Sherika Joseph
Vero Beach,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Effective in handling office and administrative tasks.
Overview
17
17
years of professional experience
Work History
Clinical Business Operations Representative
University of Miami Health System
Remote
07.2020 - Current
- Obtain authorizations for Multiple Sclerosis self injections, oral medications, all infusions done at the Boca Infusion Center and MRI's.
- Educate patients about foundations that provide financial assistance.
- Maintain update log of medications and provide monthly reports.
- Order medications and maintain inventory sufficient to cover schedule visits.
- Coordinate and schedule patients for infusion services to maximize infusion chairs utilization levels.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Notified ordering providers of denied authorizations.
- Reviews clinical records for completeness including authorization, signatures, missing date and other patient information.
- Communicate referral/authorization information and pertinent medication information to the nursing staff as well as to patients.
- Communicate with patients by telephone, follow up on submitted prior authorizations requests.
- Request patient's referral for infusion visit.
- Document all prior authorization information including approval dates, procedure codes and prior authorization number in patient chart using Epic.
- Proactively work on prior authorizations that are due to expired.
- Work on the infusion schedule a month in advance to insure that patients prior authorization and medication is available prior to their appointment.
- Attend monthly department and division meeting.
- Performs any and all duties as directed by management.
Patient Account Representative
Team Health
Sunrise, FL
03.2014 - 03.2020
- Enter and/or update patient demographics and insurance information in patient accounts.
- Prepare OnBase CCD for the Medical Coder by ensuring all required fields are complete and accurate.
- Identifies patient's insurance and assign the appropriate Financial Status Classifications (FSC) in priority.
- Add the related discount on the CCD (Chart Control Doc) for the special billing arrangement per facility.
- Add the appropriate invoice FSC in FSC Flow field on CCD (Chart Control Doc) based on accident indicator or special billing arrangement.
- Complies with all department and company policies and procedures.
- Process insurance updates received via facility, mail-in, web, or IMBS.
- Performs any and all of the duties assigned by the Supervisor and/or Director of Operations.
- Notifies Supervisor of system malfunctions, and problems arising from errors in codes, or missing information.
Patient Account Representative
Team Health
Sunrise, FL
06.2007 - 03.2014
- Processing payments for insurance companies and patients either electronically or manually within established timeframe.
- Posting payment batches including denials within established timeframe and balancing batches.
- Posting of all groups lockbox receipts in IDX.
- Assembles appropriate documentation to validate refunds and forward for mailings.
- Completion of the Offset log sheet with attached copies of the EOBs for review.
- Completion of the deposit batch logs.
- Responsible for maintaining all policy and procedures.
- Participates in department meeting.
- Maintains daily batch log of all posted batches.
- Turns to supervisor for unusual circumstances.
- Performs any and all duties as directed by senior or management.
Education
Some College (No Degree) - Medical Billing And Coding
Concorde Career College
Lauderdale Lakes, FL06.2004
Skills
- Telephone etiquette
- Great oral and written communication
- Ability to learn quickly
- Great organizational skills
- Ability to work efficiently in a high-volume fast-paced environment while maintaining quality standards
- Responsible
- Previous IDX-BAR applications
- Epic experience
- Medical Billing
Timeline
Clinical Business Operations Representative
University of Miami Health System
07.2020 - Current
Patient Account Representative
Team Health
03.2014 - 03.2020
Patient Account Representative
Team Health
06.2007 - 03.2014
Some College (No Degree) - Medical Billing And Coding
Concorde Career College
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