Professional Summary
Overview
Work History
Education
Skills
Languages
Timeline

Nadege Jocelyn Charles

IVA Professionals
Port St. Lucie,FL
1
Language
2023
years of professional experience

Dedicated Medical Office Specialist with over 10 years of experience supporting high-volume physician practices and healthcare organizations. Skilled in front desk operations, patient registration, appointment scheduling, insurance verification, medical records management, payment collection, charge entry, and daily reconciliation. Proficient in eClinicalWorks and other EHR/EMR systems, with a strong understanding of HIPAA compliance, CPT/ICD-10 coding, and medical terminology. Recognized for delivering exceptional patient service, maintaining accurate documentation, and fostering positive relationships with patients, providers, and insurance carriers. Bilingual in English and Haitian Creole.

Work History

Authorization Billing Specialist

E-Code Solutions, Inc. | February 2023 – December 2023
  • Oversaw verification of billing statements to maintain accuracy and compliance with organizational standards.
  • Contributed to the development of financial reports, providing essential insights for management decisions.
  • Implemented billing software solutions to optimize invoicing workflows and drive operational efficiency.
  • Directed accounts receivable activities, promoting prompt payments and resolving any discrepancies.

Medical Billing Specialist / Authorization Represe

9 Years
Luis Oliva, MD – Pediatric Gastroenterology | 01.2007 - 01.2016
  • Managed front office operations, greeted patients, and answered multi-line phone systems.
  • Scheduled, confirmed, canceled, and rescheduled appointments.
  • Registered patients and verified insurance eligibility and demographic information.
  • Submitted insurance claims and resolved billing issues with insurance carriers.
  • Processed insurance claims with attention to detail, ensuring compliance with regulations and company policies.
  • Reviewed and analyzed claim denials, identifying trends to enhance submission accuracy.
  • Processed prior authorizations and maintained confidential medical records.
  • Collected patient co-pays, posted payments, entered charges, maintained payment plan, and balanced daily receipts.
  • Filed, copied, scanned, and faxed medical records and physician documentation.
  • Reviewed CPT and ICD-10 coding for accuracy.

Authorization Specialist

1 Year 1 Month
IVA Professionals | 11.2021 - 12.2022
  • Verified CPT codes, approved services, providers, and authorization dates.
  • Updated electronic patient records and communicated authorization status to providers and authorization dates.
  • Processed insurance authorizations efficiently to ensure timely patient care and resource allocation.
  • Reviewed and verified patient eligibility for services, enhancing accuracy in authorization submissions.
  • Collaborated with healthcare providers to obtain necessary documentation for authorization requests.
  • Monitored and tracked authorization statuses, resolving discrepancies promptly to prevent service delays.

Insurance Verification Specialist

7 Months
Spooner Physical Therapy & Hand Rehab | 01.2018 - 08.2018
  • Verified insurance eligibility, benefits, and patient demographic information.
  • Communicated with patients and insurance providers to clarify coverage details and resolve issues.
  • Maintained detailed records of insurance verifications and adjustments for compliance. purposes.
  • Answered multi-line telephone systems and responded to patient inquiries.
  • Maintained medical records and performed copying, scanning, and faxing of patient documents.

Patient Relations Representative

1 Year 3 Months
North Country Health, Inc | 10.2016 - 01.2018
  • Welcomed patients and completed registration and check-in procedures.
  • Verified insurance coverage and updated patient demographic information.
  • Coordinated appointment scheduling and managed patient flow efficiently.
  • Communicated effectively with healthcare providers regarding patient needs and preferences.
  • Maintained medical records and performed copying, scanning, and faxing of patient documents.
  • Collected patient co-pays and processed credit card payments while maintaining accurate financial records.

Education

High School Diploma

Andre Malraux | Port-Au-Prince, Haiti

Early Childhood Development-Nova Southeastern University, FL

Skills

Reception/Front Desk Operations
EHR/EMR
Microsoft Office Suite
Medical Records
Prior Authorizations
Billing systems and software
Insurance verification
Customer service
Medical office Administration
HIPAA compliance
Invoice generation/Daily Reconsideration
Payment posting/Charge Entry
Customer engagement
Relationship building
Medical billing and collections

Languages

Creole
Native or Bilingual

Timeline

Authorization Specialist

IVA Professionals
11.2021 - 12.2022Read More

Insurance Verification Specialist

Spooner Physical Therapy & Hand Rehab
01.2018 - 08.2018Read More

Patient Relations Representative

North Country Health, Inc
10.2016 - 01.2018Read More

Medical Billing Specialist / Authorization Represe

Luis Oliva, MD – Pediatric Gastroenterology
01.2007 - 01.2016Read More

Authorization Billing Specialist

E-Code Solutions, Inc. | February 2023 – December 2023
Read More

Andre Malraux

High School Diploma
Read More
Nadege Jocelyn Charles