Experienced Medical Support Assistant with extensive knowledge of medical regulations and policies. Offers strong dedication to informed patient care, administrative excellence and confidentiality.
Overview
9
9
years of professional experience
Work History
Advanced Medical Support Assistant
Department Of Veterans Affairs
Cleveland , OH
09.2019 - Current
Coordinate chiropractic care for Veteran in the community,
Verified and updated clinical records.
Mailed patient appointment letters.
Scheduled appointments for patients at community chiropractic offices.
Received, recorded and addressed incoming and outgoing communication via telephone and email.
Completed and filed financial documentation for accounting purposes.
Build rapport with chiropractic offices in the community to ensure veteran have care
Verified proper ICD-9 coding on claims.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Researched and followed up on denied insurance claims.
Patient Service Representative
Cleveland Clinic- Cancer Center
Mayfield Heights, OH
05.2017 - 08.2019
Carried out day-day-day duties accurately and efficiently.
Took copayments and compiled daily financial records.
Assisted patients in filling out check-in and payment paperwork.
Used Epic to schedule appointments.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Explained plans for treatment
Balanced deposits and credit card payments each day.
Worked with patients to understand needs and provide excellent service.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Claims Representative
HealthSpan
Brooklyn Hts, OH
09.2014 - 05.2017
Responded to correspondence from insurance companies.
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Used administrative guidelines as resource or to answer questions when processing medical claims.
Reported policy changes and company conditions affecting customer satisfaction.
Presented insurance options to customers in order to close sales on new policies.
Educated customers about billing, payment processing and support policies and procedures.
Liaised with sales, marketing and management teams to develop solutions and accomplish shared objectives.
Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
Promptly responded to inquiries and requests from prospective customers.
Education
Some College (No Degree) - Patient Access Specialist
Cuyahoga Community College
Cleveland, OH
High School Diploma -
South High School
Cleveland, OH
06.1999
Skills
Customer service
Critical thinking
Good telephone etiquette
Good listening skills
Computer skills
Excellent work ethic
Case management
Medical Records Management
Clerical
System updates
Patient greeting
Insurance verifying
Payment collection
Medical insurance
Appointment Scheduling
Timeline
Advanced Medical Support Assistant
Department Of Veterans Affairs
09.2019 - Current
Patient Service Representative
Cleveland Clinic- Cancer Center
05.2017 - 08.2019
Claims Representative
HealthSpan
09.2014 - 05.2017
Some College (No Degree) - Patient Access Specialist
Advanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans HealthcareAdvanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans Healthcare
VETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits AdminVETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits Admin
Director, Planning and Operations at U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC)Director, Planning and Operations at U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC)
Health System Specialist at Department of Veterans Affairs/ Veterans Health AdministrationHealth System Specialist at Department of Veterans Affairs/ Veterans Health Administration