Lien Tran

• Communicated with insurance providers to resolve coverage issues.
• Verified patient insurance information for accuracy and completeness.
• Processed insurance requests for medical treatments and visits.
• Maintained organized records of patient insurance details and communications.
• Collaborated with medical staff to ensure timely patient care transitions.
• Educated patients on insurance policies and their implications for treatment.
• Assisted in training new staff on verification protocols and systems.
• Utilized electronic health record systems for data entry and retrieval tasks.
• Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
• Updated patient and insurance data and input changes into company computer system.
• Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
• Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
• Entered data in EMR database to record payer, authorization requirements and coverage limitations.
• Eclinical System
• Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
• Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
• Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
• Retained strong medical terminology understanding in effort to better comprehend procedures.
• Evaluated policies and procedures related to Insurance Verification activities.
• Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
• Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
• Responded promptly to customer inquiries regarding their benefits and eligibility status.
• Researched third party payer guidelines related to prior authorizations, coding and billing processes.
• Utilized electronic medical records (EMR) systems for documenting verification processes.
• Coordinated with the billing department to ensure correct insurance information is applied to claims.
• Coordinated patient referrals from primary care providers to Coastal Spine and Pain Institute.
• Navigated through multiple online systems to obtain documentation.
• Communicated with patients regarding referral processes and necessary documentation.
• Collaborated with healthcare providers to ensure timely referrals and treatment plans.
• Assisted patients in navigating insurance requirements for specialist consultations.
• Provided support to clinical staff in managing referral-related inquiries and issues.
• Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
• Performed data entry related to referrals into electronic health record systems.

• Verified each patient's insurance before scheduled appointment each day for each provider.
• Assisted patients in understanding their insurance benefits and coverage options.
• Collaborated with team members to improve claims processing procedures.
• Participated in training sessions regarding new policies or procedures related to medical insurance processing.
• Analyzed patient records to determine eligibility for coverage, benefit levels, and other related matters.
• Retrieved patient past balances and insurance authorizations.
• Processed insurance applications and maintained patient records efficiently.
• Reviewed policy changes and updated documentation to ensure accuracy.

• Operated cash register for processing customer transactions efficiently.
• Assisted customers with menu selections and answered product inquiries.
• Maintained cleanliness and organization of concession stand area.
• Prepared food items following health and safety guidelines.
• Restocked supplies to ensure availability of products for sale.
• Collaborated with team members to enhance customer service experience.
• Handled cash accurately and performed daily cash drawer reconciliation.
• Followed company policies for food handling and sanitation practices.
• Stocked and restocked food and equipment items as necessary.
• Performed opening duties including counting money in cash drawer and verifying daily deposits against receipts.
• Prepared and promptly served food, beverages and desserts to customers.
• Greeted customers and provided excellent customer service.
• Provided excellent customer service to all patrons.

• Verify Insurance electronically and verbally.
• Retrieve patient medical records for physicians, technicians, or other medical personnel.
• Process, maintain, compile, and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.
• E-Clinical System
• Trusted to train others who were hired for front desk receptionists.

Medical Billing Dept.

• Submitting medical claims
• Correcting medical claims
• Appealing denials of claims
• Posting payments from insurances

• Completed day-to-day duties accurately and efficiently.
• Maintained filing systems for documents, records, and correspondence.
• Performed administrative tasks such as filing, scanning, photocopying.
• Verification of medical insurance.
• Greenway Software
• Data entry of patient insurance.
• Utilization office equipment (computer, scanner, fax machine)
• Preparation of charts for new patients.