Data Entry Front Office

Shantara Gotell

**** ***** **** # *** ********, GA 30144

Phone: 678-***-**** Email: **********@*****.*** Medical Front Office

KEY SKILLS

Ability to communicate with various members of the healthcare team.

Computer/data entry experience; Proficient in EPIC electronic medical record system.

Effective communication skills (both written and verbal), attention to detail, self- directed and a positive attitude.

Effective problem solving and critical thinking skills.

Working knowledge of patient registration systems. PROFESSIONAL EXPERIENCE

WellStar Health System (Marietta, GA) Pre-Certification & Surgery Scheduler, 02/15 to present

Assist physician’s and office staff with scheduling procedures for surgery.

Contact the appropriate specialist office to get clearance for patient to have surgery.

Obtaining Pre-Authorization for outpatient testing, outpatient diagnostic and medications.

Consistent review of payer authorization policies to ensure all procedures are authorized in a timely manner.

Prepare patient estimates.

Contact patient to schedule surgery.

Collect appropriate copayment, deductibles, or coinsurance fees.

Utilize various departmental tools and appropriate reports to identify and trend any on-going issues with payers and physician practice processes resulting in fatal denials; resolve issues that arise during the prior authorizations process. Cobb & Douglas Board of Health (Marietta, GA) Clerical Services Worker, 6/13 to 02/15

Assure WIC records are pulled and filed accurately to reduce fraud and abuse in the WIC program.

Check client information through VHN Mitchell & McCormick patient system.

Creates client charts and labels.

Follows district and WIC procedures regarding retention and purging of client records from off-site storage facility.

Maintain guidelines of WIC Procedures Manual, HIPAA and CDPH Service Standards related to Medical Records.

WellPoint (Atlanta, GA) Patient Education Coordinator, 03/11 to 07/12

Contact members via automatic dialer.

Discuss preventative health care services they are eligible for.

Update member record, change PCP, discuss benefits, schedule SW and NCM consults.

Atlanta Vascular Specialists (Atlanta, GA) Medical Assistant, 3/08 to 12/09

Answer multi telephone line, operate fax/ copier machine, and utilize PC to enter and retrieve data.

Assist RN with vital signs, prep for procedures, drawing blood, and obtaining specimens, sterile and non-sterile dressing changes, and patient and family education.

Manage front desk in areas of manual and computerized scheduling, billing and insurance records management-including major carriers and Medicaid.

Schedule patient appointments, collecting/processing patient’s copayments.

Submit claim status for payments and verify insurance.

Transcribe office visit notes, op notes, and reports. Teletech (Hampton, VA) Customer Service Coordinator, 05/06 to 06/07

Adjusting bills, collect payments, issue service orders and exchanging programming.

Resolve customers’ service or billing complaints. Affiliated Computer Services (Kennesaw, GA) Provider Relations Rep, 04/04 to 12/05

Assist members and providers to change PCP’s on member’s accounts, check insurance claim status and issue referrals.

Verify member eligibility, dental service limits, Medicare, Medicaid, and Peach Care for Kids copayments.

Scan HCFA documents into computer system and separate forms into batches.

Key in required data from documents into electronic claim forms and submit claims for processing.

Kaiser Permanente (Atlanta, GA) Customer Service Coordinator, 06/00 to 09/03

Assist technologist with exam preparation and supplies.

Check in patients for appointments; schedule follow up appointments.

Input orders for IDXRAD system, loan and check out Radiology films, and order lab work and x-rays.

EDUCATION

Chattahoochee Tech (Marietta, GA) ~Accounting Diploma, 12/2013 Everest Institute (Atlanta, GA) ~ Medical Assistant Diploma, 2008 Benjamin E. Mays High (Atlanta, GA) ~ Vocational Diploma, 1998

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