Elizabeth Pike
Allenstown, NH 03275
actaxv@r.postjobfree.com
Professional Summary: Elizabeth is an experienced health care professional with other 15 + years of experience working in various settings. She has a wealth of knowledge pertaining to Medicare, Medicaid, billing / coding, prior authorizations, re-certifications, and physician referrals. She possesses excellent communication skills, effectively communicating with physicians, patients, and various allied health professionals. She is proficient working with various computer applications with data entry speeds at 100 wpm. Elizabeth is seeking a challenging role with a growing organization where years of extensive knowledge and experience will be fully utilized.
Professional Experience:
Elliot Health System
December 2001 – Present
Intake Representative / Elliot OMS Center
January 2012 – Present
Acts as a representative in all areas of clerical support for the department
Assumes responsibility for all facets of telephone operations, including greeting patients over the phone, answering phones queries, scheduling appointments, answering patient’s questions about physician referrals, hospital resources, billing inquiries and community resources
Performing general clerical and other duties as assigned in accordance with JCAHO, NCQA, and government standards, as well as policies and procedures of the hospital
Assist in all areas of customer service, back up for front desk duties, and insurance verification
Set up accounts for new patients
Assist with billing and coding of outpatient and/or inpatient accounts
Assists patient and staff with billing inquiries, charitable care information, and general inquiries
Gather insurance information for Medical and Dental accounts for appropriate sequence of billing accounts
Customer Service Representative/Triage Technician
September 2009 – August 2011
Acts as a representative in all areas of clerical support for the department
Assumes responsibility for all facets of telephone operations, including greeting patients over the phone, answering phones queries, scheduling appointments, answering patient’s questions about physician referrals, hospital resources, and community resources
Performing general clerical and other duties as assigned in accordance with JCAHO, NCQA, and government standards, as well as policies and procedures of the hospital
Answer phone lines for the Visiting Nurse Association during after hours
Answering the telephone for homecare, hospice, and Home Medical calls for patients or family members requiring immediate nursing intervention or equipment assistance
Paging out appropriate doctors or covering providers during the afterhours
Assisting third shift nurse with telephone calls from mental health patients, sick and elderly patients, and general community calls during the night
Assisted with payroll before Kronos was implemented
Assisted with a JCAHO project which entailed proper usage of the Consent for Treatment form and Universal Protocol usage during procedures
Patient Service Representative - Clinical Assistant, Manchester, NH
January 2004 – September 2009
Acts as a representative in all areas of clerical support
Assumes responsibility for all facets of front desk operations, including greeting and registering patients, answering phones, scheduling appointments, entering patient charges, insurance information and demographics
Retrieving and updating medical records, collecting fees and performing general clerical and other duties as assigned in accordance with JCAHO, NCQA, and government standards, as well as policies and procedures of the Physician's Practice Solutions
Schedules referral appointments for patients as well as forward all pertinent data to referral doctors and process insurance information relevant to the specific referral
Acts as primary billing person in office by processing nursing home and hospital visits made by MDs and ARNPs
Setting up marketing tables at various local events promoting the Senior Health Center as well as sitting on various committees within the Hospital environment
Medical Transcriptionist, Manchester, NH
December 2001 – January 2004
Transcribes medical record reports including physician progress notes, dictation by other staff members as needed, Medicare certifications, and recertification
Performs audits, studies or other Quality Management as needed
Participates in Treatment Team as a recorder of information discussed through concurrent typing of information into the computerized treatment plan
Generations Geriatric Mental Health, Manchester, NH
Medical Transcriptionist – part-time
August 2002 – September 2003
Transcribe psychiatric evaluations, office visits, neuropsychological reports, and general correspondence
Concord Orthopedics, Concord, NH
Medical Transcriptionist
October 2000 – December 2001
Orthopedic transcription for 18 orthopedic doctors
Monadnock Community Hospital, Peterborough, NH
Medical Transcriptionist
October 1999 – October 2000
In-house medical transcription in an acute care hospital setting
Typed emergency room reports, operative reports, autopsy reports, OB/GYN reports, admission and discharge summaries, neurology, and neuropsychology reports
Education:
Ultimate Medical Academy, Medical Billing and Coding Diploma – Orlando, FL
The Sawyer School, Business Administration Certificate – Warwick, RI