SUMMARY:

• A highly organized and detail - oriented Executive Assistant experience in a health care setting providing a thorough and skillful administrative support to senior executives.
• Dedicated and focused; able to prioritize and complete multiple tasks and follow through to achieve project goals.
• An independent and self-motivated professional able to grow positive relationships with clients and colleagues at all organizational levels.

SKILLS:

• Microsoft word CMS1500 Form Preparation
• Microsoft excel
• HCPCS II Coding
• Microsoft power point
• Insurance form preparation
• Softmed
• Insurance claim processing
• Meditech
• Conduct insurance follow - up
• Med iSOFT
• Electronic Medical Record (EMR)
• Protomed
• Organize and file patient records
• Medical Terminology
• Scheduling appointments for patients
• Medical Laws and Ethics
• Perform billing/collections
• CPT-4 Coding
• HIPAA
• ICD-9 Coding
• Data Entry
• Multitasking
• Problem resolution skills Picking up discharges, EDs and charts
• Emergency/stat release of information
• Scanning in inpatient, SDC, and EDs charts
• into HIPAA approved computer software

PROFESSIONAL EXPERIENCEConfidential

Patient Access Specialist

Responsibilities:

• Greet patients and visitors and provide other patient related services in accordance with THCs service excellence standards.
• Collect patients and other responsible party information completely and accurately.
• Perform pre-registration/registration processes, verify insurance coverage
• Confirm payer requirement for authorization and follow payer processes /obtain authorizations and notifications.
• Accurately and completely document all information into the EMR and other related systems to ensure maximum reimbursement.
• Assist patients with completion of the Intake/Consent forms and OMS
• Obtain all necessary signatures and documentation required by the patients insurance plan.
• Determine the appropriate financial class and/or account type and correctly assign primary and secondary insurance billing status when two insurance plans require coordination of benefits.
• Enter insurance, demographic and other related information into EMR.
• Verify patients insurance coverage in accordance with THCs policies, guidelines and operating principles as well as insurance companies and/or third partys guidelines.
• Scan front and back of patients insurance cards and other identification and enter into EMR accordingly.
• Collect payments, co-payments as well as deductibles and post receipts accordingly.
• Determine eligibility of patients for 30-day, 6-month sliding fee scale and maintain file/records on 6-month sliding fee scale patients.
• Complete daily self-pay log for self-pay patients and obtain appropriate sign-off at the clinic level.
• Track Department of Social Services vouchers and other third party/community payer documentation as well as medical form and submit to Revenue Cycle Manager for billing. Answer phones, direct calls accordingly and/or assist with phone requests.
• Provide quality customer service to internal and external customers.
• Reconcile receipts and prepare point of service collections for bank deposit.
• Maintain an organized and safe work environment.
• Create claims within 1 business day for encounters completed by providers in accordance with THCs procedure, standards.
• Resolve Athena holds related too front end billing edits within 2 business days in accordance with THCs procedure, standards.
• Strictly adhere to HIPAA as well as THCs privacy, confidentiality and other related guidelines.
• Follow established downtime procedures
• Adhere to company procedures for keeping of cash secure
• Perform other duties as directed.

Confidential

Executive Administrative Assistant to Clinical Director/Administrative Assistant

• Professional support to Clinical Director and staff under minimal supervision
• Point of contact; serve as a liaison between Clinical Director and staff
• Excellent time management skills, schedule timelines and ensure all deadlines are met
• Create and update daily status reports including due dates, estimates, office expenses and budget items
• Effectively build internal/external relationships
• Manage the flow of information between all parties involved
• Manage expectations with vendors, clients and internal staff
• Fluency in PC platform, MS Office and Meditech, Med iSOFT and HIPPA specific database software
• Proficient skills in use of discretion when handling all confidential matters and documentation
• Schedule and prioritize highly sensitive issues, problem resolution, maintain high level of confidentiality
• Manage incoming/outgoing mail, faxes, filing, shredding management and stock replenishment for office supplies
• Screen calls and handle inquiries and support multi-line telephone at front desk when needed
• Administrative Assistant Responsibilities
• Pull and make available all requested charts.
• Sign out and track all charts leaving the file room/ developed a system using color coded out.
• Re-file all charts returned to the file room.
• Fax out treatment plan placing original in counselors mailbox / copy is filed in the billing file.
• Receive and process fax request for past and concurrent treatment record
• Make photocopies as needed.
• Receive faxes and deliver to the correct mailbox.
• File all paper documents in appropriate parts of patients files in a timely manner.
• Organize and prioritize patients charts as needed.
• Shredding as needed.
• Fill in for receptionist position as necessary and adhere to all receptionist duties as outlined in job description also direct incoming calls and greet visitors.
• Attend required in house meetings such as skill building and training sessions, Medhelp training, webinars
• with BCBS (3/5), Protomed training, Health care access PAC crossover and in house training sessions as required.
• Authorizations when authorizations are received via fax, mail or email from the counselor, it is scanned into
• MAD. A copy of the authorization goes to the counselor and in the billing file.
• Insurance Tracker Faxed treatment plans, authorizations and insurance cards are scanned into MAD. Update
• Tracker to reflect change in Funding Source (new insurance or termination status).
• Review the OMT billing file for changes/corrections.
• Update Funding Source in Methasoft to reflect change in payment status (MCO/MA/Com INS/ Block).
• Set up billing files for newly insured patients and new admissions.
• Remittances/Mail - EOBs and checks received in the mail are emailed to MedHelp for charge posting into
• Protomed, and then filed in the billing binders.
• Verify benefits of com. ins. patients. Call the ins. plan of newly insured or requests for Intake
• MedHelp Liaison communicate with Ed regarding billing and insured patients, information in the Tracker or
• demographic information in Methasoft.
• Protomed Update as needed. Enter comments, if necessary. Assist with Medical Assistance applications.
• Perform EVS checks-Medicaid- in absence of billing manager will set up new e-Medicaid login assignments.
• Keep a log of reasonable accommodations made by the nurses and counselors- every Friday send email notification and maintain a log, Keep track of Fee assessments for Clinical Director.
• Uphold and act in accordance with the ethical and quality standard of this program, the Federal
• Confidentiality regulations, Federal regulations, and the accrediting body governing methadone treatment.
• Perform and other duty or responsibility as required by supervisor.

Confidential

Receptionist

• Manage the scheduling for the patient home health visits
• Create and prepare files for Clinical staff to ensure that patient info is provided to Nurses and Therapists
• Screen calls, address inquiries and managed the switchboard
• Liaison between patients and Clinical staff for any scheduling issues or changes for an agreeable resolution
• Scheduled conference rooms for health fair events, training, executive meetings for the VP of Operations and sister facilitys
• Organize patient files prior to passing off to Medical Records

Confidential

Health Information Assistant

• Under limited supervision, responsible for performing a variety of complex clerical and administrative duties for Medical Records.
• Responsibilities includes the following: verifying records are received; follow up on missing records; preps documents, scans documents, indexes records to patient and form name, maintains scanner and equipment. effectively serve the general public, physicians, internal, and external customers

Confidential

Customer Care Representative

• Provided excellent customer service, and cultivates customer goodwill to ensure repeat business.
• Performed the required cashiering duties to complete the sale.
• Handled returns and adjustments within the limits empowered in a positive manner that will build customer loyalty.
• Assisted in training new hires and other associates.
• Maintained SET-Sell core standards assisted with stock replenishment and stocked counts as necessary.