Astute Medical Administrative professional trained in appointments, front desk management and recordkeeping. Helps staff maintain office operations at optimal levels with great organizational and multi-tasking abilities. Skilled at all processes pertaining to medical insurance reimbursements.
Overview
14
14
years of professional experience
Work History
Front Desk Receptionist
Allergy Sinus And Asthma Family Health Center
09.2017 - 06.2022
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Resolved customer inquiries for denials received from medical insurance companies.
Posted CPT and DX codes for correct billing of services provided.
Processed insurance medical appeals for correct reimbursement for services provided.
Obtained authorizations and referrals for necessary procedures and drugs that patients needed.
Corresponded with clients and insurances through email, telephone, or postal mail.
Handled cash transactions and maintained sales and payments records accurately.
Managed multiple tasks and met time-sensitive deadlines.
Maintained confidentiality of information regarding clients and company.
Assisted with onboarding new clients and securing paperwork completion.
Organized, maintained and updated information in computer databases.
Handled assignments independently with good judgement and critical thinking skills.
Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
Compiled information from files and research to satisfy information requests.
Medical Assistant
Allergy Sinus And Asthma Family Health Center
09.2017 - 06.2022
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Completed clinical procedures and gathered patient data for interpretation by physician.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Verified patient insurance coverage and collected required co-payments.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Administered Allergy shots per protocol.
Measured patient pulse oximetry.
Collected pertinent data and calculations to aid physician in interpreting results.
Measured patient spirometry.
Updated patient information and insurance details for accurate electronic medical records.
Senior Medical Billing Specialist
McKesson Corp/Change Healthcare
01.2008 - 08.2017
Communicated with insurance providers to resolve denied claims and resubmitted.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Delivered timely and accurate charge submissions.
Prepared billing statements for patients and verified correct diagnostic coding.
Liaised between patients, insurance companies, and billing office.
Adhered to established standards to safeguard patients' health information.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Filed and updated patient information and medical records.
Collected payments and applied to patient accounts.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Verified insurance of patients to determine eligibility.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Posted payments and collections on regular basis.
Collaborated with customers to resolve disputes.
Audited and corrected billing and posting documents for accuracy.
Maintained accurate records of customer payments.
Generated monthly billing and posting reports for management review.
Used data entry skills to accurately document and input statements.
Utilized various software programs to process customer payments.
Reconciled accounts receivable to general ledger.
Responded to customer concerns and questions on daily basis.