Amanda Krise

Margate, FL *****

ad00av@r.postjobfree.com• 941-***-****

Summary: Dedicated, Compassionate Medical Receptionist with 8 years’ experience. Out-going Friendly Personality that adapts well to my surroundings. Ability to coordinate with medical providers as well as my team members to optimize delays with patients’ appointments and scheduling. Maintain a calm demeanor when in stressful situations, as well as professionalism and empathy when dealing with patients in demanding situations.

Qualifications: HIPAA regulations Multi-Provider Primary Specialists office multi-tasker Hardworking Analytical Person Adaptive Personality Organized Phone Etiquette Flexibility Time management Attention to detail EMR/HER Computer Savvy Team Player.

Experience: Windows Program Microsoft Office Medical Terminology Insurance Verification Authorizations Medical Records Scheduling CureMD Phressia G-Med Citrix eClinical Works Intergy EPIC Dentrix Viewpoint Availity UMR UHC EviCore NaviNet / Cigna HealthHelp/Cohere Quantum Health Meritain/Aetna TriCare East (BCBS out of state) Carelon My Practice Manager and AvMed.

GastroHealth Center /Dr. Prosper Abitbol, D.O. –

Procedure Scheduler/Prior Authorizations (12/2022 – 5/2023)

Handled administrative tasks for the provider and ARNP.

Efficiency Reviewed and scheduled patients accordingly for provider and ARNP.

Check-out patients who needed to be scheduled for procedures, radiology, or follow up appointments.

Informed patients of prep instructions for procedures.

Updated and verified pharmacy, PCP, Medications were up to date in chart

Requested medical records, referrals, and authorizations from Primary Care offices.

Maintained voicemails, emails, and/or encounters from providers and ARNP promptly

Confirmed procedures and follow-up appointments with patients 2-3 days prior.

Verified benefits/coverage, for All insurance types. Collected payments for self-pay procedures prior.

Obtain authorizations for upcoming procedures, diagnostic testing through online and third-party sites.

Followed up on pending authorizations through payer sites and third-party sites

Updated documents for Self-Pay pricing sheet, Procedure pricing, Procedure Information and Instructions on Prep, ROI Form, Insurance Authorization Sheet.

Florida Digestive Health Specialists –

Procedure Scheduler/Prior Authorizations (3/2022 – 10/2022)

Handled all administrative tasks and duties for the provider.

Reviewed the schedule for four Provider’s and three ARNP for maximum scheduling efficiency.

Check-out patients at the end of their visits and next step information.

Informed patients of prep instructions for colonoscopy, endoscopy, capsule.

Updated and verified all patient information and pharmacy, to ensure correct prep for insurance.

Requested medical records, referrals, and authorizations from Primary Care offices.

Checked voicemails, emails, and/or encounters from providers and patients promptly.

Scheduled and confirmed all procedures, diagnostic testing, and follow-up appointments with patients

Verified benefits/coverage, co-payments, deductibles, out of pocket costs for procedures

Obtain prior authorizations for upcoming procedures, diagnostic testing and office visits through online portals and third-party sites.

Followed up on pending authorizations through Availity, UHC, UMR, EviCore, NaviNet and Meritain.

Electronic faxes assigned to the correct Provider, MA, PA and to the patient’s chart.

Assisted Office Manager with creating/ updating documents for patients, Self-Pay price sheet, Procedure information, ROI Form, Authorization Sheet.

University Family Healthcare, P.A. –

Front Office Receptionist (7/2021 – 3/2022)

Welcomed patients, pharmaceutical reps, and other visitors to doctor's office.

Check-In, Check-Out patients in an accurate and timely manner.

Collect and post patients’ payment to their accounts. Balanced drawers for deposits

Called to reschedule No-Show’s and make appropriate notations in EHR.

Assists patients with completion of paperwork when necessary.

Answer, screen, and forward incoming phone calls to correct personnel

Obtained and relayed information and messages in a timely manner.

Checked server periodically for new faxes. Distribute faxes promptly

Effectively multitask while tracking several tasks and follow-ups to completion

Safeguard patient privacy and confidentiality

Accurately scanned all medical and other documents into patient’s EHR.

Dr. Joseph C. Millin Jr., M.D., D.O, -

Front Desk Receptionist (11/2020 – 07/2021)

Greeted everyone that came in with a smile.

Checked patients in-out, scheduling their follow up appointments

Collected Insurance card(s), co-payments, and un-paid balances.

Ensured reception area clean and tidy with all necessary stationery and material.

