Medical Insurance

Dorothy DeRamus

**** * ******** **** * Millbrook, AL 36054 * 334-***-****

**********@*****.***

Education Autaugaville High School * August 1978- May 1984 Autaugaville, AL

High School Diploma

Trenholm State Technical * Aug 1985-Dec 1987 Montgomery, AL

EMT License

2005 to Present Montgomery Spine Center, P.C. Montgomery, AL

Surgical Coordinator/Medical Assistant/Front Desk

Receptionist

•Coordinate surgical scheduling for offsite locations

•Provides quotes for patient procedures.

•Provide preoperative education to patients.

•Schedule surgeries at Baptist South Hospital according to Dr. Holts' block time.

•Responsible for obtaining necessary insurance pre-authorizations for exams and surgeries by providing correct ICD10 and CPT Codes.

•File medical records.

•Refer patients to other physicians for consults.

•Assist Dr. Holt and LPN with putting patients in rooms, collecting personal and medical information to enter into EMR.

•Take patients weight, height, temperature and vital signs.

•Contact Imaging facilities to obtain MRI, CT Discs and reports.

•Scan new patient packets and pertinent information into patients EMR.

•Order X-rays for all post op patients.

•Assist with removal of surgical staples.

•Schedule office appointments for new and established patients.

•Verify medical coverage.

•Collect copays either by cash or using credit card machine

•Make follow up appointmens.

•Call to confirm office appointments.

•Obtain all Medicaid, Medicare Complete, TriCare Prime, Healhspring referrals before patients come into our office.

•Create patients charts.

•Responsible for closing out patients charge sheets/Medical encounter after each clinic by ensuring that the correct ICD10 and EM Code is assigned to patients account/visit.

1998-2005 Health Services Incorporated Montgomery, AL

Billing Clerk

•Collected delinquent accounts by establishing payment arrangements with patients.

• Followed up on unpaid claims within standard billing cycle time

frames.

• Had to maintain knowledge of insurance guidelines especially

Medicare and Medicaid

•Called insurance companies regarding any discrepancy in payments if necessary.

•Identified and billed secondary or tertiary insurances.

•Reviewed all accounts for insurance or patient follow up.

•Answered all patient or insurance telephone inquiries pertaining to assigned accounts.

•Reviewed patient bills for accuracy and completeness and obtain any missing information.

1985-1987 City Ambulance

Montgomery,AL Emergency Medical Technician

. Drove to the scene and provided basic life support to victims

before trsnsporting to hospital.

. Administered activated Charcoal, oral glucose and oxygen.

. Determined right course of treatment after evaluating the

patient.

. Provided medical aid such as CPR, applied C-Collars to prevent

spinal damage, controlled severe bleeding, Provided ventilation

to unconscious patients, bandaged wounds etc, to stabilize

patients condition.

. Restocked all supples in the ambulance and replaced used

blankets, linens and other supplies.

. Sterilized the ambulance interior if it was used to transport

a patient who had an infectious disesase.

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