To pursue a challenging and rewarding position that will utilize my skills and education.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
24
24
years of professional experience
Work History
Office Manager – OBGYN
HUMCPV
Westwood, NJ
01.2021 - Current
Schedule Patient Appointments.
Customer Service
Scanning
Verified patient eligibility
Answer incoming patient calls
Coordinated communication between medical staff and patients for improved service delivery.
Developed office policies that increased operational effectiveness and patient satisfaction.
Office Manager-Surgical Coordinator
Premier OB/GYN Group
Maywood, NJ
01.2017 - Current
Schedule Patient Appointments.
Prepared Lab requisitions
Scheduled OB Patients for Ultrasounds.
Copying patient medical records as requested
Surgical Coordinator scheduled Gynecology Surgeries, Induction of Labor, and Cesarean Section
Verified patient eligibility
Obtained pre-certification
Checked patient vitals
Medical records request
Calling prescription/Medication into the pharmacy by phone.
Prepare all Hospital demographic procedures performed for billing processing
Medical Billing
Sportmed of Glen Rock
Glen Rock, NJ
01.2015 - 01.2017
Schedule Patient appointments.
Data entry, Coded and Billed insurances for, Physical therapy.
Submitted documentation to initiate appeals process
Resubmitted outstanding claims not on file.
Copying patient medical records as requested for Appeals
Reviewed and worked Insurance EOB’s.
Followed up on outstanding claims
Payment posting, researched and resolved incorrect payments, EOB rejections.
Patient eligibility
Familiar with medical terminology and insurance information, CPT/ICD-9 /ICD-10 codes along with modifiers. Skills in Medisoft, Eclinical works, Microsoft Word/Excel, Flash Code
Medical Billing
JAE Medical Billing Services
Wayne, NJ
01.2011 - 01.2015
Data entry, Coded and Billed insurances for multiple practices including Internal Medicine & Geriatrics, Physical therapy, Gastroenterologist.
Submitted documentation to initiate appeals process
Resubmitted outstanding claims not on file.
Copying patient medical records as requested for Appeals
Reviewed and worked Insurance EOB’s.
Followed up on outstanding claims
Payment posting, researched and resolved incorrect payments, EOB rejections.
Patient eligibility
Familiar with medical terminology and insurance information, CPT/ICD-9 codes along with modifiers. Skills in Medisoft, Eclinical works, Microsoft Word/Excel, Flash Code
Internship
St. Joseph’s Ambulatory Care
Wayne, NJ
01.2011 - 01.2011
Medical Billing & Coding / Internship
Data entry for Dermatologist, Billed and submitted claims for payment.
Resubmitted outstanding claims with a high balance.