SCHERAINE BEAU

**** ********** **. *** *

Westwego, LA 70094

504-***-****

ab9te8@r.postjobfree.com

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OBJECTIVE: CAREER ADVANCEMENT

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WORK EXPERIENCE

Clinical Intake Specialist

December 2012 to present

Humana Inc. Metairie, LA

Approving and Issuing authorizations/referrals to Providers/Members for

services being rendered (CLINICAL REVIEW). Reviewing for Pre-x Riders,

Exclusionary Riders, Waiting Periods, State Mandates, Buy-Up Riders,

Effective Dates, Condition Specific Deductibles, Member Misrepresentations.

Review CPT and DX codes. Work faxes received by Providers (clinicals). DME,

HOME HEALTH, HOME HOSPICE AND INPATIENT HOSPICE, MENTAL HEALTH, MATERNITY,

IN AND OUT PATIENT, HEALTH HELP, ANSWER HIGH VOLUME PHONES, REVIEW POLICIES

AND BENEFITS

Med\Surg Unit Secretary-PRN

May 2012 to present

River Parishes Hospital Laplace, LA

Entering\faxing orders, consults, creating\breaking down charts, answering

switchboard phones, bringing patients items upon request, assisting nursing

staff, transcribing

Revenue Cycle Rep III-EPIC

August 2011 - present

Ochsner Clinic Foundation Benson Towers

Healthcare Services-Authorizations and Referrals, scanning, answering

phones, updating\verifying benefits and demographics, denials, peer

training

Patient Registration Rep III

October 2010 - July 2011

Ochsner Baton Rouge, LA

Healthcare Services

data entry of patient demographics and insurance information, verification

of insurance and authorizations, get appropriate paper work filled out by

patients, check patients in, collect copays, balance all monies at the days

end, peer training and interviewing, patient satisfaction committee, cpr

certified

Coding & Billing/Registration/Scheduling/Collections

September 2006 - August 2010

Claiborne & Associates New Orleans, LA

filing, pulling and prepping of charts

front desk (checking in patients, answering phones, data entry, referrals,

verified medical benefits)

back desk (checking out patients, collecting co-pays and phone payments,

making follow-up appointments, filing documents in charts, confirmation

calls, rescheduling appointments for doctors time off, selling cosmetic

products, kept track of cosmetic inventory, ordered supplies and products,

data entry, keyed in charges and verified doctors notes, used derm-coder

for proper coding of fees, printed and balanced batches at the end of each

day, daily deposits)

helped out in nurses department when needed (faxing and noting re-fill

authorizations)

Registration/Scheduling/Collections/Coding

November 2005 - September 2006

Crescent City Physicians New Orleans, LA

filing, pulling and prepping of charts

front desk (checking in patients, answering phones, data entry, referrals,

verified medical benefits, confirmation calls, collecting co-pays,

deductibles and co-insurance fees)

back desk (checking out patients, making follow-up appointments, filing

documents in charts, rescheduling appointments for doctors time off, data

entry, verified doctors notes and charges)

collected and distributed mail and messages

greeted and directed visitors

Assistant Underwriter

March 2005 - August 2005

Dan Burghardt Insurance Metairie, LA

accepted or rejected applications

specified applicable endorsements and applied rating to ensure safe and

profitable distribution of risks

notified customers when service was completed and accepted payments

issued temporary identification cards

answered customer's calls, mail and in-person inquiries and directed

customers to appropriate sales area

resolved customer complaints and requests for insurance policies

typed checks and vouchers requesting payment of premiums

reviewed notification from insurance companies of lapse in premiums paid by

customers

ordered payment of premiums and notified customers of delinquency in

premiums

arranged for renewal, transfer or cancellation of insurance coverage

recorded dates of insurance expiration and cancellation, using computer

cancelled insurance policies as requested by agents

received computer printout of cancellation data and retrieved expiration

card from file

checked number on card with number of policy

typed cancellation correspondence and mailed with canceled policy to

policyholder

mailed cancellation notice to agent

analyzed original copy and operated electronic scanner

typed on scanner keyboard and touched mouse to symbols on scanner's video

display unit to input software

Surgery Data Entry Clerk\Scheduler\Coder

May 2004 - November 2004

Omega Hospital Metairie, LA

completed and faxed daily surgery schedule to all Physician's and

departments of hospital

answered phones and scheduled surgeries

inputted all supplies used in surgery in computer and printed itemized

bills

transported specimens to lab

Admit Representative

August 2002 - April 2004

Methodist Hospital New Orleans, LA

notified departments of patient admissions

performed a variety of clerical duties and other duties pertinent to

establishment

interviewed patients and representatives to obtain personal information

explained hospital regulations, such as visiting hours, payment of accounts

and schedule of charges

escorted patients or arranged for escort to assigned room and ward

entered patient admitting information into computer and routed printed copy

to designated department

obtained signed statement from patient to protect hospital interests

received payments on accounts

verified hospitalization insurance coverage, computed patients' benefits

and compiled itemized hospital bills

telephoned, wrote and wired insurance companies to verify patients'

coverage and to obtain information concerning extent of benfits

answered patients' questions regarding statements and insurance coverage

Head Cashier-Supervisor

January 2000 - July 2002

The Home Depot New Orleans, LA

determined work procedures, prepared work schedules and expedited work flow

issued written and oral instructions

assigned duties and examined work for exactness, neatness, and conformance

to policies and procedures

resolved customer and employee complaints

received cash from customers and employees in payment for goods and

services, and recorded amounts received

gave cash refunds

issued credit memorandums to customers for returned merchandise

operated cash register with peripheral electronic data processing

equipment, for bar coding

received cash, checks, and completed credit card transactions from

customers and employees

counted money to verify amounts and issued receipts for funds received

compared totals on cash register with amount of currency in register to

verify balances

successfully managed a front end with approximately 30 cashiers

Office Manager

January 1997 - December 1999

The Children's Heart Institute New Orleans, LA

performed a variety of clerical duties and other duties pertinent to

establishment

collected and distributed mail and messages

answered telephones, accounts payable and receivable

typed memos, correspondence, reports, and other documents

operated office machines, such as typewriter, calculator and computer

scheduled appointments, verified insurance, authorizations, gave

information to callers, took dictations and otherwise relieved officials of

clerical work and minor administrative business details, ordered all office

and medical supplies

filed correspondence and other records

checked patients in and out, collected co-pays for services

data entry and billing, quick books, credentialing for doctor's

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EDUCATION

Herzing University Kenner, LA

Obtaining Associates in Medical Billing and Coding

2013 to current

John Ehret High School Marrero, LA

High School Diploma

Graduated May 1995

Completed the DECA Program.

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CERTIFICATION

CPR AND AED

May 2011-May 2013

AMERICAN HEART ASSOCIATION

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