Suraia Abdouni
Dearborn,MI
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Call Center Representative
University of Michigan
Ann Arbor, MI
02.2023 - Current
- Updated customer accounts, addresses and contact information within call management databases.
- Answered incoming patient calls, gathering history and symptoms to determine scope of medical complaints.
- Responded promptly and professionally to incoming calls from patients seeking medical advice or assistance.
- Communicated effectively with physicians regarding patient conditions and concerns.
- Determined whether a caller's complaint is an emergency situation requiring immediate referral to a physician or urgent care facility.
- Utilized electronic medical records (EMR) systems for accurate and up-to-date scheduling information.
- Handled incoming calls and inquiries from patients, providing timely and accurate information.
- Routed calls and correspondence to appropriate medical staff.
- Scheduled new and existing patients as walk-ins or by phone.
- Responded to incoming calls, scheduling and rescheduling appointments as requested.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Patient Access Representative
DMC Children's Hospital Of Michigan
Detroit, MI
01.2017 - 02.2023
- Registered patients for diagnostic appointments, surgeries and medical consultations using electronic health record system.
- Utilized reporting system to print patient charts, labels and future appointments report.
- Collaborated with nursing staff on admission processes for new arrivals to the ER.
- Served as a liaison between physicians and other departments within the hospital setting.
- Greeted patients, determined purpose of visit and directed to appropriate staff.
- Arranged hospital admissions for patients as required.
- Ensured that all required documentation was completed prior to a patient's departure from the Emergency Room area.
- Assisted with registering incoming ER patients into the computer system.
- Answered phone calls promptly and directed them to the appropriate person or department as needed.
- Scheduled and confirmed patient appointments and consultations.
- Kept track of patient wait times in order to ensure timely treatment was provided.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Processed paperwork for discharges, transfers, referrals, authorizations.
- Verified patient insurance information and collected copays, if necessary.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Performed insurance verification, pre-certification and pre-authorization.
- Processed credit card payments from patients in accordance with office policy.
Billing Specialist
Max Rehab Physical Therapy
Madison Heights, MI
04.2014 - 12.2022
- Reviewed legal claims for accuracy and issues.
- Maintained accounting ledgers by verifying and posting account transactions.
- Submitted claims to insurance companies.
- Developed financial reports detailing accounts receivable aging status.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Created and processed claims to third-party payers using specific coding guidelines.
- Posted charges, payments and adjustments.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Applied payments, adjustments, and denials into medical manager system.
Education
Associate of Science - Social Work
Henry Ford College
Dearborn, MI04-2022
Skills
- Arabic, Portuguese and Spanish fluency
- Proficient in Epic
- Experience with CHAMPS, Availity and other payer websites
Languages
Arabic
Professional
Portuguese
Professional
Spanish
Elementary
References
References available upon request.
Timeline
Call Center Representative
University of Michigan
02.2023 - Current
Patient Access Representative
DMC Children's Hospital Of Michigan
01.2017 - 02.2023
Billing Specialist
Max Rehab Physical Therapy
04.2014 - 12.2022
Associate of Science - Social Work
Henry Ford College
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