PROFESSIONAL EXPERIENCE:

Confidential

Clinical Operations Rep., MA

Responsibilities:

• Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department.
• Complete computer aided, on - line registration screen with parent/guardian via telephone or in person in professional & courteous manner.
• Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy.
• Reschedule appointment for patients who did not show or for the ancillary services cancellations by providers/technologist. Schedule follow up appointments at check out if applicable.
• Obtain required consents for department & ensure distribution of compliance related materials . Obtain copy of insurance card and photo ID to be stored in medical record (copy or scan activity required). Ensure applicable insurance company and Confidential Confidential department receive copies of appropriate forms/documentation. Complete all documentation in accordance with department policy and procedure.

Confidential

Medical Assistant

Responsibilities:

• Verified patient information and insurance by interviewing patient ; recording medical history; confirming purpose of visit.
• Scheduled MRIs, Dexa scans,mammograms,ultra sounds, ct scans, diagnostics, biopsies and flouro injections.
• Answered any and all medical related questions for patients via email and or telephone communications.
• Operated Ameri Ris systems as well as microsoft outlook and a general on base medical record system.
• Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight, and temperature; reporting patient history summary.

Confidential

Reimbursement Coordinator

Responsibilities:

• Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
• Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
• Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payers. Researches and resolves any electronic claim denials.
• Researches and resolves any claim denials or underpayment of claims.
• Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timelyand accurate manner; escalates complaints accordingly.
• Maintains frequent phone contact with provider representatives, third party customer service representatives,pharmacy staff, and case managers.
• Reports any reimbursement trends/delays to supervisor (e.g. billing denials, claim denials, pricing errors, payments,etc.).
• Processes any necessary insurance/patient correspondence.
• Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, Confidential ( Confidential ) number, and referring physicians.
• Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process.
• Maintains confidentiality in regards to patient account status and the financial affairs of clinic/ corporation.
• Communicates effectively to payers and/or claims clearinghouse to ensure accurate and timely electronically filedclaims.
• Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercisesjudgment within defined standard operating procedures to determine appropriate action.

Confidential

Patient Care Specialist

Responsibilities:

• Performed day-to-day administrative functions and general office duties including but not limited to word processing, copying, filing, faxing, answering phones.
• Provided information to Clinic callers according to the Clinic’s Policies and Procedures; transfers calls as needed; works with central reception to ensure adequate phone coverage at all times.
• Welcomed and greeted patients/clients/visitors to the department in a manner that is helpful and friendly; determines purpose of visit and direct patients/clients/visitors to appropriate person or department(s).
• Update registration and informs patient of adequate information that must be presented at time of visit.
• Adhered to all Clinic policies on safety and security; maintained restricted areas safe by safeguarding keyless entry codes and computer system passwords in strict confidentiality.
• Exercised utmost diplomacy and tact to provide excellent customer service for patients; practices confidentiality and privacy protocols in accordance to Clinic policies and HIPAA requirements.
• Maintain patient waiting areas, office files, and front-desk areas in a manner that is organized and Informs patient of any existing balance noted in computer and request patient be prepare for any payment due at time of visit.
• Verified method of payment for service (MediCal, Medicare, private insurance, private payee, Healthy Families, etc.) and collects data and/or payment as appropriate.
• Exercised problem-solving and conflict resolution skills when handling patient complaints; refers patient complaints to appropriate designated personnel as needed.
• Attended scheduled department staff and clinical meetings.
• Performed all duties in support of successful EHR/EPM implementation. Patient Information Specialist

Patient Information Specialist

Confidential

Responsibilities:

• Receives emergency and non-emergency calls for emergency room and clinical staff ·Switch-Board Operator (over 200 telephone lines)
• Access patient information, Smile and greet all walk in patients and family members ·Program all Cell Phones and Pagers for all hospital Staff ( Directors, Doctors, Nurses etc) ·Produce any and all Schedules for all Departments, Doctors and specialties
• Process All Emergency 911 codes for hospital departments and trauma units
• Answer to all Departments, Doctors, Nurses, Clinics, general staff, etc enters accurate and pertinent information into the Computer Aided Dispatch system (paging); maintains status on all personnel units assigned to the channels; responds to the public safety personnel requests for information; and performs other related assignments as directed.

Personal Assistant/ Administrative

Confidential

Responsibilities:

• Receive customer payments, process cash transactions and process customer transactions ·File, Fax, Organize business paper work
• Created a systematic and reliable computerized customer database
• Responsible for training of new employees
• Prepares work orders for maintenance requests - Answer telephones and schedule appointments