Renita McCray

**** **** ***. *

Texas City, TX **590

409-***-****

acs6u5@r.postjobfree.com

Professional Skills:

• EPIC electronic medical records.

• Insurance coverage changes and Medical Insurance billing Medicare and Medicaid specialty.

• Specializing in insurance verification on new and established patients.

• Registration of patient, accurate input of patient demographics.

• Knowledge of current procedural coding, and international classification of disease diagnosis.

• Perform detail follow-up on patient accounts, resolves outstanding account receivable accounts.

• Preform account reviews, adjustments, audits and appeals on accounts. Answered multi line phones, transferred, paged Dr’s through a P A system, conferenced calls.

Employment History:

Medical Office Administrator/Biller and Coder

(05-2014 to 07-2015) Gastroenterology – Arun Mukhopadhyay, M.D.,P.A. Houston, TX

• Registration of patient, accurate input of patient demographics.

• Specializing in insurance verification on new and established patients.

• Current procedural coding, and international classification of disease diagnosis coding.

• Detail follow-up on patient accounts, resolves outstanding account receivable accounts.

• Preform account reviews using age of account receivable report, audits patient accounts, appeals, and make adjustments on accounts.

• Collect patient and insurance payments and reconcile on a daily basis.

• Process and submit insurance billing/coding daily.

• Send patients statements regarding unpaid balance.

• Schedule patient appointments and procedures with established protocol

• Answers telephone professionally in a courteous manner, screen and record messages for physician, and other personnel

Patient Service Specialist II

(09/2010 - 01/2012) University of Texas Medical Branch, Galveston, TX

Coordinated clerical and medical activities for the healthcare team.

Excellent customer service creation of positive patient experience and patient care.

Registration of new and returning patients.

Provided peer guidance and leadership, able to effectively triage problems.

Worked effectively with the billing and coding team.

Understand clinic flow to maximize clinic usage to meet patient needs.

Verified eligibility, and pre-registered patients by obtaining patient demographics and third party insurance coverage(s) at every encounter. Applied the policies and procedures of the clinical entity to schedule appointments.

Obtained medical record documentation required for third party reimbursement.

Ensured compliance with Medicare, Medicaid and third party insurance carriers.

Communicated with patient, referral source, UTMB physician and clinical staff regarding obstacle created in the retrieval of authorization.

Coordinated financial counseling for day surgery and reminder calls to patients for scheduled appointments.

Educated patient or responsible parties of billing process and any additional financial responsibilities including third party benefits information. Provided out-of pocket cost estimates to patients.

Counseled patients about unpaid bills, obtains future appointments at time of service for clinic follow-up, referrals, and ancillary services.

Provided direct, professional, and knowledgeable interactions with patients, physicians, referral sources and the treatment team.

Answered telephone calls accurately and with exceptional customer service skills at all times, ensured caller’s needs were met and accurate information obtained. Ensured telephone calls were documented and triaged appropriately ensuring patient satisfaction and patient safety. Completed telephone encounters process if appropriate.

Acted as patient advocate and liaisons with various departments to meet mutual goals.

Maintained patient confidentiality regarding access to patient and other clinical information via email, computer, fax and mail.

Addressed concerns of patients, provided service recovery, and escalated issues as needed.

Fully disposition each patient within the designated timeline.

Patient Access Rep III

(11/2008 - 10/2009) Methodist Hospital, Houston, TX

Managed the daily activities of the admitting and registration of patients.

Retrieved missing patient demographic and signatures from in patients.

Answered high volume of incoming calls from doctor offices and clinics, pre-register patients, book patients for same day admission to hospital or surgical procedures.

Collected of appropriate payments at the time of service.

Maintain and manage the flow of patients to ensure excellent customer service.

Lead Patient Registration Coordinator

(11/1999 - 04/2008) River Oaks Imaging & Diagnostic, Houston, TX

Pre-Registered patients by obtaining patient demographics and insurance information by adherence to the established policies for scheduling of appointments of the clinical entity.

Verification of patient demographic and insurance, collection of appropriate payments at time of visit.

Arrives patient for each modality, prepares paperwork and chart for visit, dispositions each patient within designated time.

Answer incoming calls, excellent customer services in all interactions, and a positive working relationship.

Education

(1979 to 1982) Texas City High School, Texas City, TX, Diploma

Certificates:

ICD-10-CM Coding Workshop 2015

Mastering E/M Coding 2015

Transitioning to ICD-10-CM 2014

Coding & Medicare Update 2014

ICD-10-CM Coding Workshop 2014

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