage for appointments and collected co-payments as required.
Scheduled patient appointments, verifying accuracy of appointment times with providers.
Answered incoming calls, responding to inquiries from patients and other medical offices.
Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Assisted with filing of medical records and documents, maintaining accurate electronic files.
Provided support to clinical staff during patient visits, including rooming patients, collecting vital signs and documenting chief complaints.
Protected patients by observing strict HIPAA guidelines.
Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Took messages from patients and promptly relayed to appropriate staff.
Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
Processed patient payments and scanned identification and insurance cards.
Laundry Attendant
Kellogg Brown & Root Inc
01.2009 - 12.2011
Received and issued military and contract laundry for processing
Oversaw 100 labor staff in promoting excellence in work ethics and attitudes
Prepared reports for headquarters
Assisted supervisor and foreman with other tasks as assigned.
Registration Clerk
St. Mark's Medical Center
01.2007 - 01.2009
Processed patient registration forms, collected fees, and issued receipts for services rendered.
Verified insurance coverage and eligibility for services.
Performed data entry tasks to update patient information in system.
Worked collaboratively with other departments to ensure smooth operations within facility.
Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
Contacted insurance carriers to verify coverage, copays and deductible information for patients.
Worked with nurses and other clinic staff to process patients and direct to appropriate departments.
Explained forms and documents to patients, guardians and family members, distributing copies and confirming comprehension.
Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
Registered patients for outpatient and inpatient procedures and emergency services.
Scanned documents and insurance cards to include in patient charts.
Advised patients of monies required to be paid prior to services.
Education
High School Diploma -
Columbus High School
Columbus, TX
05.2006
Skills
Insurance Verification
HIPAA
EMR Systems (Medhost, Athena & Spring Charts)
ICD-9 & 10
Medical Terminology
Problem-Solving
HIPAA Procedures
Payment and Adjustment Posting
UB-04
Explanation of Benefits
Timeline
Registration Clerk, Scheduling Coordinator
St. Mark's Medical Center
04.2022 - 12.2023
Medical Receptionist
Laura Birnbaum, M.D.
03.2012 - 04.2022
Laundry Attendant
Kellogg Brown & Root Inc
01.2009 - 12.2011
Registration Clerk
St. Mark's Medical Center
01.2007 - 01.2009
High School Diploma -
Columbus High School
Volunteering
Girl Scouts of Central Texas - Austin, Texas
October 2018 to Present
Troop Leader, Troop Cookie Coordinator, Troop Fall Product Coordinator
October 2020 to Present
Service Unit Cookie Manager, Service Unit Cookie Booth Manager
October 2022 to Present
Troop Treasurer, Service Unit Treasurer, Girl Scout Hut Manager
Laboratory Quality Control Coordinator/Point of Care Coordinator at Ogden Regional Medical Center/HCALaboratory Quality Control Coordinator/Point of Care Coordinator at Ogden Regional Medical Center/HCA