Saint Clair Shores, MI firstname.lastname@example.org 586-***-****
Utilization Review Specialist
Br Bal K Gupta MD PC Chief OF Psychiatry St John Macomb Hospital - Warren, MI May 2004 to Present
Getting authorizations for inpatient admissions, MRI and CT Scans, ECT (electro conversion therapy) outpatient office services. Verifying insurances copays and deductibles. Status claims and reprocessing claims that have been rejected. Appeals for denied claims. Entering patient data and insurances in correct order, sending out notices for patients to coordinate their benefits, verifying correct payer for primary, secondary. Contacting insurance representatives for billing errors or nonpayment and/or insurance issues that cannot be resolved through normal channels. Billing physicians inpatient billing. Answering patient’s questions regarding billing. Verifying Medicaid, Medicare and other insurances. Scheduling appointments, answering phones. Verifying insurances in and out of network. Familiar with Epic system.
Bon Secours Health System
May 2000 to May 2003
Scheduling appointments, collecting copays and deductibles, answering phones, filing. entering patient’s data and insurance information, checking patient's in and out of office.
Somerset OB/GYN - Troy, MI
September 2000 to December 2002
Answering phones, entering patient’s data and insurance's. Filing. scheduling appointments, prepared charts for next business day. Confirmed appointments, canceling and rescheduling appointments, greeted patients, checking patient's in and out
Med Match - Troy, MI
April 1999 to September 2000
Answering phones, filing, greeting clients, preparing charts for the next day. Scheduling appointments
Detroit Orthopedics Associates-Detroit, MI
October 1999 to December 1999
Scheduling appointments, answering phones, entering patient’s data, filing charts and documents
Concentra - Warren, MI
March 1997 to November 1999
Prepared charts, answering phones, took injured patients to exam rooms, checked patient's in and out. Scheduling appointments for physical therapy and return appointments. Administered urine drug screens. Filing documents into charts.
St John Hospital and Medical Center - Detroit, MI
September 1990 to December 1996
Transcribed doctor's orders, answered phones filed documents to charts, prepared charts for new patient's discharged patient's, answered questions from family. Order labs, x-rays, consults.
Assisted Doctors, nurses, medical assistants when needed.
Certificate in Medical Billing
Macomb County Community College
February 2003 to April 2004
Medical Billing Certificate