Insurance Nurse Practitioner

LuTena M Snow

Email: ********@**************.***

Address:

City: Jacksonville

State: FL

Zip: 32216

Country: USA

Phone: 904-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Financial Counselor with experience supporting six physicians, one physicians assistant and one nurse practitioner in a busy hematology/ oncology office. Expertise includes verifying insurance coverage, meeting with new patients, assessing patient cost for treatment plan, resolved held claim issues, patient/ insurance liaison, and charge entry, maintained hospital charges for physician on call.

Educational Background:

High School Dipolma from Florida Community College of Jacksonville, Jacksonville FL 1/2001 to 12/1998 (Nursing)

Job History / Details:

Professional Summary

Financial Counselor with experience supporting six physicians in a busy hematology/ oncology office. Expertise includes verifying insurance coverage, meeting with new patients, assessing patient cost for treatment plan, resolved held claim issues, patient/ insurance liaison, and charge entry, maintained hospital charges.

Skill Highlights

ICD-9 coding

CPT and HCPCS coding

Hematology/ Oncology billing

Medical billing software

Electronic Medical Record (EMR) software

Office support (phones, faxing, filing)

Knowledge of HMOs, Medicare and Commercial Carriers

Billing and collection procedures expert

Extensive anatomy/physiology knowledge

Extensive medical terminology knowledge

Venipuncture/blood draw

Healthcare billing proficiency

Organizational skills

Patient and family advocacy

Critical thinking proficiency

Adaptive to changing environments

Large cash/check deposits

Excellent communication skills

Problem solver

Energetic work attitude

Quick learner

Professional Experience

May 2005 to April 2012

North Florida Hematology & Oncology Associates Jacksonville, Florida

Financial Counselor, Charge Entry

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.

Updated patient financial information to guarantee accuracy.

Prepared patient charts, including necessary test results, referrals, authorizations and correspondence from other physicians.

Confirmed patient information, collected copays and verified insurance.

Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

Posted charges, payments and adjustments.

Verified patients' eligibility and claims status with insurance agencies.

Accurately selected the proper descriptive code when more than one anatomical location was indicated.

Maintained strict patient and physician confidentiality.

Resourcefully used various coding books, procedure manuals and on-line encoders.

August 2004 to April 2005

Dr. Arnold Zeal (Chief of Neurosurgery Baptist Downtown, retired) Jacksonville, Florida

Front Desk, Check Out, Medical Records

Scheduled patient appointments, verified insurance, obtained referrals and records, collect payments, filed medical records.

August 2001 to July 2004

North Florida Hematology & Oncology Associates Jacksonville, Florida

Chart Auditor

Prepared patient charts for accuracy, referrals, test results, current insurance coverage, current HIPAA and demographics.

Evaluated patient charges daily to ensure accurate charge capture and billing.

Maintained monthly records on each departments number of errors. Recognizing repeat errors and implementing ways to reduce error rates.

Maintained monthly error rates on each physician. Recognizing repeat errors and implementing ways to reduce error rates.

Education and Training

1998 Florida Community College of Jacksonville Jacksonville, Florida

Associate of Science Nursing

Graduated the Associate Degree Nursing Program with Florida Community College of Jacksonville.

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