Unit Clerical Senior
Resume:
Virginia A Coleman
**************@*****.***
•OBJECTIVE
To obtain a Professional front desk position where I can utilize over 15+ years of Medical front desk / Health and Insurance.
QUALIFICATIONS SUMMARY EXPERIENCE
Delivering Excellent customer satisfaction, creating a welcoming environment, professional and courteous phone presents, along with patient scheduling management, patient registration, front desk check in/ check out, conduct administrative duties such as problem resolution and quality assurance, monitoring of referral, medical records, navigate, through electronic health record and multiple software programs, obtaining health Insurance authorizations, multi-tasking in a fast paced environment, written and oral communication/organizational skills, medical terminology, time management, strong sense of urgency, Microsoft Word and Excel, monitors the status of referral request, and facilitates process at each step of ensure patients secure referral appointment on a timely basis.
Advance Community Health/Apex Family Medicine
Patient Relations Representative, Apex, NC 05/2015 – 05/2017
• Patient Registration
• Open clinic for service
• Check patient in/out of clinic
• Retrieve and Approve billing
• Filling out refill request
• Make sure patients are HIPAA compliant
• Verified and update insurance
• Co-pays collection
• Scheduled or rescheduled patient appointments
• Total and batch at the end of the day, make bank deposit
• Monitor status of referral requests, facilitate process at each step to ensure patient secure referral appointments on a timely basis
Xerox-Silver Script, Medicare Drug Benefits
Clinical Pharmacy Technician, Raleigh, NC 01/2012 – 05/2015
• Authorizing member’s medication base on policies and procedure/guide lines.
• Explain Appeal process to member and medical staff
• Documenting all resolutions
• Verify medication rejection using Peoplesafe or AS400 along with MedHok, and Share Point.
• Make courtesy calls to members regarding decision of their medications
• Answer questions from providers on formulary, non-formulary and quantity exception
• All job duties have to maintain 100% accuracy
Wake Med Health and Hospitals
Patient Account Representative, Raleigh, NC 01/2007- 08/2010
• Completed patient registration
• Checked patients in/out
• Collected insurance co-pays
• Verified patient demographics and insurance information
• Scan and explained required documents for signature
UNC Healthcare
Clinical Business Associate, Durham, NC 0 02/05 to 10/06
• Opened clinic for service
• Check patient in/out of clinic
• Verified and update insurance
• Co-pays collection
• Scheduled or rescheduled patient appointments
• Schedule diagnostic test and appointments to other health facilities
• Total and batch at the end of the day
• Receive and distribution of faxes and copies, along with corresponding to faxes
• Calls for repairs to office machine
• Ordering office supplies
• Retrieve clinic’s voicemails routed or return calls
• Coordinated clinical lunches with drug Reps.
Rex Hospital
Clinical Business Associate, Raleigh, NC 01/2004- 02/2005
• Admitted and register patients to healthcare facilities
• Verified and update patient’s geographical information
• Verified and update insurance
• Informed patient of financial responsibility before arrival
• Ensured authorization and referrals have been met
EDUCATION:
High School Diploma,
Business office Assistant Certified
Notary Public of Wake County, NC (2007)
COMMUNITY INVOLVEMENT
Community Home and Hospice, providing resources for organizations including Muscular Dystrophy Association, Habitat for Humanity, Triangle Food Pantry.
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