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Medical Assistant Customer Service

Location:
New York, New York, United States
Salary:
38,000
Posted:
October 26, 2016

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Nitza Menendez

*** * ***** ****** #** New York, NY, 10040

347-***-****

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



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