administrative support, clerical
Resume:
Roslyn Parker
Houston, TX 77041
Cell: 716-***-****
E-Mail: *************@*****.***
Professional Summary
Administrative Assistant with ten plus years of billing and coding, patient charting, insurance claims and appointment scheduling in a busy medical office setting.
Skills
Types 50WPM
Billing and collection procedures
ICD-10 (International Classification of Disease Systems)
Billing and collection procedures
Records management
Familiar with commercial and private insurance carriers
Excellent problem solver
Excellent verbal communication
Medical terminology
Records management
Hospital inpatient and outpatient records
Outpatient surgery coding
Patient referrals
Insurance and collections procedures
Understands insurance benefits
Composed and professional demeanor
Resourceful and reliable worker
Adept multi-tasker
Work History
September 1999 to September 2013
Roswell Park Cancer Institute Buffalo, NY
Administrative Support, Clerical
Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
Precisely completed appropriate claims paperwork, documentation and system entry.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Professionally and courteously verified appointment times with patients.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Verified patients' eligibility and claims status with insurance agencies.
Entered orders into the EMR system efficiently and without errors.
Prepared patient charts accurately and neatly for the clinic.
Diligently filed and followed up on third party claims.
Prepared patient charts, pre-admissions and consent forms as necessary.
Compiled necessary documents for surgical billing packages.
Assigned appropriate medical codes with a number percent accuracy rate.
Determined prior authorizations for medication and outpatient procedures.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Coordinated luncheons with Pharmaceutical Representatives.
Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
Researched questions and concerns from providers and provided detailed responses.
Accurately selected the proper descriptive code when more than one anatomical location was indicated.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Initiated, performed and documented quarterly coding audits for physicians.
Expertly transcribed medical reports for a variety of physicians in a hospital setting.
Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Accurately posted and sent out all medical claims.
Submitted electronic/paper claims documentation for timely filing.
Precisely evaluated and verified benefits and eligibility.
Responded to correspondence from insurance companies.
Posted and adjusted payments from insurance companies. .
Identified and resolved patient billing and payment issues.
Maintained and updated collections tracking spreadsheet to help organize payment information.
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable. .
Updated patient financial information to guarantee accuracy.
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Created detailed expense reports and requests for capital expenditures.
Education
1980 Bennett High School Buffalo, NY
High School Diploma Secretarial Science
Office Administration coursework
1982 Bryant & Stratton College Buffalo, NY
Associate of Applied Science Business Administration
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