MARISSA RIVERA
Volo,IL
Overview
21
21
years of professional experience
Work History
Insurance Specialist
ABBVIE
North Chicago, IL
03.2022 - Current
- Provide insurance coverage verification details and prior authorization
- Statutes and alternate funding options for existing and newly launched products
- Provide offices with current plan forms, portals, and websites for prior authorizations and appeal submissions
- Carried out side by sides with new and existing employees
- Carried out explanation of benefit calls
- Assist in difficult and urgent cases
- Subject Matter Expert for insurance verification
- Inbound calls to assist with financial assistance and problem solving
- Adverse Event Reporting
Certified Medical Assistant/Surgical Assistant (Dermatology)
NORTHWESTERN MEDICINE
Glen Ellyn, IL
11.2016 - 02.2019
- Assisted physician with clinical procedures; reviewed patient medical history and documented notes within electronic health record
- Ordered, stocked, and maintained supplies for clinical and clerical staff, tracked and restocked supplies efficiently
- Analyzed medical records for accuracy and completeness; computed procedures in a streamlined manner
- Checked in patients while verifying insurance information; collected copays and owed balance dues
- Orchestrated and planned staff scheduling for office to ensure appropriate staffing levels to meet patient care
- Served as HIPAA Compliance Officer to ensure compliance with state and federal laws and protection of health records
Certified Medical Assistant (Cardiology/Electrophysiology)
NORTHWESTERN MEDICINE
Winfield, IL
06.2016 - 11.2016
- Answered incoming phone calls and directed to appropriate staff and departments; coordinated communication between offices
- Ensured patient appointments were provided in a timely manner and coordinated to patient schedule; leveraged EMR software to maintain efficient scheduling
- Assisted with administrative and medical office duties such as answering phones, patient registrations, discharge, referrals and billing
- Efficiently charted patient notes, ordered prescriptions and scheduled new and follow-up appointments
- Communicated with medical staff to resolve patient medical issues and coordination of care
- Provided patients with discharge and medical home care instructions; set up and coordinated additional diagnostic testing
Certified Medical Assistant
NORTHWESTERN MEDICINE
, IL
06.2013 - 06.2016
- Obtained prior authorization with medical insurances for medications, treatments and procedures
- Prepared examination rooms for patient visits; cleaned, sterilized and stocked supplies
- Monitored daily schedule and appointments to properly create clinical staffing for MA’s and RN’s to ensure smooth patient flow
- Trained new and existing employees on EMR software and other regulatory trainings
- Maintained medical records to include filing and screening medical questionnaires
- Accurately checked patients in and out of office handling cash and credit card payments for copays
Sergeant
UNITED STATES ARMY NATIONAL GUARD
02.2004 - 07.2011
- Managed distribution of chemical supplies and equipment.
- Enhanced soldier competency through targeted training sessions.
- Supervised accuracy of data in employee paperwork concerning promotions, awards, and reports.
- Supported the development of soldiers through mentorship focused on disciplinary improvement.
Education
Master of Business Administration - Health Services
Keller Graduate School of Management/DeVry University
Chicago, IL08.2022
Graduate Certificate - Health Services Management
Keller Graduate School of Management/DeVry University
Chicago, IL08.2022
Bachelor of Science - Technical Management
Keller Graduate School of Management/DeVry University
Chicago, IL12.2020
Diploma - Medical Assisting
Everest College
Burr Ridge, IL06.2013
Associates - Medical Billing and Coding
Everest University
Brandon, FL07.2012
Skills
- Office Management
- Administrative Support
- Insurance Verification
- Document Review/Management
- Medical Billing/Coding/ICD-9/ICD-10
- Medical Terminology
- HIPPA & OSHA Compliance
- Record Keeping/Data Entry
- Staff Scheduling
- Patient/Employee Relations
- Training and Development
- Medical Records
Timeline
Insurance Specialist
ABBVIE
03.2022 - Current
Certified Medical Assistant/Surgical Assistant (Dermatology)
NORTHWESTERN MEDICINE
11.2016 - 02.2019
Certified Medical Assistant (Cardiology/Electrophysiology)
NORTHWESTERN MEDICINE
06.2016 - 11.2016
Certified Medical Assistant
NORTHWESTERN MEDICINE
06.2013 - 06.2016
Sergeant
UNITED STATES ARMY NATIONAL GUARD
02.2004 - 07.2011
Master of Business Administration - Health Services
Keller Graduate School of Management/DeVry University
Graduate Certificate - Health Services Management
Keller Graduate School of Management/DeVry University
Bachelor of Science - Technical Management
Keller Graduate School of Management/DeVry University
Diploma - Medical Assisting
Everest College
Associates - Medical Billing and Coding
Everest University
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