Medical Office

LaDonna Rose

**** ***** ****** **** *** Park, IL. 60302

Phone: 708-***-**** Email: ********@*****.***

Summary of Qualifications

Over ten years of administrative experience with the ability to work effectively both independently and within cross-functional teams interacting with all levels, accustomed to handling high-volume medical practices, knowledge of patient billing, accounting and insurance verifications. Experience with insurance policies, claims, coverage and status, medical office experience and patient scheduling. Microsoft Word, Outlook Adobe/HP Scanning, MISYS, Care Connection, Real-Med, All Scripts, 10,000 numeric keystrokes, telephone switchboard experience, PHS/STAR, EPIC, NDAS, EMEDEON, Kaero/HER, Nextiva, knowledge of HIPAA laws and protocol. Recently completed medical coding certificate course gaining skills such as medical terminology, CPT, ICD-9 coding guidelines, reimbursements, reading and listening skills, diplomatic and tactful with communication, analytical and evaluation skills.

Professional Experience

2014-2015

Front Desk Coordinator II, Medical Access Group Westchester, IL

Processed requests from claims adjusters and U.S. Department of Labor for workman’s compensation claims

Implemented two (2) issue based patient filing systems

Completed dictation and corrections as required for patient files

Maintained medication inventory and dispense to patient as necessary

2011-2012

Pre-Registration Clerk, Addison Search Resurrection Hospital (St. Joseph) Chicago, IL

Handled inquiries, patient intake and registered patients for hospital services

Contacted patients for appointment reminders and to obtain information regarding

Entered and verified patient demographics and billing information correctly at time of check in

Processed encounters daily for and balance to co-payments

2004-2010

Insurance Verification Specialist Front Desk Receptionist The Woman’s Group of Northwestern Chicago, IL

Greeted patients and visitors, opened and closed of office, balanced and closed out registers following protocol

Obtained information from policyholders to verify accuracy and completeness of information in MISYS (In-house computer system)

Completed financial reporting for day-end

Responded to patient’s questions and needs by editing, canceling and re-scheduling appointments as necessary according to clinic protocols

Screened and routed patient calls efficiently ensuring accurate registration, appointment scheduling and follow-up appointment scheduling into database

Educated patients about financial responsibility for services provided

Resolved issues related to insurance payment plans, scheduling and disputes

Maintained assigned doctors’ daily schedule and faxed over weekly schedule and verified all lab charges have been posted into Misys

Completed insurance verifications for new patients regarding new coverage and communicated insurances benefits with patients by phone or e-mail

OB patients: re-verify maternity coverage at their 5th and 8th month of pregnancy and also conducted pre-certifications of OB deliveries.

Completed pre-certifications when required for (in office procedures, and multiple hospital inpatient procedures)

Assisted medical records dept with chart binding, filing and new chart preparation following HIPPA guidelines

2003-2004

Medical Biller/Receptionist, The Illinois Orthopedic and Hand Center Chicago, IL

Greeted patients and visitors, opened and closed of office, balanced and closed out registers following protocol

Obtained information from policyholders to verify the accuracy and completeness of information

Received payments and reported amount to update customer’s account and prepared statements for billing department

Generated and kept records of collection and statuses of accounts and completed financial reporting for day-end figures

Respond to patient’s questions and needs by editing, canceling and re-scheduling appointments as necessary according to clinic protocols

Maintained and ordered office supplies

Screened and routed patient calls to ensure accurate registration, appointment scheduling and follow-up appointment scheduling into database

Office Manager/ Receptionist Pamela R. Reynolds: DDS Chicago, IL 2001 - 2003

Senior Payment Process Administrator TransAmerica Distribution Finance: Hoffman Estates, IL 1996 - 2001

Education

Accretive Health: Chicago, IL

Completion: Medical Coding Program

8/2013

Columbia College: Chicago, IL

Major: Radio Broadcasting Minor: Psychology

Austin High School, Chicago, IL

High School Diploma

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