Mary Roberts

• Answering multiple phone calls.
  Check in and check out patients.
  Scheduling, Rescheduling and Cancelling Appointments.
  Collecting co-pays and past due patient balances.
  Entering demographics into our electronic system
  Verification of PPO and HMO insurances. Verification of Medical Groups
  Submitting authorizations.
  Insurance credentialing, sending doctor credentialing to Medical Affair departments at different hospitals Filed and submitted insurance claims.
• Reviewed received payments for accuracy and applied to intended patient accounts.
• Reviewed medical records to meet insurance company requirements.
• Documented and filed patient data and medical records.
• Assessed medical codes on patient records for accuracy.
• Expertly assigned charges and payments for medical procedures.
• Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
• Communicated with healthcare personnel, including practitioners to promote accuracy.
• Verified proper coding, sequencing of diagnoses and accuracy of procedures.

Surgical scheduling in Powerchart and EPIC
Responsible for scheduling surgical and endoscopy cases. Assist in communicating the need for additional equipment and supplies.

• Routed case confirmations and made schedule updates each day.
• Booked surgeries according to physician volume and maintained prompt turnaround times.
• Collaborated and established strong working relationships with physicians, supervisors and colleagues.
• Located scheduling barriers and implemented appropriate solutions.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Transmitted medical records and other correspondence by mail, e-mail, or fax.

• Anesthesia onsite visits and phone screens and prints patient PLUE materials to support chart creation by Pre-Anesthesia Testing. Scheduling appoints for patients to be seen before their procedure Demonstrates exceptional communication skills with physicians, physician office personnel, perioperative staff and other SMMH departments. Works collaboratively with physician offices and SMMH departments to resolve scheduling conflicts and optimize access for surgeons.
  Provides clerical services and support to Perioperative Services (Maintains master employee phone list, posts call schedules, etc.)
  Assists in daily operations as requested
  Understands and demonstrates the right to confidentiality for patients and co-workers.
  Demonstrates competency in Microsoft Excel & Word