Medical Manager
Resume:
Dawn Lawrence
Email: ********@**************.***
Address:
City: Sierra Vista
State: AZ
Zip: 85635
Country: USA
Phone: 520-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Skilled [ data entry] with experience in the [medical] industry. Familiar with [Practice Manager, Praxis and Perfectcare].
Educational Background:
High School Dipolma from Cochise College, Sierra Vista AZ 1/2001 to 5/2011 (Computers)
Job History / Details:
Professional Profile
Skilled [ data entry] with experience in the [medical] industry. Familiar with [Practice Manager, Praxis and Perfectcare].
Qualifications
Quick learner
Microsoft Office
File/records maintenance
Medical terms
CPT codes
Credit and Collections
Data management
Contract negotiation/review/drafting
ICD-9
Customer service
Relevant Experience
Operations
Collaborated with [doctor and office staff] to ensure smooth work flow and efficient organization operations.
Accountable for all operations of busy office, including [patient flow and verifying insurances, getting copays.
Patient Charting
Retrieved and re-filed patient charts in proper sequence to maintain organization and up-to-date paperwork information.
Administration
Answered multiple phone lines, transferred calls to corresponding departments, filed patient records and billed accordingly.
Scheduling
Corresponded with patients through phone, fax, email and in person to schedule appointments and answer inquiries.
Data Preparation
Prepared medical records packets for insurance reviews of procedures and fees/services justification.
Experience
January 2011 to Current
Cochise ENT Sierra Vista, AZ
Medical Data Entry
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Professionally and courteously verified appointment times with patients.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Confirmed patient information, collected copays and verified insurance.
June 2010 to October 2010
Ralpha Medical Sierra Vista, AZ
Medical office clerk
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Precisely completed appropriate claims paperwork, documentation and system entry.
Professionally and courteously verified appointment times with patients.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Coordinated luncheons with Pharmaceutical Representatives.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Confirmed patient information, collected copays and verified insurance.
Completed appeals and filed and submitted claims.
Posted charges, payments and adjustments.
Applied payments, adjustments and denials into medical manager system.
November 2000 to June 2010
Dr. Dregseth Sierra Vista, AZ
Medical office clerk/billing
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
Carefully prepared, reviewed and submitted patient statements.
Submitted refund requests for claims paid in error.
Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Verified patients' eligibility and claims status with insurance agencies.
Prepared patient charts accurately and neatly for the clinic.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Precisely completed appropriate claims paperwork, documentation and system entry.
Professionally and courteously verified appointment times with patients.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Education
2011 Cochise College Sierra Vista, AZ
AGS Computers
1982 Cambridge High School Cambridge, MN
High School Diploma General
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