PATRICIA ANTHONY

**** **** ******, *** *

Chicago, IL. 60623

Cell: 773-***-****

Email: yvezyo@r.postjobfree.com; yvezyo@r.postjobfree.com

OBJECTIVE: To obtain a staff coordinator position in the medical industry that will utilize my knowledge, skills, and leadership abilities.

SKILLS: Strengths are:

• Excellent Organizational Skills

• Strong Customer Relations Skills

• Computer Proficiency: Cycare, MegaWest, GE Centricity, Microsoft Office, PrintShop,

• Condell, Misys Homecare, Carenet, STAT. Fast Track, Ecare, CMS, UB-O4, IDX, Flowcast

• FISS,NEBO,Meditech

• Data Entry

• Word Processing and Typing

• Filing

• Training in Flowcast

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER OB/GYN FACULTY (KELLY SERVICES)

Patient Service Representative 5/10/2010 TO 9/19/2010

• Responsible for scheduling patient’s appointments

• Data entry New Patient in IDX

• Update patient’s demographic information as needed

• Answered phones and greeting patients

• Send packets to new patients

• Call Patients to confirmed Doctor’s appointment

• Assist other team members to ensure the highest levels of services to our patients

• Verify all insurance information with patients

• Outpatient Registration

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ADVOCATE HOME HEALTH CARE, OAKBROOK, IL (KELLY SERVICES) 2008-2009

EXPERIENCE: Financial Screening

• Responsible for verifying insurance eligibility for Medicare, Medicaid and all Insurance recipients.

• Verify all Commercial and Non Commercial Insurances via phone and/or various online

Applications

• Obtain required pre-certifications to ensure accurate authorizations for patient care.

• Perform extensive data entry of all information retrieved from insurance companies or patients.

• Update patient’s demographic Information as needed.

• Assist other team members to ensure the highest levels of services to our patients.

• Obtain information for in network or out of network benefits for Patients

• Answered phones when needed

• Run reports on different Insurances to see why Insurances are not paying us

• Data Entry all referrals in STAT

LAWNDALE CHRISTIAN HEALTH CENTER 1996 - 2008

Medical Billing / Coder 2001 – 2008

• Post Medicare, Medicaid, Commercial & Non Commercial charges.

• Maintain and update patient database with ICD-9 codes.

• Identify and assign accurate ICD and CPT/HCPCS codes following policies/procedures

• Knowledge of medical Terminology

• Provide appropriate customer service for all Lawndale patients and staff.

• Responsible for verifying insurance eligibility for patients.

• Post hospital charges and clinic payments.

• Coordinate verification of unpaid and unbilled claims.

• Serve as a resource for new staff, peers, and other members of the Billing team.

• Provide training of the GE Centricity system to members of billing team to ensure accurate verification of insurance and procedures for production of itemized bills.

• Ensured compliance with the standards, laws, and regulations as promulgated by regulatory and accredting organzations such as BPHC, JCAHO, CLIA, OSHA, and State/Federal Government.

Front Office Clerk 1998 - 2001

• Maintained the purchasing and storage of inventory and non-inventory items.

• Assisted providers with day-to-day office duties that included making outside referral appointments for non-HMO patients.

• Ensured effective and efficient operations by providing assistance to the Providers and to the Director of Patient Accounting.

• Maintained and updated lead database system.

• Coordinated with Department of Public Health to ensure home inspection of patients with high lead exposure.

• Coordinated and maintained time sheets for medical assistants.

• Ensured hospitals received dues from Lawndale Providers.

• Ensured reimbursement for Provider’s CME’s.

• Provided training of the Cycare system to receptionists to ensure accurate data entry of new patient and appointment information.

• Performed additional responsiblities as registration rep as needed.

• Ensured compliance with the standards, laws, and regulations as promulgated by regulatory and accredting organzations such as BPHC, JCAHO, CLIA, OSHA, and State/Federal Government.

Medical Records Clerk 1996 - 1998

• Retrieved and filed medical records, EKG, X-RAY, hospital reports, letters and miscellaneous reports as requested.

• Ensured that all appointment charts had been processed for the next day.

• Maintained appropriate level of supplies and other materials as needed.

• Maintained confidentiality of all current and former patient medical records as required by the clinic policy and governing laws.

• Maintained Neighborhood Referral Program (NRP) for Cook County Patients as requested.

• Ensured compliance with the standards, laws, and regulations as promulgated by regulatory and accredting organzations such as BPHC, JCAHO, CLIA, OSHA, and State/Federal Government.

EDUCATION: Morton College, Cicero, IL General Education Diploma (G.E.D.) 1999

LAC International Associates Health Care Administration 2011

REFERENCES: Furnished on request.

CERTIFICATES OF COMPLETION AND TRAINING:

• Customer Care Workshop 2004

• Patient Confidentiality 2001

• Telephone Training Session 2001

• Fire & Safety 2001

• Infection Control 2001

• Waste Management 2001

• Equipment Management 2001

• Ergonomics 2001

• Age Specific 2001

• Emergency Preparedness 2001

• Golden Touch Award for posting 100,000 tickets w/ rate error below 0.1%

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