Patricia Palmieri
Paramus,NJ
Summary
Organized Office Manager with noted experience in administrative management. Prioritize projects and multitask effectively to achieve project goals. Methodical and detail-oriented team player with expertise in team leadership. Offering these skills and strong work ethic.
Overview
24
24
years of professional experience
Work History
Office Manager
North Jersey vascular &Endovascular associates
09.2020 - Current
- Responsible for the overall management of the office site, including facility and equipment maintenance, day-to-day supervision of designated personnel, and payroll preparation
- Facility liaison with all other locations, administration, vendors, and third parties
- Billing and Negotiation with out of Network claims.On-call schedule for the physician with multiple hospitals
- Schedule All surgeries at the hospital Authorization for surgery
- Schedules ASC and Hospital based surgical procedures for patients with appropriate provider and time/location slot utilizing appropriate scheduling guidelines.
- Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.
- Prepares and completes accurate surgical documents along with informed consents for surgeries.
- Ensures patients have proper medical clearances and pre-surgical testing completed.
- Coordinates with appropriate vendors to ensure all necessary equipment will be on site for procedures.
- Determines emergent cases and ensure that they are fitted into the surgical schedule on a priority basis.
- Ensure the surgical order is properly documented by the physician.
- Document’s surgery details, status, and end results into our EMR prior to services being rendered.
- Responds to both written and oral correspondence regarding scheduling changes/cancellations in a timely, accurate manner.
- Interacts with our physicians and patients providing accurate, timely and responsive information.
- Works collaboratively with the entire billing and Surgical Scheduling department.
- Negotiate out-of-network reimbursement, based on determined criteria for max reimbursement
- Send appeals for low reimbursement, no authorizations, timely filing, medical necessity, etc
- With correct documentation
- Submit paper claims to primary and secondary insurance with the correct documentation, operative reports, implant invoices, and primary eob's
- Manage the billing for all other third-party payers
- Perform electronic billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissionsResolve clearinghouse rejectionsAdjust claims for correct fee schedule, incorrect payments, and patient responsibility
- Scan work and correspondence daily and maintain clear detailed notes
- Prioritize incoming authorization requests according to urgency
- Respond to clinic questions regarding payer medical policy guidelines.Communicate with hospital/ASC or other staff members about patient's scheduled surgery.Coordinate with anesthesiologists to ensure that all aspects of the surgery are properly planned and prepared for.
Medical Biller/Collector/ Medical Administrator
Medalliance Medical Health Services
01.2009 - 06.2020
- Post daily charges for the orthopedic, spine, and physical therapy dermatologist pain management providers
- Post charges for all Buy and Bill injections, PRP injections, and other ancillary services for the Practice
- Authorization for all orthopedic and spinal surgery, and pain management injections.Manage the billing for workers' compensation and motor vehicle claims and all other third-party payers
- Perform electronic billing functions to review and take necessary actions
- Read and analyze clinical documentation to ensure there are no discrepancies in charges and medical records
- Interact with physicians and assistants to ensure accuracy
- Ensures that charges are posted to appropriate carriers
- Re-submit charges and make corrections when needed
- Maintains patient confidentiality and information security
- Assist patients with their billing inquiries, and collect and apply payments
- Assist with benefits verification as needed
- Work with claims in and out of network Workers' competitions and No-fault insurance inventory for office supplies
- Perform other related duties as assigned.
Surgical Scheduler
Dr.Gregory Rauscher MD
01.2000 - 01.2009
- Surgical Coordinator schedules all patient appointments and surgeries
- Administer appointment reminders to patients
- Also schedule emergency and add-on surgeries
- Scheduling procedures for surgeries, such as how long surgery will take and how much time to allot for set-up and turnaround, and administering surgery schedules to appropriate medical staff
- Manage incoming and outgoing phone calls and emails and often will assist with the management of the front desk as well
- Insurance verification
- Enter data and complete paperwork
- In order to complete the administrative tasks related to surgery, and manage all surgical documents, Pat was sent to the hospital to schedule patients with a primary physician for medical clearance
- Order All supplies needed for surgery such as implant graft
- Confirm medication lists with patients about what medication can be taken on the day of surgery and what to stop before the surgery.
Education
High School Diploma -
Herbert H Lehman High School
Bronx, NY01.2012
Skills
- BUDGETING
- EXCEL
- FILE
- MAINTENANCE
- MICROSOFT OFFICE
- Sharepoint Administrator
- Billing
- Microsoft Outlook
- Outlook
- Scheduling
- Receptionist
- EMR Systems
- Insurance Verification
- Medical Scheduling
- Medical Records
- Medical Billing
- Medical Office Experience
- HIPAA
- Medical Terminology
- Medical Collection
- Medical Receptionist
- QuickBooks
- ICD-10
Additional Information
SKILLS
Microsoft Office
Verify insurance /Authorization for a medical procedure
verify insurances benefits
EMR/EHR Experience
Personal Information
Title: Medical Biller/ Receptionist / Surgical Scheduler
Languages
Italian
Timeline
Office Manager
North Jersey vascular &Endovascular associates
09.2020 - Current
Medical Biller/Collector/ Medical Administrator
Medalliance Medical Health Services
01.2009 - 06.2020
Surgical Scheduler
Dr.Gregory Rauscher MD
01.2000 - 01.2009
High School Diploma -
Herbert H Lehman High School
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