Proven track record of enhancing patient experience and streamlining workflow at George Washington Medical Faculty Associates, demonstrating strong organizational skills and proficiency in ICD-10 and HCPCS coding. A self-starter and effective communicator, I excel in team settings, ensuring confidentiality and compliance with HIPAA standards.
Overview
29
29
years of professional experience
Work History
Front Desk Associate
NFC Amenity Management
08.2024 - Current
Communicate with my team members, property management and residents/guest
Follow property specific systems to receive and sign for deliveries to ensure effective for the residents
Facilitate contractors arrival/departure
Advise and remind residents and guest of any appropriate rules and regulations established by management
Follow all property procedures for resident, guest and vendor access
Answer and complete all residents request via phone call, or by emails
Administrative Assistant/Precertification Coordinator/Financial Clearance Representative/Patient Service Representative
George Washington Medical Faculty Associates
Washington, DC
06.2006 - Current
Answer multiple telephone lines, triage calls, take messages, and direct call to the appropriate personal
Customer Service
Make follow-up appointments
Participates in staff Zoom Meetings
Ensure accurate and thorough documentation and completion of all necessary paperwork
Fax reports as requested by physicians
Request refill prescriptions and assist with prior authorizations
Assist patient with DME supplies and Hospital Beds
Complete patient’s forms and processes patient related paperwork
Performs a variety of tasks for the daily operation of the departments
Obtain precertification by developing and maintaining effective relation with Managed care
Prepare clinical data with knowledge of procedure and diagnosis coding
Maintain ICD-10/HCPSC and Procedure codes for all outpatient and inpatient procedures
Appeal Denials via the Web, Mail or by Phone with the Medical Director or Registered Nurse
Coordinates and schedule outpatient radiology procedures and office visits
Prepare appointment notices and provide instructions for patient’s having outpatient/inpatient surgeries and radiology testing
Podiatry and Colonoscopy Sleep Studies
Verifies patient’s insurance benefits for all vaccinations (HPV) Zostavax, Shingrix custom molded foot orthotics, allergy injections, and Outpatient Medical procedures via the Web or by Phone
Complete referral for HMO insurances
Knowledge of all third- party insurances
Receives and follow up on emails from external facilities regarding authorizations for procedure
Complies with departmental standards regarding training, professional development, communications and management workloads
Communicates any new and revised insurance policy and guidelines, related to Benefits and Precertification to the Reimbursement team (Billing)
Cross train to provide back up in other Administrative Departments (front desk) referral processing
Maintain spreadsheets with detailed certification data for tracking reports
Confirming Benefits eligibility
Determines programs or financial assistance/Collections of Deductibles and Balances on EOBs
Handled incoming calls and directed callers to appropriate department or employee.
Maintained inventory of office supplies and placed orders when necessary.
Set up workshops, conferences and meetings by scheduling and reserving rooms and preparing supplies.
Handled confidential documents in an organized fashion according to established protocol.
Provided administrative support to the executive team, including scheduling meetings and managing calendars.
Handled incoming and outgoing correspondence, including email, mail, and package deliveries, ensuring timely distribution.
Maintained office supplies inventory by checking stock to determine inventory level.
Responded to customer issues to provide immediate resolution and improve retention.
Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
Facilitated communication between different departments within the organization.
Answered questions from customers regarding products and services offered by the company.
Sorted and distributed incoming faxes, letters and emails for office distribution.
Developed and implemented filing systems, both digital and physical, improving document organization and retrieval efficiency.
Kept office equipment functional and supplies well-stocked to promote efficient operations.
Coordinated mailings including sorting mail, preparing packages for shipping via courier service or postal service.
Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
Scheduled appointments between clients and customers and internal staff members.
Managed incoming calls while providing information or transferring callers to appropriate personnel.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Worked effectively in team environments to make the workplace more productive.
Medical Receptionist
Cardiology Group
Chevy Chase, MD
01.2004 - 11.2005
Greet and check patients in, register using CBSI 9.0
Answer high volume of calls from patient and outside physicians and providing the chart with the calls
Coordinate and call medications to local pharmacies and prior authorizations
Collected co-pays and collections on patient’s accounts
Called and conformed next day appointments
Performed billing canceling
Scheduled Nuclear Stress Testing, Radiology procedures, and sleep studies
Obtained Prior Authorization and referrals as required
Medical Receptionist
Metropolitan Gastroenterology Group
Chevy Chase, MD
01.2003 - 01.2004
Patient Registration: Checking patient in to ensure accurate documentation using Millbrook System
Collected co-pays and self-pay balances
Scheduled Colonoscopy and Endoscopy
Obtained referrals and authorizations
Maintained patient record prior to filling and phone messages
Called prescription and obtained prior authorizations
Followed protocol by answering a high volume of incoming calls, designated to the appropriate personnel
Front Desk Receptionist
Washington Chartered Clinic
Washington, DC
08.2002 - 01.2003
Interviewed patient via telephone to collect financial data and registration for all patient’s office visit
Enter patient demo-graphics
Process referrals for HMO insurances
Collect co-pays, reviewed patients past due account balances and collected money owe to the Department
Reconcile daily cash/checks and credit card deposits at the end of the business day
Medical Administrative Assistant
Washington Hospital Center
Washington, DC
01.1996 - 05.2002
Patient and Guest Services Representative
Scheduled and Post surgery for kidney transplant and Orthopedic Oncology patients
Verified Benefit coverage and Obtained Prior Authorization and referral for all outpatient and inpatient procedures
Checked patient’s demographics prior to admission to provide booking the operating room & anesthesiologist, bed after surgery to ensure all pre-op was done and coordinated with other departments with the hospital and outside facilities
Order special equipment for the orthopedic oncology surgery (Prosthesis)
Scheduled routine follow –up appointment for post-surgery and all new patients
Insurance coding using ICD-9 and CPT
Filing of all patient’s medical record and x-ray films
Organized physician schedules and travel arrangements
Education
Medical Office Specialist -
Applied Career Training
Arlington, Va
10.1995
Business Administration -
Chamberlain Career Cent.
Washington, DC
06.1991
Academic Studies -
Eastern Senior High
Washington, DC
06.1991
Skills
Self-Starter
Team Player
Positive Attitude
Excellent Oral Communication Skills
Excellent Written Communication Skills
Strong Organizational Skills
Strong Work Ethics
Confidential HIPAA Compliance
Electronic Medical Records
Task Completion
Follow Up
ICD-10
HCPCS
CPT Codes
MS Word
All Scripts
References
Available upon request
Timeline
Front Desk Associate
NFC Amenity Management
08.2024 - Current
Administrative Assistant/Precertification Coordinator/Financial Clearance Representative/Patient Service Representative