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Insurance Documentation Specialist/ Patient Care Coordinator

Location:
Rochester, NH
Posted:
May 01, 2017

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Resume:

To Whom it May Concern:

I am an experienced professional in the medical field with a strong background working in different areas of both the health and dental field. I am also working towards my Bachelor of Science.

I have attached my résumé to provide a summary of my qualifications and history for your review.

As an effective team member, I will provide:

Over 15 years experience

Maturity; honesty; ability to view challenges as opportunities

Efficiency; reliability; attention to detail

Quickly identify needs and the ability to problem solve

Work in accordance with budget

Assurance of compliance with federal and state regulations

Delivery of high quality patient, client and customer care

With excellent organizational and communication skills, outstanding work ethic, and the ability to work well in both team-oriented and self-directed environments. I would welcome an opportunity to discuss my qualifications and possible candidacy in further detail. Thank you for your time and consideration.

Janice Baita

Administration Professional

CAPABILITIES SUMMARY

15 years of experience in all different aspects of health care. Level headed, no-nonsense professional proficient in anticipating needs as well as peaceful resolution of client and insurance issues.

Professional Experience

Richard Farina, DMD Rochester NH 2013- present

Patient Care Representative

Verifying patient information & schedule appointments

Patient Accounts Receivables & Insurance Accounts Receivables

Manage contracts with insurance companies

Primary Biller, handling all insurance and patient billing

Handle treatment plans and help patients maximize their insurance benefits

Handle employee benefits such as medical, dental, retirement and vacation time.

Dental Expressions, Laconia NH 2012-2014

Office Manager

Payroll

Insurance A/R & Patient A/R

Primary Biller, handling all insurance and patient billing.

Backing up front desk, Checking patients in and out, scheduling appointments

Handling handbook, policies etc.

Manage contracts with insurance companies

White Birch Oral Surgery, Dover NH 2010-2012

Patient Care Coordinator/Billing Specialist

Patient appointment scheduling and check-in

Break down and clarify treatment estimates with patients based on insurance coverage

Primary Biller, handling all insurance billing which includes but is not limited to:

oFollow-up on denials, appeals, and payments

oManage contracts with multiple insurance companies.

Great Bay Oral Surgery, Somersworth NH 2007-2010

Patient Care Advocate/Billing Specialist

Patient appointment check in and out

Provided estimates for upcoming surgeries

Handled insurance company denials

Accounts receivables reports

Garrison Women’s Health Center, Dover NH 2006-2007

Medical Office Assistant

Patient appointment check in and out

Verified patient personal information

Validated patient insurance information

General office duties

Answered medical insurance questions

Handled patient charts

Operated switchboard

The Chickering Group, Bedford NH 2004-2006

Customer Service Representative ( Call Center)

Direct phone contact with members and providers; explained insurance benefits and claim processing

Adhered to productivity requirements

Performed general office duties

Physicians Resources, Amherst NH 2003-2004

Medical Billing Professional

Customer service with doctors and patients

Billed claims out to insurances companies

Handled appeals

Clarified medical benefit details

Verified bill payment

Made good use of my ability to put the process in plain words

General office duties included taking phone calls, faxing and copying

Excellent computer skills were required and utilized

Education & Certifications

Certificate in Medical Terminology 12/02

Certificate in Health Care Concepts 11/02

Certificate in Medical Coding 03/02

Certificate in Medical Billing 05/02

Currently working towards a Bachelor of Science in Information Technologies



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