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Insurance Medical

Location:
Freetown, Massachusetts, 02702, United States
Posted:
August 30, 2017

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*** ***** **** ****** 978-***-**** (mobile)

Assonet, Massachusetts 02702 ac120s@r.postjobfree.com (e-Mail)

Hope Morris-Ferreira

Skills in: Money skills and account reconciliation

Knowledge of CPT and ICD-9 codes

Medical Terminology

Versed in referral, precertification and authorization process with insurance companies

Microsoft: Windows, Word, Excel, PowerPoint and Works

Medical Programs: EPIC/Hyperspace, Powerchart/Champs and Medics Elite software (ADS system)

Electronic Medical Records and HIPPA regulations

Crisis Prevention and Intervention, Positive Behavior Supports

Basic First Aid & CPR certified

Managerial Background

Employment: Community Connections, Inc (9/2010 – 5/2017)

Fall River, Massachusetts

Case Manager

Formulate program goals and modify as necessary and train direct care staff

Attend team meetings

Work as a member of the Interdisiplinary Team

Coordinate service with therapists (speech, occupational, physical, behavior, autism) as

necessary

Conduct yearly skills assessments

Request PT-1 (transportation) via MassHealth

Individual account management

Children’s Hospital Boston (8/2004-7/2010)

Boston, MA

Administrative Associate, IV

Prepare daily E & M (evaluate & manage) billing sheets for surgical inpatients

Reviews inpatient notes for billing accuracy and enter charges accordingly

Orientate rotating medical students onto the surgical service

Schedule surgical procedures, appointments and coordinate testing ordered by physician

Front desk coverage – answer phones, verifying insurance, assure paperwork is complete,

collect co-payments and reconciliation

Rosen-Hoffberg Rehabilitation and Pain Management Associates (8/2002-6/2004)

Towson, Maryland

Utilization Coordinator

Verify patient’s insurance coverage/limits (for mental health and physical therapy)

Coordinate patient’s referrals/authorizations and obtain pre-certification as required

Obtain pre-authorization for medication

Schedule patient appointments

Support Mental Health Department administratively

Assist with medical patients as needed (vital signs/processing)

Front desk coverage – answer phones, verifying insurance, assure paperwork is complete,

collect co-payments and reconciliation

Kennedy-Donovan Center (1/2002-5/2002)

New Bedford, Massachusetts

Home Support Coordinator

Manage care given to physically handicapped adults living within the community

Complete all corresponding case file paperwork

Verify proper placement (permanent and respite)

Education: Rhode Island College

Providence, Rhode Island

Bachelors of Art in Psychology and Communications

Bristol Community College

Fall River, Massachusetts

Associates of Science in Human Services (honors)



Contact this candidate