Medical Receptionist-Medical Biller
Resume:
Ramona Henry-Semper
Bushkill, PA 18324
Cell 646-***-****
E-Mail: ***********@*****.***
Objective-Medical Biller
Professional Summary
*Many years proven track record in medical billing(PODIATRY)
*Analyzing claims situations and resolving problems
*Experience in managing multi tasking office procedures
*Preparation, monitoring, control, and forecasting of all office claims
EXPERIENCE:
Office Manager/Medical Biller 2011 2012
Foot Health Podiatry
Sorelis Jimenez D.P.M.,P.C Manhattan. N.Y. 10025
Office manager for 2 employees some of my tasks were:
Verification, authorization, certification of patients insurance and eligibility.
Scheduling surgical procedures with hospitals and surgery centers.
Pre-certification of MRI" orthotics, cam walkers, night splints, prescription medications,
diabetic shoes, for the following Insurance Companies.
United Health Care, Oxford, Empire Plan, Cigna, Blue Cross-Blue Shield, Aetna,G.H.I.,V.N.S.
Medicare also union insurance Magna Care, managed Medicaid.
Billing all of the above insurance companies---electronic
Billing patients,co-insurance,and utilizing C.P.T. and IDC-9 coding
Billing C.P.T. coding evaluation, management, surgeries and D.M.E diabetic shoes.
Preparation of patients charts,and super bills for next day/weeks
Making sure rooms are stacked with supplies needed and instruments are cleaned
Delegate office duties to employees, monitoring doctors schedules in office and surgeries.
Office Manager-Biller 2009 2011
Astoria Advanced Foot Care, Sunny side Family Foot Care, Grand Central Podiatry
Roger Hans D.P.M.,P.C.F.A.C.F.A.S Astoria,Sunny side,Manhattan, N.Y.
11102-11104-10017
As office manager for 3 offices, 2 Podiatrist, & 4 employees...some of my duties were
Verification, authorization, certification of patients insurance and eligibility.
Scheduling surgical procedures with hospitals and surgery centers.
Pre-certification of MRI" orthotics, cam walkers, night splints, prescription medications,
diabetic shoes, for the following Insurance Companies.
United Health Care, Oxford, Empire Plan, Cigna, Blue Cross-Blue Shield, Aetna,G.H.I,V.N.S
Medicare also union insurance Magna Care, managed Medicaid Hip Hertiage,Elder Plan, Fidelis,
Metro plus,and Neighborhood.
Billing all of the above insurance companies---electronic
Billing patients,co-insurance,and utilizing C.P.T. and IDC-9 coding
Billing C.P.T. coding evaluation, management, surgeries and D.M.E diabetic shoes.
Billing Workers Compensation, No Fault Insurance,and write off adjustments
Took X-rays of patients feet in preparation for doctor.
Preparation of patients charts,and super bills for next day/weeks
Making sure rooms are stacked with supplies needed and instruments are cleaned
Delegate office duties to employees, monitoring doctors schedules in office and surgeries.
Office Manager/Receptionist 2008 2009
Lewis D.P.M.,P.C Bronx, N.Y. 10475
As A Manager I coordinate aspects of daily operations;
Verification, authorization, certification of patients insurance and eligibility.
Scheduling surgical procedures with hospitals and surgery centers.
C.P.T. coding evaluation and monitoring, for the following Insurance Companies;
United Health Care,Empire Plan,Cigna,Blue Cross-Blue Shield, Aetna, and Medicare.
All local & union insurance, also managed medicaid..
Development of X-rays taken by doctor
Preparation of patients charts,and super bills for next day/weeks
Making sure rooms are stacked with supplies needed and instruments are cleaned
Office Manager/Medical Biller 2001 2007
Central Park Foot Rehabilitation Associates Yonkers, N.Y.10710
As office manager of 3 Podiatrist and 3 employees, coordination of daily operation:
Verification, authorization, certification of patients insurance and eligibility.
Scheduling surgical procedures with hospitals and surgery centers.
Pre-authorization of all surgical procedures with insurance companies
Billing all of participating insurance companies...electronic
Billing patients,co-insurance,and utilizing C.P.T. and IDC-9 coding
Billing C.P.T. coding evaluation, management, surgeries and D.M.E. diabetic shoes.
Billing Workers Compensation, No Fault Insurance,and write off adjustments
Preparation of patients charts,and super bills for next day/weeks
Office Manager/Medical Biller/Receptionist 1991 2001
Sanford M. Green,D.P.M.,P.C Manhattan, N.Y.10023
Verification, authorization, certification of patients insurance and eligibility.
Scheduling surgical procedures with hospitals and surgery centers.
Pre-authorization of all surgical procedures with insurance companies
Assisted with surgical procedures
Operative reports on surgical procedures
Development of X-rays taken by doctor
Preparation of patients charts,and super bills for next day/weeks
Making sure rooms are stacked with supplies needed and instruments are cleaned
Billing all of participating insurance companies...electronic
Billing Medicaid on paper
Billing patients,co-insurance,and utilizing C.P.T.and IDC-9 coding
Billing C.P.T. coding evaluation, management, and surgeries.
Medical Receptionist 1989 1991
Jeffrey Schoeburn, D.P.M.,P.C Manhattan, N.Y.10021
Responsible for general office duties
Answering phone,faxing,office deposit,collecting office co-payments etc
EDUCATION:
St. Croix Central High School..U.S.V.I.
University of the Virgin Islands..U.S.V.I.
Albert Merrill School for Computer Learning..New York 1990-1991
Vocational Trade School
PROFESSIONAL REFERENCE AVAILABLE UPON REQUEST
SALARY:$15-18
SKILLS:PAPER & ELECTRONIC BILLING
SOFTWARE:SAMMY(PODIATRY)
MICROSOFT VERSIONS 10-11-14
E-CLINICAL WORKS
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