Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
20
20
years of professional experience
Work History
Billing Representative
BioReference Laboratories
Elmwood Park, NJ
11.2007 - Current
Reviewed and solved account and billing discrepancies.
Received incoming information and entered into database system.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Handled high volume of in-bound calls pertaining to patient information.
Responded to client concerns and questions on daily basis.
Used data entry skills to accurately document and input statements.
Handled CENTURION and PREVIA accounts
Precisely evaluated and verified benefits and eligibility.
Researched CPT and ICD-10 coding discrepancies for compliance.
Trained new employees on multiple medical billing programs and data entry software.
Medical Assistant
Newport Medical Associates
Jersery City, NJ
06.2000 - 07.2005
Sanitized, restocked and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms and allergies.
Directed patients to exam rooms, fielded questions and prepared for physician examinations.
Collected and documented patient medical information such as blood pressure and weight.
Performed clerical duties, such as word processing, data entry, answering phones and filing.
Called and faxed pharmacies to submit prescriptions and refills.
Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Taught patients about medications, procedures and care plan instructions.
Completed clinical procedures and gathered patient data for interpretation by physician.
Documented vital signs and health history for patients in clinic and hospital environments.
Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.