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Medical Insurance

Location:
Clementon, NJ
Posted:
April 28, 2014

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Resume:

OBJECTIVE Seeking a position where my skills can be utilized within an organization

offering advancement opportunities.

PROFESSIONAL MD ANDERSON AT COOPER CANCER CENTER - CAMDEN, NJ (02/2007- 11/2013)

EXPERIENCE

PATIENT ACCESS SERVICE SPECIALIST

My position serves as the single point of contact with new

patients/established patients that are in need of care.

I receive and make the initial phone call and coordinate the consultation

appointment with the physician and receive clinical and demographic

information required for initial visit.

I am responsible for receiving and processing all incoming phone calls and

web requests from patients, families, and referral sources both

internal/external for all new patients, second opinions and transfers of care

for patients seeking to come to the Department of Hematology/Oncology...

Responsibilities includes: pre-registration, coordinating appointments for

new patients appointments for our facilities within the Tri-Sate New Jersey

specialty care sites.

Collecting registration information for new patients to be entered into IDX,

EPIC and working to coordinate appointments for patients before and/or after

their first visit.

Coordinate, review, and update insurance eligibility for primary, 2ndry and

3rd party insurance carries prior to visit.

Request all materials necessary for their initial appointment, including

outside imaging films, pathology slides, office dictation notes, operative

reports, and all other necessary medical records from outside facilities,

referring physicians, primary care physicians and patients via email, fax or

mail.

Review all medical records that are received internally/externally for the

new patient's first initial visit.

Ensure that are required medical records and documentation are in the

patients chart for the physician and clinical team to review prior to the

first initial consultation.

Serves as a liaison between patients, families, referring physicians,

referring hospitals and the financial counselor(s) and case managers.

CHILDRENS HOSPITAL OF PHILADELPHIA, VOORHEES,NJ (10/05 - 02/2007)

PATIENT ACCESS REPRESENTATIVE

My responsibilities are live/in person patient registrations via IDX,

validation of patient claims prior to billing ensuring accurate bills are

sent to carriers, and resulting in faster claims processing in order to

receive an expedient return of revenue.

Verifying patient demographic information.

Obtaining referrals via Primary Care Physicians. Ensuring that billing

information for facility and professional claims is complete and accurate.

Contacting external companies to verify medical coverage, and Automotive

Accident claims. Handle verification of 2nd, 3rd party liability insurance.

Review and ensure all registrations have 100% accuracy for insurance, plan

codes, and demographic information prior to billing claim to insurance

carrier.

Thorough knowledge of managed care protocols and procedures.

Verifying insurance and benefits via IDX, EPIC, NAVINET and WEBMD

Assist with the training of new employees within the department.

EDUCATION CAMDEN COUNTY COLLEGE - BUSINESS MANAGEMENT - BLACKWOOD, NJ (2008)

TECHNICAL Medical Software- IDX, EPIC, NAVINET, PASSPORT, SOFTPATH, IMAGECAST, NAVINET,

EXPERIENCE PASSPORT

Microsoft Word, Excel, Outlook, Access and PowerPoint.

Type 55 wpm, 10 key by touch.

Medical terminology and maintain files on personal computer.

1801 Huntingdon Mews Drive

#102

Clementon, NJ 08021

609-***-****

Email:

acdwii@r.postjobfree.com

LaJoyce D. Henderson



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