Administrative Assistant Insurance

CINDY FUNDORA

**** ***** ****** ? Apt *C-S ?Bronx, NY 10467

Cell 201-***-**** E-Mail: *****.*******@*****.***[pic] Skills

. Type 50-55 WPM, Proficient in Microsoft word, Excel, Outlook,

PowerPoint and Access.

. Knowledgeable in medical terminology and all medical insurances.

. Proficient with Computer Science and billing systems like Advance Data

System (Medics Premier), Eagle, IDX, Oracle, Midas, Canopy and A2K.

. Knowledgeable of ICD9/CPT codes

. Proficient in the following telecommunication billing systems: Siebel,

Axys, Atlys, Telegence and Care. Troubleshooting systems: Web axe,

Snooper and Primus, and ordering systems including Cup, IBUS, POS,

IWOF, Compass and People soft and Novell GroupWise.

Experience

Dec 2013-June 2014 Westchester Medical Center

Valhalla, NY Administrative Assistant (Contractor)

* Assisted Case Manager with Appeals and Grievance

* Contacted all insurance companies for insurance verification

* Corresponded with all insurance companies for approvals and denials.

* Prepare correspondence for Clinicians to patients and insurance

carriers.

* Contact insurance companies for Determination letter

* Scan determination letter into Ecin

* Contacted IPro for decision letters.

* Contacted readmitted patients weekly for 30 days on recovering

process.

* Worked closely on special projects with the Director of Case

Management

* Emailed daily readmit and discharge reports to Case Management Nurses.

* Maintained a tracking list with Open and Closed out appeals.

* Coordinate administrative, secretarial and/or general office support

coverage.

* Obtained medical records for the Appeal process.

* File, organize and update medical records.

* Open, sort, prioritize and distribute incoming mail to providers. Also

pick up and deliver materials as required.

July 2007-May 2013 ST. Luke Roosevelt Hospital

New York, NY Administrative Assistant/Billing Coordinator

* Manage the day-to-day operations of the front desk.

* Performed processes such as completing pre-registration and insurance

eligibility verification for the new patients.

* Performed the task of Medical Billing Coordinator which is responsible

for billing insurance companies for patient psychiatric treatments

* Input encounter form information ( ICD9/CPT codes) into our billing

system (ADS) to bill insurance companies electronically

* Print and mail monthly billing statements to patients

* Inform patients of payment options and insurance coverage information

* Correct error in the denial reports from Medicare and Medicaid.

* Obtain referrals and insurance authorizations prior to the visit

* Advised patients of any pre-visit preparation that was required. Faxes

and/or emails confirmed appointment, and medical practice welcome

packet which may include directions to the facility, billing and

payment information, physician profile, pre-visit forms or

questionnaires, and any instructions or preparation (if any) required

for examination..

* Confirm patient appointments 1-2 days prior to appointment date. Use

IDX to make necessary appointment changes and generate patient letters

as needed to reflect and accurate schedule.

* Answered and screened a busy three line phone and direct calls to

proper parties and relay messages

* Typed routine correspondence, memos, reports, minutes and other

documents from dictation or handwritten copy. Proofread typed material

and make corrections, as needed.

* Maintained and ordered office supply inventory, business cards and

stationary through Oracle for the clinicians in the Faculty Practice

Plan.

* Accurately scheduled and maintained the daily schedule for all

clinical, academic and administrative responsibilities

* Arranged/organized meetings, conference calls for the Director and VP

of Dept of Psychiatry.

* Provided administrative support including filing, producing computer

documents with Word/Excel documents, and performing routine office

tasks.

* Maintained conference room schedule, coordinated and planned executive

events and meetings also responsible for staff lunches and events.

* Responsible for arranging both domestic and international meetings,

conference calls, travel, etc. Arranges and maintains travel schedule,

documents, and receipts for reimbursement on a timely basis.

* Prepare and process check requests, petty cash and travel expenses

reimbursements

* Prepared agenda, assembled materials, made necessary arrangements to

record proceedings of meetings and conferences.

* Initiates and follow up with human resources and payroll transactions.

* Generates biweekly payroll submission

* Keep track of Clinician's dictations, ensuring transcription is

returned from typing service in the time frame agreed upon, ensures

any dictation errors are corrected and signed by the Clinician before

they are placed in accordion folder for filing by medical records

clerk.

* Create Excel spreadsheets with the Clinician's monthly analysis.

* Make financial deposits to the Clinicians accounts

* Contact patients with access numbers and appointments for the

evaluations

* Administer bariatric testing for Psychological evaluations

* Maintain department archive/filing system (written materials, photos,

etc).

* Complete expense reports, payment requests and invoicing through

UniPort

* Schedule appointments for the bariatric patients follow up with

patient progress after surgery.

* Designator trainer as needed for temporary Data Entry Coordinators

* Travel daily between two hospital doing pick up's and drop off's as

well as made sure the Faculty Practice Rooms were well stocked and set

up comfortably for patients.

* Create and maintain the calendar for the Faculty Practice rooms

through Excel

* Supervise the representatives that credential the Clinicians.

* Complete all Worker's Compensation, No Fault, and Out of Work/School

letters. All forms are completed and signed by the Clinician in a

timely fashion.

* Develop, updates and/or revises informational flyers, brochures and

mailings.

February 2002- May 2007 Cingular Wireless

Paramus, NJ

National Business Services Representative

* Interfaced with business customers via telephone, e-mail, or

correspondence,

* Evaluated options, and offering customer-focused and cost-effective

solutions.

* Worked as floor support for the new hires training classes

* Provided expert service and supporting a variety of areas for multiple

markets/regions, including but not limited to billing, calling plan

analysis, equipment, roaming, features, wireless coverage, technical

troubleshooting, care account management(migrations, account splits,

attachments, activations)

* Schedule personal meeting with possible business customers for sale

representatives

* Dispute billing issues and explain our billing method with customers

* Decreased churn and worked with I Rated customers

* Explain potential Cingular wireless products to Customers

* Worked with specialty accounts such as GE and GlaxoSmithKline.

* Provided customer with technical issues such as Troubleshoot and set

up help desk tickets for the customers also doing follow up with

tickets

* Utilized mechanized systems to initiate and complete service orders

and handle customer requests

Education

2013- Present Ashford University

Major: Business Administration

Minor: Psychology

2002-2003 Westchester Community College

Major: Business Administration and Management

1996-2000 Bronx Borough High School

References upon request

Contact this candidate