Nitza Menendez
*** * ***** ****** #** New York, NY, 10040
acw85i@r.postjobfree.com
PROFESSIONAL EXPERIENCE
Medical Assistant /Front Desk Receptionist/Authorization Specialist
NJ Rehab and Pain Management Bronx, NY June, 2015-Present
Use coded data to produce and submit claims to insurance companies
Verify patients’ insurance coverage and identify Pre/ authorizations necessary
Responsible for working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
Responsible for Chart prep and billing for all satellite locations
Evaluated patient records for suitability, completeness, and correctness of health data
Prepared, keyed in, edited, and proofread health check records
Prep all injections prior to administered, make sure the fluoroscopy room is accessible and sterilized for every injectable candidate
Assist physician and patient care in other satellite locations twice per week
Interviewed patients with the aim of completing forms, documents and case histories
Act as a liaison and a team member with all other Staff, Administration, Pharmaceutical, Representative and Insurance carriers
Recorded data electronically for collection, storage, analysis, recovery, and reporting
Knowledgeable with ICD-9 and 10 coding
Keep track with any changes in the schedule, confirm upcoming appointments, guidelines and protocols to ensure the schedule runs efficiently
New York Orthopaedic New York, NY May, 2006- March, 2015
Surgical coordinator
Surgical scheduling specialties of the Shoulder, Elbow, Hip, Knee,Foot, Ankle, Hand, Total Replacements, Trauma cases and All Spine procedures
Act as a liaison between patient, physician, internal and external staff members
Schedule surgical cases in a timely manner and pre-operative tests, scheduled Post-op’, pre-certify surgeries, diagnostic exam and prescriptions, facilitate patient in rehabilitation center
Work as a team member with all other staffs, administration, Representative, Vendors, and patient-support teams, set up patient’s with pre-op educator and arrange private nurse
Answering high volume calls, take complete and accurate messages, follow-up on messages, ensure prompt delivery or message to the appropriate party
Counsel patients pre-operatively regarding their potential financial obligation
Verify insurance coverage prior to surgery, knowledge
Discuss pre-operative instructions with the patient and schedules all appropriate pre-operative test as directed by physicians, anesthesia and medical center
Coordinate all business and clinical paperwork prior to surgery, using physicians approved forms and check list
Schedule and maintain operating room in a timely manner, according to department guidelines and physician scheduling protocols, ensured operating room schedule is accurate and OR time is utilized
Informed the representative (Vendor) by calling or emailing to ensure the proper DME is available
Keep physicians and appropriate staff informed regarding available OR time and/or any changes to their OR schedule
Genzyme Genetics New York, NY February, 2001-April, 2005
Client Information Representative/Reimbursement coordinator
Heavy volume data entry, consisting of medical terminology, ICD coding
Responsible for notifying internal departments of discrepancies that may interfere with the delay of the patient’s specimen’s process
Handle bill type requirements (e.g. private insurance, Medicare, Medicaid)
Notified Accession department the amount of cases received
F. Camacho M.D. & M. Ramirez M.D. Bronx, NY April, 2000 -February, 2001
Medical Assistant / Phlebotomist/ Front Desk Receptionist
Act as liaison between hospitals and managed care facilities
Check in and check out patients, collect co-payments
Check vital signs, EKG’s, administered IV, draw blood run specimen through Cell Dyn machine for accurate results prior to administered chemotherapy treatment
Account inquiries, transaction and daily postings and responsible for ordering DME
Harold Grushkin M.D. New York, NY June, 1990 – April, 2006
Medical Assistant/Phlebotomist/ Front Desk Receptionist
Handled ICD-9 coding, manual & electronic billing, typing, filing
Check in and checkout patients, collect co-payments, take a summary of patients history note in chart prior to seeing physician
Check vital signs, EKG’s, Phlebotomist
Handled ICD-9 coding, manual & electronic billing, typing, filing
Account inquiries, transaction and daily postings and responsible for ordering DME
EDUCATION
Monroe College Bronx, NY April, 1999 – May, 2001 Associate Degree in Office Technology
Specialization: Medical track
Allen Schwartz School of Nursing New York, NY February, 1995 – May, 1997
Certified Phlebotomist/Medical Assistant /HCFA
TRAINING
HIPPA Training, Billing Compliance, Sexual harassment, Culture of Service, Fire safety
Nominated for Several Perfect Attendance and Excellent Customer Service Awards
SKILLS
Bilingual: Spanish/English
Strong interpersonal & communication skills, work great under pressure & as a team player
Proficient in Microsoft office
Knowledge of all major Healthcare Insurances, Workers Compensation and No-Fault
Knowledgeable of ICD- 9 and 10 coding
Medical Software: MPV, ADS, IDX programs, Power Path/GAP, Cell Dyn 1700 (NY State control machine), Envoy, Ezclaim, maintenance & impulse software, OR Manager, iNYP, WestPROD14-2 Allscripts SCM, CROWN, CROWN Scan Live, Webcis, EMR, CERNER, PMP,Powerchart