Received daily mail/deliveries. Medical Records Requests

Scheduled appointments for New Patients and established patients. Created and prepped charts

Verified all insurances to determine coverage and copays.

Handled HEDIS to ensure patients with Capitated insurance received accurate care and up to date with Annual Wellness. Scanned required documents, HIPAA, Medical Release forms, Emergency contact forms, financial policy forms.

Greenberg Dental & Orthodontics –

Schedule Coordinator (01/2020-08/2020)

Created a binder for 5 locations with New Patients Consults, Bracket Removals, Employee Contracts, Treatment, procedure forms, and Payment arrangement price sheets.

Submit Authorizations to patients’ insurance for treatment procedure and visits

Obtained, Verified Insurance and Benefits for Orthodontics treatment and procedures

Entered and updated patient HIPAA, Medical Release, and Emergency contact Information.

Regularly updated Contracts, Auto Debit forms, Bracket Removal/D.O. T Consent forms

Scanned Authorization Approval/Denial letters into Chart

Collected monthly, co-payments, and coinsurance prior to being seen.

Transferred delinquent/dismissed accounts to billing department

Medix Staffing Agency – (07/2019 - 11/2029)

Prior Authorizations Specialist- (10/2019-11/2019)

Performing Insurance Required Pre-Authorizations. Verifies insurance eligibility

Analyzed denials and submitted appeals to obtain approval from insurances

Secured patients' demographics and medical information using discretion to protect privacy.

Reviewed, requested, and verified presence of all supporting documentation.

Prioritized daily work in alignment with expiration deadlines or procedure dated.

Verified all patient information was accurate.

Explained fees and patient financial responsibility, and informed patients of existing balance due.

Used Epic, Athena, NextGen EHR system, Citrix Receiver software to Remote into companies EHR/EMR system to update patients chart notes.

Personal Relations Rep. ll (07/2019-10/2019)

Verified insurance benefits using Availity and Revenue Performance

Collected self-pay, Co-pays, Past-due/bad-debt balances and recorded in charts before seen.

Scanned new patients’ referrals, lab results, Genetic, paperwork into charts using IntergyEHR

Fax referring providers documents /Ultrasound reports from patients’ visits.

Scheduled and managed appointments and reduced no-shows by proactively confirming appointments.

Prepared charts and confirm patient appointment for next day.

Managed & scheduled new patient referrals for (EFW, NTUS, ECHO, Consult)

Scanned and filed patient information into medical records.

Answered incoming calls, sent to appropriate personnel, and checked voicemails daily

Entered, verified, and updated patient information into systems.

MaxHealth Primary/Urgent Care –

Medical Receptionist- Floater (04/2019-07/2019)

Greeted patients, vendors, and reps

Checked in/out-patients, scheduled any follow up visits

Scheduled all New / Established, Follow-up, Nurse/Sick visit, Physicals, Allergy/Flu or B-12 shots.

Updated HIPAA, Consent to Treat forms for 10 locations

Collect co-payments and past due balance prior to being seen

Promptly obtained office/policy procedures and requirements for 10 locations to be prepared.

Completed Clerical tasks, assisted patients with filling out paperwork, inquiries

keep the reception and waiting area and professional.

Faxed/Scanned all required documents into patients’ charts

Answered calls within 3-ring minimum to accurately assist Patients with their needs.

Sent refill requests to on-site Pharmacy with telephone encounter attached

Kept current with supervisor and Practice Managers for daily/weekly location coverage

Center for Ear, Nose & Throat –

Front Receptionist/Back Office (11/2015-03/2019)

Opened and Closed office, prepared exam & Surgery rooms with supplies and instruments turned on.

Welcomed patients, pharmaceutical reps, and other visitors.

Checked in, checked out patients, re-scheduled follow up and No-Show appointments

Prepared patient charts day before for appointments.

Escort patients to exam rooms, obtain vitals and medical history of patients.

Verified insurance eligibility, obtain authorizations, for patients Imaging Orders and Visits

Processed Medical Records requests

Performed routine clinical tasks, Handled all administrative duties in a timely manner.

Maintained clean Stocked exam rooms, discarded expired samples to re-stock with new samples.

Arranged Phone Conferences, Peer Reviews, IME’s, Second Opinions, Attorney Depositions and Consultations appointments, invoices, payment agreements and arrangements for Dr. Silkes.

Answered phones, entered clinical notes, updated demographics, patient’s medication list and RX

Mailed out reminder cards for patients 3 and 6month and yearly follow up appointment.

References provided upon request

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