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Verification Associate Resume

Bowie, MD

PROFILE:

Experienced administrative support professional offering versatile office skills which include proficiency in various medical office scheduling/billing software (gMed, NextGen, Allscripts, etc.), EMR, and Microsoft Office. I am a strong organizer, planner, and problem solver who readily adapts to change. I am able to work independently and with a team. My work ethic will exceed all expectations. I am also able to juggle multiple priorities and meet tight deadlines without compromising quality.

KEY SKILLS:

  • Scheduling
  • Insurance Verification
  • Insurance Authorizations
  • Front Desk Reception
  • Call Center
  • Word Processing
  • Charge/Payment Posting
  • Referral Preparation
  • Secretarial Duties

COMPUTER SKILLS:

  • MS Word
  • MS Excel
  • MS PowerPoint
  • MS Outlook
  • Windows/PC gMed/gGastro
  • IDX/Allscripts
  • POLCI,NextGen
  • 45 - 50wpm

EXPERIENCE:

Confidential

Verification Associate, Bowie, MD

Responsibilities:

  • Answering multiple inbound call inquiries for 35+ Physicians/Clinical Staff, 8 Office locations, 4 Surgical Centers, 3 Hospitals, and other departmental staff in a call center setting.
  • Obtaining/Updating demographic and insurance information.
  • Scheduling various types of appointments and procedures such as: new/established Confidential t office visits, injections/infusions, breath tests, colonoscopies, upper endoscopies, ultrasounds, etc.
  • Contacting various insurance companies both by telephone and electronically to verify eligibility and obtain benefits.
  • Obtaining insurance authorizations for all GI procedures

Confidential, Landover, Maryland

Verification Associate

Responsibilities:

  • Providing an explanation of financial obligation/responsibility to Confidential ts (if needed).
  • Completing and submitting all necessary insurance forms, medical records, and clinical information as required by third parties for prior authorizations.
  • Maintaining frequent telephone contact with insurance provider representatives, third party customer service representatives, and pharmacy staff.
  • Sending appropriate messages and/or correspondences to physicians as requested by incoming callers, Confidential ts, coworkers, and/or customers.
  • Answering email requests from Confidential ts to schedule or reschedule appointments and procedures.
  • Modifying physician schedule templates as requested by rescheduling Confidential ts, blocking time, or adjusting appointments.
  • Sending prescription refill and authorization requests for approval.
  • Calling in procedure Prep Kits to pharmacies as requested.
  • Mailing Procedure Prep Instructions and Prescriptions.
  • Submitting medical records requests.
  • Performing other administrative duties as required or assigned.

Confidential

Service Representative, Washington, DC

Responsibilities:

  • Scheduled various types of cardiac related appointments and procedures such as: office visits, echocardiograms, stress echocardiograms, exercise stress tests, nuclear stress tests, vascular studies, pacemaker/defibrillator exams, and sleep apnea studies.
  • Answered multiple telephone inquiries, taking/routing messages for physicians and other clinical staff.
  • Obtained Confidential t demographic and insurance information during registration.
  • Insurance Authorization of cardiac procedures (Echocardiograms, Stress Echocardiograms, Nuclear Stress Tests, and Sleep Studies).
  • Dedicated Scheduler and Administrative Assistant for the Electrophysiology program.
  • Physician/Technician schedule template maintenance (opening, blocking, rescheduling, and closing schedules as needed).
  • Arranged initial appointments for CPAP Titration Therapy
  • Prepared/Distributed multiple reports that include physician schedules, Confidential t appointment reminders, appointment wait lists, etc…
  • Fulfilled online appointment and prescription refill requests.
  • Prepared Medical Records requests and retrieval.
  • Performed other various administrative duties as needed or assigned.

Confidential, Landover, Maryland

Service Specialist

Responsibilities:

  • Answered phones and directed calls to the appropriate physician, nurse, or staff.
  • Scheduled, Rescheduled, and Canceled appointments/procedures for various departments (Cardiology, Endocrinology, Urgent Care, Internal Medicine, Coumadin Clinic, Nephrology, Gastroenterology, Rheumatology, Infectious Disease, Podiatry, Pulmonary, and Geriatrics) both by telephone and online requests.
  • Input and Verification of all demographic and insurance information.
  • Responsible for notifying/rescheduling all Confidential t appointments that are canceled due to a change in the physician’s schedule.
  • Sending/Responding to various electronic physician/staff requests.
  • Delegating/Responding to several online requests sent by Confidential ts to physicians via internet.
  • Provided new hire /assistance.
  • Requested sign language interpreters for hearing impaired Confidential ts.
  • Performed front office duties ( Confidential t check in/out, collecting copayments, scanning copies of the insurance card/identification, insurance verification, registering new Confidential ts, etc…)
  • Performed other general office duties as assigned.
  • Earned excellent marks on performance reviews, with citations for excellence in areas including work volume, accuracy and quality; ability to learn and master new concepts; positive work ethic; and commitment to providing unsurpassed service.

Confidential

Customer Service Representative, Bowie, Maryland

Responsibilities:

  • Computer entry of all demographic and insurance information.
  • Responsible for ICD-9 and test code entries.
  • Performed Federal/Non-Federal drug screens for employment purposes.
  • Scheduled two/three hour glucose tolerance tests.
  • Maintained daily totals of any/all Confidential t services provided for the day.
  • Responsible for supply ordering and invoice entry.
  • Obtained lab order/prescriptions from various physicians.
  • Answered/routed multiple telephone inquiries.
  • Provided various secretarial/administrative duties as needed.

Confidential

Registration Officer, Cheverly, Maryland

Responsibilities:

  • responsible for registration of all Confidential ts serviced through the emergency department.
  • Obtained/Updated demographic information.
  • Greeted/Directed Confidential ts, visitors, and staff to various departments.
  • Performed other administrative duties as required.

Confidential, Landover, Maryland

Medical Secretary

Responsibilities:

  • Provided secretarial services for the Clinical Engineering Department, which includes receiving/screening calls, composing reports, transcribing, dictation, maintaining calendars, arranging meetings, travel, and of personnel, developing and maintaining filing systems, and other duties as assigned.
  • Received visitors and telephone calls.
  • Maintained appointment calendar and arranges appointments and conferences.
  • Prepared itineraries and make travel reservation.
  • Prepared and submitted time cards using the “KRONOS” systems.
  • Managed the Asset Information Management System and the Medical Device Tracking System for the department.
  • Managed the rentals of medical equipment for Holy Cross Health.
  • Coordinated transactions, invoices, and billing for equipment on consignment.
  • Provided project support, gathered information, compiled d Confidential .
  • Provided maintenance assistance and technical support to hospital staff, physicians, and other hospital associates.
  • Responsible for assisting in hospital equipment recall program by contacting all concerned parties and checking the follow-up status of information received.

Confidential

Medical Office Assistant, Colmar Manor, Maryland

Responsibilities:

  • Responsible for all Confidential t registration and appointment scheduling.
  • Collected co-payments and account balances.
  • Posted charges and payments.
  • Verified insurance coverage (HMO’s, PPO’s, EPO’s, POS’s, Medicaid, Medicare, Worker’s Compensation, and MVA’s, etc…).
  • Scheduled interpreters for the hearing impaired and Confidential ts needing foreign language assistance.
  • Prepared referrals/treatment plans for various insurance carriers.
  • Prepared physician schedules.
  • Arranged meetings, conferences, and travel requests.
  • Answered/Routed telephonic inquiries.
  • Arranged transportation for Confidential ts.
  • Provided other administrative duties as needed or assigned.

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