Data Entry Health Care
Resume:
ROSHNI M. PATEL
Burlington, MA 01803
ad5rxz@r.postjobfree.com
Objective
Seeking a position in the Health care & Accounting environment bringing the following experience, skills, and attributes:
Extensive experience working in medical office settings with the general public and directly with clinicians in fast paced high volume environments and Laboratory. Hardworking with excellent customer service, office support skills including but not limited to medical terminology, insurance verification, client services, and data entry. Fluent in English, Hindi and Gujarati.
Windows 2007, MS Work, MS Excel, Antek, Mediteck, Oracle, Lotus & Epic
Work Experience
Change Health Care, Atlanta Georgia 02/2021 – Present
Patient Benefit Advocate
Responsible for the open mail for W/C & MVA
Scanning Media Management & Resolve denied claim
Tuft Health Plan, Watertown, MA 06/2019 – 4/2020
Complex Claims Process
Responsible for the timely and accurate processing of claim inventory
Using analytical and problem solving skills
Fully research and resolve all complex issues and problem codes for each claim
Performs related duties as assigned
Partners Healthcare Somerville, ma 02/2018 – 07/03/2018
Third Party Reviewer
Analysis/review of open balances for MVA/Workers Compensation Account until resolution
Detection/correction of account and billing information.
Collection of medical record information when needed.
Maintenance of outsourced accounts to vendors.
Identify procedural, system, or other issues as they occur and communicate details to department supervisor or manager.
Maintain records utilizing ‘shared file area’ or other mechanisms as appropriate.
Boston Clinical Lab Waltham, Ma 11/2016 – 01/2018
Billing & Collection
Responsible for the timely submission and payment of claims.
Responsible for the coordination of collection activity and rebilling for specific patient receivables, ensuring timely claims submission and resolution of all patients? Accounts in the assigned receivable.
Responds to third-party inquiries and reports.
Completes contractual adjustment report and posts adjustments to patient accounts as appropriate.
American Red Cross, Dedham, MA 09/2013 – 11/2016
Lab Assistant
Prepares blood components, including but not limited to red blood cells, fresh frozen plasma, and platelet concentrates, and recovered plasma. Prepares products and performs quality control checks on equipment.
Releases frozen plasma for fractionation including but not limited to reviewing of all necessary paperwork, accurately placing labels, and computer verification of labeled products.
Ensures that productivity standards are met.
Maintains neat records and a clean orderly work area.
Recognizes and reports discrepant conditions to supervisor.
Follows established departmental and personnel policies.
Ensures compliance with state and federal regulations, National Red Cross Blood Services Directives (BSD’s), American Association of Blood Banks (AABB) standards, and New England Region policies and procedures
Lab USA, Inc., Haverhill, MA 6/2008-10/2013
Lab Coordinator/Medical Biller-Coder,
Obtains verification of all patient demographics for the clinical lab
Responsible for the receiving and processing Laboratory specimens & requisition.
Enter Requisitions data into the data base, Label centrifuge @ all quote all specimens
Maintain Laboratory logs of test as required & accordance with generally accepted practices.
Responsible for all functions required by the outside laboratories and assures proper collection of information for billing purposes when necessary. Performs all paperwork, technical & non-technical procedures required to process & submit specimens.
Awarded 2009 Employee of the Year
Millipore Corporate, Billerica, MA 11/2005-3/2008
Credit Collections & A/R Department
Maintained files for Bankruptcy, Bank & Trade Reference, Tax Exemption certificates. Posted manually Canadian Credit transactions and cash applications requested by Specialists via Lotus notes. Responsible for document proofreading for Customer Credit and utilized Mark View Scanners for all pertinent paperwork for commercial and personal accounts.
Sales & Marketing Assistant, Millipore, Billerica, MA
. Found creative solutions for issues, tracked and identified trends to eliminate similar problems for a more efficient department.
Worked at a high level of efficiency to maintain and prepare files as needed. Provided quality administrative support to individuals or for the member group.
Lahey Clinic, Burlington & Peabody, 5/1996-7/2004
3rd Party Medical Account Representative,
Daily Interfaced with patients, providers and office staff while accurately and in a timely manner entered in Patient billing information to various departments.
Worked with Meditech and IDX systems for the creation of external and internal invoices.
Verified insurances, updated medical records, prepared patient information for physicians.
Provided general office support including phones, data entry and scheduler.
EDUCATION
Greater Lowell Vocational Technical School, Tyngsboro, MA
Certificate in Medical Assistant, September 1995-April 1996
Middlesex Community College, Bedford, MA.
Associate Science Degree in Business Administration-Accounting, May 2001
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