Experienced professional seeking a full-time position to gain valuable experience and develop exceptional communication, interpersonal, and problem-solving skills. Excels at balancing competing responsibilities and eager to contribute expertise and drive to a dynamic work environment.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Case Coordinator
Conduent
10.2022 - Current
Company Overview: Healthcare Provider, Pharmaceutical & Life Sciences
Manage pharmaceutical consulting projects from lead generation and client updates to presentation of deliverables
Conduct a full insurance coverage investigation and authorization requirements
Research study on impact of stain therapy on health outcomes for each client
Authorization Specialist
Sutherland Global Logistics
10.2021 - Current
Discuss exams, insurance and prior authorization documents with providers
Get prior authorization approval from insurance firms and nurse managers
Appeal insurance companies after prior authorization refusals
Assess accounts for completeness and accuracy
Follow up on missing or incorrect information so patients receive the right reimbursement
Document account activity using correct medical and billing codes
Administrative Assistant
University Reproductive Associates
12.2017 - 09.2021
Handle incoming calls and promptly directed them to their appropriate party
Distributed and prepared incoming and outgoing correspondence
Register new patients and updating existing patient demographics by collecting detailed patient information including personal and financial information
Perform office duties such as maintaining medical records request, faxing and copying
Insuring insurances are verified before visit and appropriate electronic referrals or prior authorizations are made
Retrieved data for physician review
Facilitated communication between physician and medical team
Updating doctors schedule
Data Entry
Administrator
AirGraphics Entertainment
06.2015 - 09.2019
Respond to telephone, email, walk-in, and website contact form inquiries from existing customers, prospective customers, management, vendors and other constituents
Create and process new contracts
Handle minor financial transactions for the office, such as contract payment issuing receipts and purchasing needed supplies
Managing and coordinating events
Patient Care Coordinator
Riverside Medical Group
10.2016 - 12.2017
Handle incoming calls and promptly directed them to their appropriate party
Distributed and prepared incoming and outgoing correspondence
Register new patients and updating existing patient demographics by collecting detailed patient information including personal and financial information
Perform office duties such as maintaining medical records request, faxing and copying
Insuring insurances are verified before visit and appropriate electronic referrals or prior authorizations are made
Retrieved data for physician review
Facilitated communication between physician and medical team
Prepared computerized physician order entry for review and discharge orders
Ensure proper payment is maintained on patient's account
Handle incoming calls and promptly directed them to their appropriate party
Provide assistance and information to patient when requested
Following up with patients, insurance and self-pay accounts
Adding insurance information to patient's accounts, arranging payment plans, posting payment, and patient collections
Assisting hospital patients with the completion of the application process for any applicable Governmental medical assistance programs, which could include Medicaid, Disability, or Charity Programs
Group Home Assistant Manager
07.2013 - 04.2014
Provide direct care, medication administration and assistance with daily
Review client behavior and handle disputes
Monitors and issuers accurate in house documentation
Monitoring and maintaining clients finances daily
Manage maintenance work and ensure cleanliness
Conduct workshops and analyze treatment programs
Correspond clients with social service agent
Office Assistant
09.2009 - 11.2010
Handle incoming calls and promptly directed them to their appropriate party
Distributed and prepared incoming and outgoing correspondence
Responsible for the sterilizing, cleaning instruments and preparation of the treatment rooms
Perform office duties such as maintaining records, faxing and copying
Measured signs such as temperature, pulse rate, weight, height and blood pressure
Greet incoming patients, interview and record their information
Education
High school or equivalent -
Manchester Regional High School
Haledon, NJ
Skills
MEDICAL RECORDS
CODING
Data Entry
Excel
Quickbooks
Office Management
Administrative Assistant
Outlook
Accounts Payable
Payroll
Medical Collection
Events Management
Order Entry
Insurance Verification
Event Planning
Medical Scheduling
Medical Billing
Accounting
Accounts Receivable
Customer service
ADP
ICD-10
EMR Systems
CPT Coding
Medical Terminology
Hospital Experience
ICD-9
Medical Office Experience
Triage
HIPAA
EHR systems
Medical Coding
Patient Care
Clerical Experience
Epic
Transcription
Google Docs
Office experience
Managed care
ICD coding
System administration
Certification
Driver's License
Epic Certification
Additional Information
Able to read write, and speak Spanish and English., Basic vital signs., A Flexible, cooperative, hard worker, team player and reliable., Coding experience., MS Office (Power Point, Word, Outlook, Excel), First Aid with CPR (American Red Cross), Data entry, Able to work with electronic and paper medical records