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Medical Administrative Assistant & Medical Biller

Location:
United States
Posted:
October 06, 2016

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Resume:

NAIRA POGHOSYAN

** ******* ***. *********, ** ***34 347-***-**** (C)

acwxx0@r.postjobfree.com (email)

Country of Citizenship: US Citizen

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OBJECTIVE: To obtain and manage a challenging position based on my education, experience and knowledge.

Summary: Dedicated Medical Billing and Coding Specialist committed to implementing comprehensively organized billing and documentation policies. Adept at the analysis and interpretation of medical documentation, coordinating with medical providers to ensure care, and preparing and submitting claims to insurance companies. Specialize in auditing medical accounts and verifying medical documents. Goal oriented, willing and able to learn new projects. Known for having excellent professional and interpersonal skills Able to face new challenges and responsibilities. Work Experience:

Leading Edge Radiation Oncology Brooklyn, NY 718-***-**** 10/2010-Present Administrative Assistant Medical Services

• Process insurance claims forms, assign medical codes, Operate databases and medical billing software.

• Experienced billing for Radiation Oncology & Pet Scan.

• Current on HIPPA regulations, proper use of ICD-10, CPT and HCPCS codes, Receive and complete medical claim forms.

• Answer inquiries from doctors, patients and insurance companies, collect medical information such diagnosis, prognosis and dates of treatment from patient record.

• Understand insurance guidelines including Medicare and other government, private, self- insurance, and managed-care plans

• Knowledgeable in medical terminology, schedule appointments and bill patients, compile and record medical charts, reports and correspondence.

• Office manager, evaluated candidates applied for front desk office positions and support services. Evaluated candidates for service and office maintenance positions.

• Served as a Bookkeeper, documented and managed receivables, bills, expenses.

• Managed patient files and tracked their payments, balance, insurance claim payments.

• Office manager, evaluated candidates applied for front desk office positions and support services. Evaluated candidates for service and office maintenance positions.

• Follow and implement security processes to security patient data. Confirm all security processes and procedure has been followed to prevent from compromising PII. Follow the established process for document and data retention. Update and provide advise to employee on proper procedures to prevent from PII loss.

• Consistently praised for efficient handling of administrative duties (e.g., answering phones, scheduling appointments, maintaining medical records, patient processing, billing and bookkeeping) that allowed doctors Radiation Therapists to focus on the health concerns of their patients.

• Efforts ensured compliance with HIPAA, CLIA and OSHA regulations; improved patient care/satisfaction; and lowered monthly overhead by 12%. Provided printed daily schedules for all physicians.

• Reacted calmly and effectively in emergency situations, and added the personal, caring touch that immediately put patients at ease.

NAIRA POGHOSYAN

41 Lincoln Ave. Keansburg, NJ 07734 347-***-**** (C) acwxx0@r.postjobfree.com (email)

Country of Citizenship: US Citizen

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• Incorporate an end-of-day practice of reviewing all medical coding for the day which reduced the number of coding errors by 30%.

• Answered busy phone lines with courtesy and sought to answer patient’s questions. When necessary, left detailed message for physicians and followed-up to insure patient’s concerns were addressed.

• Ordered office and medical supplies to insure stock was always adequate for clinic needs. Performed various clerical and administrative functions.

• Transmitted correspondence and medical records by fax, mail.

• Made prior authorizations and referrals through medical insurances, found out plan coverage and eligibilities.

• Provided customer service support and ascertained purpose of visit and directed them to the appropriate staff.

• Obligations include maintaining calendar, conference room schedules, employee information that supports recurring meetings, and information dissemination.

• Maintains control record of time sensitive matters.

• Provides reminders of important deadlines. Independently identifies, locates, compiles and organizes relevant background data for briefings. Organizes and files memorandum and correspondence.

• Participates in meetings to set priorities and deadlines in such areas as renovations, clinic redesign, new projects and procedures.

Aqua Health Rehabilitation Center Brooklyn, NY 02/2006-10/2010 Administrative Assistant Medical Services

• Answer customer billing inquiries, explain billing policies to patients, maintain patient records, produce income and statistical records

• Coordinate invoicing for 6 doctors, develop and implement billing policies and reocedures, prepare accounts records, maintain patient records

• Investigate customer complaints, submit insurance claim forms, ensure claims are entered and submitted within 48 hours of receipt, accurately apply payments to patient accounts.

• Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOG rejections, and other issues with outstanding accounts.

• Insure accuracy of insurance claims, verify correct IDC-10 and CPT codes for a variety of specialties, setup new patients account.

• Assign ICD-10 to physician’s diagnosis and insure correct level of service and various other CPT codes.

• Sent secondary claims upon processing of primary insurance, monthly processing of patient statements, follow up on insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions.

• Monitoring and controlling resources and overseeing the office cash flow. Providing information to supervisors, co-workers, and subordinates by telephone, in written form, email, and in person. Establishing long-range objectives and specifying the strategies and actions to achieve them. Answered phones, provided clinic-operating hours to callers.

• Verified insurance coverage for required procedures and assisted patients with alternative options to deal with lack of coverage. Greeted patients, obtained insurance information, took detailed notes about patient’s complaint. Entrusted to manage office in the supervisor’s absence. NAIRA POGHOSYAN

41 Lincoln Ave. Keansburg, NJ 07734 347-***-**** (C) acwxx0@r.postjobfree.com (email)

Country of Citizenship: US Citizen

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• Provided timely, courteous and knowledgeable response to information requests; screened and transferred calls; and prepared official medical and insurance correspondence.

• Earned excellent marks on performance reviews, with citations for excellence in areas including work volume, accuracy and quality; ability to learn and master new concepts; positive work ethic; and commitment to providing unsurpassed medical services. High School #10 Yerevan, Armenia 09/1998-07/2003

Teacher of Civic Education

• Demonstrated ability to interact at developmentally appropriate levels with 9th, 10th grade.

• Participate actively in staff and weekly professional learning community meetings, collaborating with math teacher to incorporate linked science-math unit.

• Demonstrated ability to build positive relationships with high school students and parents, using developmentally appropriate activities and instructional strategies.

• Perform basic administrative duties such as recording attendance and organizing student portfolios; provide individual assistance to students, as needed. Junior Achievement of Armenia Yerevan, Armenia 09/1994-07/2001 Teacher of Applied Economics

• Implement multiple curricula including mathematics, incorporating Common Core Standards into lesson planning. Administer successful proactive classroom management plan with Make Your Day, demonstrating effective behavior management with 22 diverse students.

• Develop strong relationships and communication with parents from varied backgrounds through e- mail, face-to-face contact and phone communication. Participate actively in staff meetings to address community support.

• Planned and taught whole class and small group lessons periodically, facilitating guided math and economics groups. Assisted with interactive computer program to enhance math and economics curriculum utilizing technology competently and comfortably. Secondary School #10 Yerevan, Armenia 09/1990-07/1994 Teacher of Math

• Implement multiple curricula including mathematics, incorporating Common Core Standards into lesson planning. Demonstrated ability to interact at developmentally appropriate levels with 4th through 8th grade students.

• Develop strong relationships and communication with parents from varied backgrounds through e- mail, face-to-face contact and phone communication. Participate actively in staff meetings to address community support.

• Planned and taught whole class and small group lessons periodically, facilitating guided math groups. Assisted with interactive computer program to enhance math and economics curriculum utilizing technology competently and comfortably.

• Explained the rules and theories according to daily material. Enhance student engagement for learning math through maintaining collaborative learning classroom environment. EDUCATION:

02/2014-09/2014 KINGSBOROUGH COMMUNITY COLLEGE New York, NY MEDICAL BILLING AND CODING SPECIALIST

NAIRA POGHOSYAN

41 Lincoln Ave. Keansburg, NJ 07734 347-***-**** (C) acwxx0@r.postjobfree.com (email)

Country of Citizenship: US Citizen

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2008-2009 New York Paralegal School New York, NY

A Paralegal Diploma

1983-1988 Yerevan Polytechnic Institute, Yerevan, Armenia Master's Degree Engineering-System Technologist

Certification & Professional Organizations:

01/1998-02/1998 Academy for Educational Development, Washington D.C-Certificate for teaching: Civic Education in Secondary School and University. Los Angeles Portion of the Academy for Educational Development-Certified teacher for Applied Economics at High School.

SKILLS:

West Law and Lexis Nexus, Microsoft Office Multitask, self motivated, adaptable, flexible and dependable. leadership skills, goal-oriented. Fluent in English, Armenian and Russian. References available upon request



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