Passion Carter
Medical
Las Vegas
Summary
Dynamic and highly resourceful Medical Office Specialist with over 15 years of extensive experience in diverse medical billing tasks. Proven ability to streamline processes, enhance patient satisfaction, and ensure compliance with industry regulations. Committed to leveraging expertise in a full-time role that offers opportunities for professional growth and advancement. Adept at fostering collaborative relationships within healthcare teams to deliver exceptional service and support.
Overview
14
14
years of professional experience
3
3
Certification
Work History
Medical Assistant Technician
Veteran Affairs Hospital
12.2017 - Current
- Welcomes patients and visitors by greeting patients and visitors, in person or on the telephone. answering or referring to inquiries. Experience with Epic System, DHA System, DHR System, Revenue Cycle System. T Metrics System
- Streamlined medical record management by implementing electronic health record systems, increasing accuracy and access to patient information.
- Coordinated patient appointments and maintained accurate scheduling to enhance clinic efficiency and service delivery.
- Assisted in the preparation of examination rooms, ensuring compliance with sanitation and safety protocols.
- Administered patient assessments and recorded vital signs to support healthcare providers in delivering quality care.
- Trained junior EMTs on protocols, procedures, and best practices in emergency response.
Care Management Support Coordinator (Aerotek Contract Assignment)
Hoag Memorial Hospital
05.2015 - 11.2017
- Extensive knowledge of scheduling and preparation of procedures and visits for all departments within Hoag Enterprise using the Unbiased System and interfacing clinical systems and ADT system. Handle escalates issues or concerns to ensure the optimization of services delivered with minimal impact. Overall knowledge of the revenue cycle process, registration, insurance verification, pre certification, billing compliance, payer contracts, patient estimation, financial assistance, ICD9, CPT, CMS regulations, DNFB and claim processing. Scheduled patients, educated registers, verified and estimated services for the patient with a “One call does it all” initiative. Responsible for accurately scheduling appointments within a centralized department, which provides exceptional customer service. Working experience with Epic System, EHR System, DHR System. EPIC, ICD-10, ICD-9, Medical Terminology
Medical insurance Specialist
Health Net/ Kelly Services
08.2014 - 02.2015
- Performed peer review quality assurance checks on eligibility Unit work processed daily. Duties include ensuring that all Member Moves are processed and that notifications are mailed timely. Ensured that all PCP transfers and Billing Claims were processed timely. Collected patient information and verified insurance. Ensured all new members were assigned to the correct Nurse Practitioner. Processed and created eligibility lists and exports (includes electronic, hard copy-paper and diskettes exports) Validated membership enrollment for ID Card vendor processing. Accurately processed HealthNet Eligibility Tracking Forms (ETFs) and PCP transfers. Verified HCO forms against information in QNXT/QCARE to ensure proper Plan/PCP assignment and make changes as necessary Accurately updated member eligibility in QNXT based on supplemental rosters received.
Patient Care Coordinator
Maximus/ Aerotek
02.2013 - 11.2014
- Obtained client information and verified insurance information. Handled inbound and outbound calls to obtain missing information. Medical Determined patient benefit eligibility. Established medical facility validation by entering client information into database. Informed clients by explaining procedures; answering questions; providing benefit information. Processed Referrals for VA hospital.
Medical Front Office Specialist
24/7 Urgent Care Clinics
01.2012 - 12.2013
- Processed billing requests as needed and entered data into Electronic Health Record (EHR). Reviewed and processed Billing Claims. Made outbound calls to Insurance Companies regarding pending/denied claims. Checked patients in, verified demographics, and collected patient co-pays. Verified and submitted insurance authorization documents.
Medical Front Office (Externship)
Dr. Pierce Chiropractic Clinic
09.2011 - 12.2011
- Reviewed and verified insurance billing information. Made outbound calls to patients and scheduled appointments. Ordered chiropractic office equipment and managed incoming mail. Updated and filed patient healthcare charts. Recorded patient medical histories and took vital signs such as blood pressure and temp. Assisted chiropractors with X-ray procedures.
Education
Medical Office Specialist Program -
Kaplan College
01.2013
Diploma - Medical Coding and Billing
Alison University
01.2023
Certified Medical and Clinical Administration - undefined
01.2023
A.S. - Information Technology Administration
Heald College
01.2013
Skills
- Data entry proficiency
- Patient scheduling
- Laboratory specimen collection
- Insurance verification
- Patient care coordination
- Conflict resolution
- Medical coding
- Diagnostic testing assistance
- Healthcare billing
- Infection control procedures
- Customer service
- HIPAA compliance
- Adaptable
- Insurance authorizations
Certification
- CCMA - Certified Clinical Medical Assistant
- CMT - Certified Medication Technician
- RMA - Registered Medical Assistant
- PA - Pathologists' Assistant
- NCMOA - Nationally Certified Medical Office Assistant
- CPC-P - Certified Professional Coder-Payer
- CMAA - Certified Medical Administrative Assistant
Languages
Spanish
Limited Working
Timeline
Medical Assistant Technician
Veteran Affairs Hospital
12.2017 - Current
Care Management Support Coordinator (Aerotek Contract Assignment)
Hoag Memorial Hospital
05.2015 - 11.2017
Medical insurance Specialist
Health Net/ Kelly Services
08.2014 - 02.2015
Patient Care Coordinator
Maximus/ Aerotek
02.2013 - 11.2014
Medical Front Office Specialist
24/7 Urgent Care Clinics
01.2012 - 12.2013
Medical Front Office (Externship)
Dr. Pierce Chiropractic Clinic
09.2011 - 12.2011
Diploma - Medical Coding and Billing
Alison University
Certified Medical and Clinical Administration - undefined
A.S. - Information Technology Administration
Heald College
Medical Office Specialist Program -
Kaplan College