To passionately assist and support patients utilizing my experience in professional and compassionate patient care including communicating with insurance carriers, handling billing and working collaboratively with teams of doctors, nurses, physician assistants and medical assistants.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Insurance Verification and Authorization Specialist
Conceptions Florida
Verifying insurance coverage for new and existing patients, referrals, as well as updating patient demographics
Obtaining pre-authorization for services and procedures
Monitoring incoming patient orders and gathered information needed to complete the pre-authorization process
Evaluating charges and billed amounts to be paid by patients
Billing and Coding Specialist/Front Desk Supervisor
Coral Gables Cardiology Associates, P.A.
Calculating and collecting payments for medical procedures and services
Updating patient data, developing payment plans, and preparing invoices
Ensuring that patients are billed quickly and accurately
Greeting and helping patients, scheduling appointments, maintaining records and accounts
Training new employees in various front desk responsibilities
Front Desk Lead and Supervisor
Rejuvenating Fertility Center
12.2022 - Current
Responsible for managing the daily operations of a hotel or business front desk, overseeing staff, ensuring smooth check-in and check-out processes, handling guest inquiries, scheduling procedure and obtaining clearances, coordinating reservations, and maintaining high standards of customer service to guarantee guest satisfaction; they actively monitor staff performance and address any issues that may arise to maintain efficient operations
Assisting the Billing Department with Payment and collections, accounts receivable, aging or any insurance related issue
Medical Front Desk Receptionist
Michelle M. Starke, MD, LLC
03.2019 - 10.2019
Provide efficient, courteous and welcoming assistance to new and existing patients in busy gynecology and restorative medicine practice
Clarify patient’s insurance and benefit coverage and use opportunity to assist patients in understanding benefit information
Verify new patient’s insurance information and coverage of procedures
Actively ensure proper system documentation of patient’s co-pay, co-insurance, and deductible
Finalize and coordinate patient procedures with physician and nurse when insurance authorizations are received
Manage training and development for new office hires
Billing Specialist
Infectious Disease Physicians
01.2017 - 03.2019
Handled patient billing and coding, denials, reconsiderations, claims, appeals, and statements
Assisted patients with financial inquiries, obtained authorizations, and posted insurance payments
Communicated daily with insurance providers and assisted in training and developing new employees
Patient Financial Representative2
Doctors Hospital, Baptist Health South Florida
03.2009 - 12.2014
Served as liaison between patients and hospital
Met with patients and assisted them through the registration process in confidence and privacy
Processed and obtained external medical records as requested by medical professionals
Also, assisted with training and on-boarding experience for new employees
Education
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University of Miami
01.2010
Certificate - Forensic Pathology and Criminal Justice
Everest Career College
12.2009
Diploma - undefined
South Miami Senior High
05.2007
Skills
Proficient in Word, PowerPoint and Excel
Trained in the use of HealthPay24, Net Access, Citrix, Audit Logix, T-System, Medisoft Clinicals, IMS, Medisoft Office Hours, Tropimed, Intergy, ECW, and EMR systems
Successfully navigate LabCorp and Quest Systems
Knowledge of ICD-10 and CPT-4 codes
Certification
CPR
Timeline
Front Desk Lead and Supervisor
Rejuvenating Fertility Center
12.2022 - Current
Medical Front Desk Receptionist
Michelle M. Starke, MD, LLC
03.2019 - 10.2019
Billing Specialist
Infectious Disease Physicians
01.2017 - 03.2019
Patient Financial Representative2
Doctors Hospital, Baptist Health South Florida
03.2009 - 12.2014
Insurance Verification and Authorization Specialist
Conceptions Florida
Billing and Coding Specialist/Front Desk Supervisor
Coral Gables Cardiology Associates, P.A.
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University of Miami
Certificate - Forensic Pathology and Criminal Justice