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Medical Administrative Assistant

Location:
Fort Lauderdale, FL
Posted:
December 04, 2012

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Resume:

Betty Salcedo

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

Address:

City: Plantation

State: FL

Zip: 33324

Country: USA

Phone: 954-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Administrative Assistant/Medical Receptionist/Medical Biller experienced at registering patients, scheduling appointments, posting charges and payments, verifying insurance coverage, Enters orders and information quickly and accurately. Enthusiastic and dedicated work ethic. Strong attention to detail and knowledge of medical terminology. Highly efficient with experience in Radiology, general front desk duties as a Patient Service Representative. Multi-tasker and demonstrated team player with a positive attitude.

Educational Background:

High School Dipolma from Jacqueline Kennedy Onassis High School, New York NY 1/2001 to 6/1998 (International Business)

Job History / Details:

Professional Summary

Administrative Assistant/Medical Receptionist/Medical Biller experienced at registering patients, scheduling appointments, posting charges and payments, verifying insurance coverage, Enters orders and information quickly and accurately. Enthusiastic and dedicated work ethic. Strong attention to detail and knowledge of medical terminology. Highly efficient with experience in Radiology, general front desk duties as a Patient Service Representative. Multi-tasker and demonstrated team player with a positive attitude.

Professional Experience

July 2011 to July 2012

Manhattan Diagnostic Radiology New York, NY

Medical Receptionist/Coder

Coded and posted charges for CT Scans, MRI'S, Ultrasounds and Biopsies for the patients that just had their exams.

Collected payments/co-payments, also collected the super bills/encounters for each patient that were seen and scanned it in their account.

Registered patients, entered or updated patient demographics or insurance information.

Scheduled appointments, answered phones, general front desk duties.

When needed covered the other 2 locations and assisted the front desk checking in patients for their exam and answered phones.

January 2008 to July 2011

PET Imaging Institute of South Florida Hollywood, FL

Billing & Collections Specialist/Insurance Verification

Prepared and submitted clean claims to various insurance companies electronically or by paper.

Coded, posted charges and posted payments from Insurance carriers and patients.

Made any adjustments to a patients account if necessary.

Worked on the A/R collections for accounts with unpaid claims within 30, 60, 90, 120 days old.

Called the insurance carrier and checked on the status of these claims and resolved any issues, or submitted an appeal.

Called different insurance carriers to verify eligibility and benefits for the PET/CT scan for every patient that is on the schedule for the next day.

If a patient's insurance required an authorization/pre-certification, called to confirm if there is an authorization/pre-certification number on file, or depending on the insurance carrier confirmed if there was a Referral on file for the scan.

Notified patient's of any financial responsibility they may have prior to the scan such as deductible, co-payment or any previous balance on their account from previous studies.

If needed assisted the front desk by answering phones, scheduled appointments, checked in patients for their appointment, checked out the patient after the scan and collected any co-payments or deductibles.

Go over the next day's schedule and prepared the charts for those patient's. Requested Requisition Forms or Signed Orders along with any medical records pertaining to the patient's diagnosis from the referring Doctor's office.

If there were any patient's that needed to be registered through the National Oncologic Pet Registry I would obtain the completed NOPR forms from the referring Doctor's office and submitted via the Web prior to the patient's appointment.

Confirmed patient's appointments and provided them with the preparation instructions for the scan or answered any questions they may have pertaining to the scan. Also assisted the Technologist if they needed a translator for a Spanish speaking patient.

10/2004 to 12/2007

Manhattan Diagnostic Radiology New York, NY

Medical Receptionist/Patient Coordinator

Coordinated CT Angiography procedures, CT's, MRI's, PET CT's or Nuclear Studies with patients or referring physician's office.

Confirmed appointments and reviewed preparation instructions for the exam, also asked medical history questions prior to the exam.

Called in prescriptions to pharmacies when necessary.

Verified patient's benefits for the procedures from third party insurance companies.

If needed confirmed pre-certifications before the exam.

Discussed financial obligations such as co-pays, deductibles with the patient.

Greeted patients, answered phones, posted charges, entered and updated patient's demographics, prepared charts and light filing.

10/2001 to 07/2002

Dr. Eli F. Lizza New York, NY

Medical Biller/Receptionist

General office duties, answered phones, ordered medical and office supplies, maintained office files and patient records.

Scheduled surgeries, pre-certified surgeries and procedures.

Billed claims for the office visits, procedures and surgeries.

Gave pre-operative information to the patients.

Posted payments from insurance carriers, updated patient's account.

Verified patient's insurance coverage and retrieved referrals from certain HMO Insurances.

Skill Highlights

Bilingual (Spanish), fluent reading and writing

Knowledge of HMOs, Medicare, commercial insurance

ICD-9 coding

CPT coding

Eligibility determination

Ms Word, Excel, Outlook

Intergy

Touch Chart

Prime Suite

Medical Manager

Availity

ERA Manager

Type 50 wpm

Education and Training

6/1998 Jacqueline Kennedy Onassis High School New York, NY

GED International Business



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