Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Pre- Authorization/Financial Representative
St Joseph University Medical Center
04.2020 - Current
Worked with clinical staff, coding coordinators and billing department to resolve patient inquiries, billing and coding questions.
Prepared medical records for chart audits according to front desk and charge entry audit policy.
Completed registration paperwork, verifying accurate patient information.
Assisted in processing patient payments via cash, checks and credit cards.
Updated patient contact information to support accurate electronic medical records.
Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
Entered patient information into payment system accurately for billing purposes.
Safeguarded patient privacy with strict adherence to data security protocols related to electronic health records.
Answered patient questions and inquiries regarding registration process and documentation.
Used [Soarian] to record and organize patient insurance and medical information.
Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
Confirmed patient demographics and updated practice management software for accuracy.
Processed medical records requests, assuring release only to appropriate parties proper authorization.
Assisted other clerks with front desk duties, answering questions and accurately using reservation system.
Operated standard office software applications to compile data and prepare information and correspondence.
Explained form wording to patients to help each understand information required.
Coordinated with staff to process patients prescriptions and direct to appropriate departments.
Verified payment history to evaluate conformity with insurance contracts.
Described general insurance regulations and practice insurance contracts to clients.
Entered client details and notes into system for interdepartmental access and review.
Maintained accurate records of customer accounts, payments and payment plans.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Followed up with patients to reschedule missed appointments.
Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
Managed complex calendars for multiple medical practitioners, verifying accuracy of all appointments.
Answered phone calls and messages for in house physician and outside physician, medical facilities, scheduling appointments, and handling patient inquiries.
Coordinated with other departments to facilitate seamless operation and excellent patient care.
Developed and implemented efficient scheduling systems to maintain organized medical appointment schedules.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Processed payments and managed financial records to facilitate proper billing and tracking of payment history.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Obtained payments from patients and scanned identification and insurance cards.
Maintained routine communication with clients to assess overall satisfaction, resolve complaints, and promote new offerings.
Collaborated with healthcare professionals to maintain high-quality care across departments.
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Communicated with insurance providers to resolve denied claims and resubmitted.
Reviewed patient diagnosis codes to verify accuracy and completeness.
OB/GYN Certified Medical Assistant Manager
Dr. Maria Bitar
03.2012 - 04.2020
Obtained and documented patient medical history, vital signs and current complaints at intake.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Collected and documented patient medical information such as blood pressure and weight.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Prepared lab specimens for diagnostic evaluation.
Explained procedures to patients to reduce anxieties and increase patient cooperation.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Taught patients about medications, procedures, and care plan instructions.
Oriented and trained new staff on proper procedures and policies.
Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
Helped improve patient outcomes by educating and advising on relevant treatments and care.
Measured patient pulse oximetry.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Implemented care and efficiency improvements to support and enhance office operations.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Internal Medicine Medical Assistant
Vangard Medical Group
06.2010 - 03.2012
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills.
Documented vital signs and health history for patients in clinic and hospital environments.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Completed clinical procedures and gathered patient data for interpretation by physician.
Taught patients about medications, procedures, and care plan instructions.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Verified patient insurance coverage and collected required co-payments.
Counseled patients on newly diagnosed health conditions and maintenance of existing conditions.
Directed patients on medication use and lifestyle modifications to improve health.
Followed internal medicine guidelines while treating geriatric patients.
Adhered to healthcare facility protocols and all regulations.
Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
Established and maintained positive working relationships with patients, staff and clinical personnel to build trust and camaraderie.
Completed proper sanitation and cleaning of equipment and work areas between patients.
Centrifuged blood samples as outlined in clinical protocols.
Addressed questions and concerns to educate patients on collection process and procedures.
Assembled tourniquets, needles, and blood collection devices to prepare work trays.
Tracked collected specimens by initialing, dating, and noting times of collection.
Packaged and shipped specimens to central lab daily.
Organized daily work based on collection priority.
Conducted venipuncture and other CT procedures.
Drew blood from veins by vacuum tube, syringe, or butterfly venipuncture methods.
Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
Performed venipunctures, finger sticks and heel sticks for both adult and pediatric patients.
Protected patients by following infection control, sharps disposal, and biohazardous waste disposal procedures.
Adhered to HIPAA standards and maintained patient confidentiality in all interactions.
Collected blood samples in accordance with laboratory protocols and regulations.
Verified patients' identification for proper sample collection.
Validated blood and specimen collection orders, alerting nurses, or physicians of discrepancies between order and nursing station logs.
Provided guidance and support to laboratory personnel.
Performed laboratory tests to assist physicians in diagnosis.
Developed and implemented strategies to improve phlebotomy processes.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
Registered Nurse – Med-Surgical/ Trauma/Orthopedics at St. Joseph University Medical CenterRegistered Nurse – Med-Surgical/ Trauma/Orthopedics at St. Joseph University Medical Center