Medical Biller, Administrator, A/R Specialist

Rachel Gracia

818-***-**** *********@***.***

PROFESSIONAL EXPERIENCE

Jay Gross, MD, P.C, Santa Monica, CA

Administrator, Surgery Scheduling, Medical Billing

**/** *******

Responsibilities:

• Supervision of patient scheduling, registration, data entry and processing

Promoting excellent customer service

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Interview and train a productive medical office staff

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Schedule out patient procedures at contracted medical facilities

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Obtain authorizations for all upcoming appointments and procedures including to retinal

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specialists when necessary.

Daily Financial Reconciliation Reports

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Monthly A/R Reports

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Review and process insurance claims

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Post all patient and insurance payments to accounts

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Attend yearly ophthalmology courses to keep updated on all changes including ICD 10

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and EHR incentives.

Nancy Wang, MD Inc., Santa Monica, CA

Medical Billing / Surgery Scheduling 6/05 09/10

Responsibilities:

• Generate insurance claims with proper CPT and ICD 9 codes on paper HCFA 1500 and

electronic submission

• Responsible for applying payment to patient accounts

• Research and resolve incorrect payments, EOB rejections, and other issues pertaining to

outstanding accounts

• Generate monthly and yearly A/R reports and send statements to patients for payment

• Evaluate medical records and charge tickets to ensure completeness, accuracy, and

compliance to optimize reimbursement

• Make all office check deposits and reconcile weekly cashbox

• Schedule all outpatient procedures with hospitals and surgery centers

• Arrange all pre and post op appointments

• Obtain necessary documents and authorizations for all patient procedures

• Attend yearly ophthalmic coding seminars to stay current with any coding and regulation

changes

• Established office procedures for new practice and train all front desk staff

Santa Monica Eye Medical Group, Santa Monica, CA

4/01 5/05

Surgery Scheduling / Administration

Responsibilities:

• Coordinated and scheduled surgical procedures for four ophthalmologists

Prepared patient charts and line up for day of procedure

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Developed relationships with hospital personnel to facilitate surgical schedule /

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emergency procedures

Performed preliminary workup for all patients

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Maintained patient records and scheduled all follow up appointments

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Reconciled all daily accounts

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Executed visual field tests on required patients

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Hawthorn Medical Associates, New Bedford, MA 5/00 3/01

Assistant to Dr. Roland Chan, Internal Medicine & Rheumatology

Responsibilities:

• Scheduled patient appointments for follow ups and procedures

• Acquired insurance authorization for Synvisc and Remicade treatments

• Responsible for maintaining all patient charts

• Handled all doctor authorizations for patient prescriptions and refills

• Managed doctor’s day to day schedule

Primary Care Specialist (Dr. Frank Bone / Dr. William McCurdy), Orlando, FL 6/99 12/99

Front Desk / Administration

Responsibilities:

• Scheduled patient appointments

• Facilitated referrals to specialists

• Maintained patient charts

• Answered phones and general administration duties

EDUCATION

Bristol Community College, Fall River, Massachusetts

Associates Degree – Office Administration

SKILLS

Microsoft Office, Management Plus, Medical Transcription, Ophthalmic Coding Specialist Exam 2007

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