Michelle Foote
Rougemont,NC
Summary
With my previous experience, I wish to work in a company that allows me to utilize my skills to the fullest, where I can also contribute to the growth of the organization and offer the best services to the office.
Overview
13
13
years of professional experience
Work History
Patient Services Representative
Elliot Family Medicine of Hooksett
Hooksett, NH
07.2021 - 08.2024
- Greets and registers patients; notifies medical staff of their arrival.
- Verifies current address and insurance status.
- Uses appropriate company procedures, referring doctors, and correct protocols for writing referrals.
- Schedules referral appointments with specialists, hospital testing, and lab work.
- Completes prior authorization of testing according to insurance requirements.
- Checks out patient from the office.
- Collects payments and schedules follow-up appointments or specialty appointments, as appropriate.
- If the office requires post charges to the patients' account, using appropriate diagnostic and CPT coding to ensure correct charging and posting to patient accounts.
- Maintains providers' schedules, optimizing effective scheduling of appointments.
- Confirms appointments for daily schedule.
- Assists in developing and implementing systems to support effective and accurate registration of patients.
- Makes recommendations to increase efficiency of patient care or administrative functioning of area.
Patient Accounts Representative
Southern NH Medical Center, Nashua, NH
Nashua, NH
08.2019 - 07.2021
- Answer incoming calls to assist patients with questions and making account payments
- Verifying demographics as well as Insurance information
- Working with billing and AR team to resolve any questions regarding insurance
- Contacting patients to help resolve any insurance issues.
- Processing refunds
- Verifying that any refund request is accurate and appropriate
- Sending request to cash team if there is a cash posting issue that needs resolution.
- Reviewed and verified accuracy of patient accounts, ensuring compliance with all applicable regulations.
- Monitored and maintained account balances, processed payments, and reconciled discrepancies in a timely manner.
- Assisted patients with questions regarding their accounts and billing information.
- Provided customer service to patients by responding to inquiries via telephone or email.
- Collaborated with other departments within the organization to resolve any issues related to patient accounts.
Patient Accounts Representative
CSS Placement Service
Nashua, NH
05.2019 - 08.2019
- Answer incoming calls to assist patients with questions and making account payments.
- Verifying demographics as well as Insurance information
- Working with billing and AR team to resolve any questions regarding insurance
- Contacting patients to help resolve any insurance issues
- Processing refunds.
- Verifying that any refund request is accurate and appropriate.
- Sending request to cash team if there is a cash posting issue that needs resolution.
- Reviewed and verified accuracy of patient accounts, ensuring compliance with all applicable regulations.
- Monitored and maintained account balances, processed payments, and reconciled discrepancies in a timely manner.
- Assisted patients with questions regarding their accounts and billing information.
- Provided customer service to patients by responding to inquiries via telephone or email.
- Collaborated with other departments within the organization to resolve any issues related to patient accounts.
Monadnock Behavioral Health Office Assistant
Monadnock Community Hospital, Greenfield, NH
Greenfield
08.2017 - 05.2018
- Check Pa8ents into appointment, verifying demographics as well as Insurance informa8on
- Have pa8ents complete any necessary documenta8on, keeping authoriza8ons up to date, signing AYesta8on and MSP forms
- Check Pa8ents out of appointments and schedule follow up appointments as needed, collect any private pay or copayments due at the 8me of check out
- Give them any lab orders, prescrip8ons and /or any other necessary informa8on/paperwork that is required at the 8me of the appointment
- Answer any incoming calls and problem solve as appropriate to answer any pa8ent ques8ons in a 8mely manner
- Verify coverage for any Medicaid covered appointments and be sure the appropriate Managed Care Insurance is listed
- Document the Confirma8on Number with each client and make note if there is any cancelled coverage, obtain prior authoriza8ons for Medica8ons requiring that we do so
- This includes contac8ng the Pharmacy, Comple8ng the appropriate forms and working with Doctors to be sure that form is completed correctly and in a 8mely manner and sent back to the insurance company
- Upon receipt of the approval, no8fica8on is to be sent to the Pharmacy and pa8ents are to be no8fied
- Scrubbing Clinical charges to be sure they are accurate before submission to the Billing Department
- Sending notes to the Primary Care Physicians a]er appointments
- Sending paperwork for referrals for Pa8ents to have tes8ng or begin other programs that may be beneficial to their treatment
- Mail packets of informa8on to Guardians and any forms that need to be updated to keep current accurate informa8on on file for treatment of the pa8ent
- Reminder calls are made to pa8ents for upcoming appointments and Evalua8ons
- Taking informa8on for prescrip8on refill requests, passing accurate informa8on on to the Doctor and then le_ng the pa8ent know when the prescrip8on has either been faxed to the pharmacy or that the prescrip8on is ready for pick up.
Client Funding Coordinator
Crotched Mountain Rehabilita.on Center
09.2016 - 07.2017
- Verify and provide the demographic and insurance coverage related for the client's admission to Medical Admission Team, vendors and assist in the smooth overall admission to the Inpa8ent Hospital
- Work with Medical Admissions team to ensure that accurate informa8on is gathered in a 8mely manner for reimbursement purposes
- Working closely with DHHS to complete needed Forms to ensure that clients with NH Medicaid con8nues in effect, also to complete any forms required for reimbursement for services provided at other facili8es not otherwise covered
- Oversee any incoming invoices for clients from outside vendor's, ensuring the appropriate funding source is being invoiced
- Weekly updates to relay authoriza8on of services to Case Management
- No8fy DHHS and Social Security of any Change of Status when appropriate
- Create single case agreement with Insurance companies that we are not in network with to ensure coverage of a pa8ent
- Complete renewal documenta8on for exis8ng contracts with Insurance vendors.
Billing Specialist
Crotched Mountain Atech Services/Ready, Set, Connect Program
04.2011 - 08.2016
- Verify and provide insurance coverage and coordina8on of benefits related for the client's care to clinical staff
- Client Billing of services provided to Insurance Companies, School Districts, State Services as well as Waiver Programs
- Pos8ng of payments as well as working to resolve any denials received
- Working closely with Schools to ensure that IEP's and contracts are accurately matched for services to be provided
- Creden8aling of Staff with various Insurance carriers and keeping each clinician's informa8on up to date and accurate with CAQH
- Complete renewal documenta8on for exis8ng contracts with Insurance Vendors, as well as Comple8ng documenta8on for new contracts with Insurance Vendors.
Education
Skills
- Attention to Detail
- Computer Literacy
- Customer Service
- File System
- Office Support
- Organization Skills
- Phone Etiquette
- Record Maintenance
- typing
- Supporting multiple staff in an administrative/clerical capacity
- Microsoft Office
Timeline
Patient Services Representative
Elliot Family Medicine of Hooksett
07.2021 - 08.2024
Patient Accounts Representative
Southern NH Medical Center, Nashua, NH
08.2019 - 07.2021
Patient Accounts Representative
CSS Placement Service
05.2019 - 08.2019
Monadnock Behavioral Health Office Assistant
Monadnock Community Hospital, Greenfield, NH
08.2017 - 05.2018
Client Funding Coordinator
Crotched Mountain Rehabilita.on Center
09.2016 - 07.2017
Billing Specialist
Crotched Mountain Atech Services/Ready, Set, Connect Program
04.2011 - 08.2016
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