EBONY INSURANCE SPECIALIST/WILLIAMS-MEDICAL ASSISTANT BINION SPECIALIST

CONTACT

901-***-****

ad16ib@r.postjobfree.com

PROFILE

Insurance specialist with 6+ years of experience. Strong background in effective customer service. Medical office administration of clerical staff. Assist with staff development. Ability to multi-task. Work effectively with a team. Work effectively independently. Possess comprehensive knowledge of Microsoft Office to include Word, Excel, PowerPoint, and Outlook. Enforce policy and contract compliance. Proficient in typing. Strong developmental skills with a focus on relationship/team building. Confident, hard-working, and committed while being self-motivated and enthusiastic.

SKILLS

ORGANIZATION SKILLS

LEADERSHIP SKILLS

TEAM BUILDING

DATA ENTRY

PROBLEM SOLVER

STRONG INTERPERSONAL AND

COMMUNICATION SKILLS

TIME MANAGEMENT

ATTENTION TO DETAIL

INSURANCE BILLING

STRONG ANALYTICAL MIND

ESD

RXHOME

EXPERIENCE

Cigna/Express Scripts- Sr. Eligibility Representative December 2013-present

Accurately verify insurance eligibility for patients to optimize reimbursement and customer satisfaction. Ensure daily administrative support for medical team. Generate discrepancy reports and ensured Quality Assurance compliance in preparation for audit for patient accounts. Maintain a vast understanding of HIPAA regulations. Serve as switchboard operator. Actively handle POS70 and DOD patients. Daily intake of new patient account for referral processing. Modify inquiries for payers and colleagues for accurate processing. Work to resolve billing related issues between insurance and co-payment assistance programs.

Excelsior Podiatry Clinic-Medical Assistant/Receptionist June 2013-November 2013

Assisted patients in developing useful health care plans that met their medical needs and our medical facilities. Daily office duties such as answering phones, faxing, and emailing. Advised new clinic hires on accurate office policies governing face to face interaction with all patients. Serve as a liaison between medical physicians and patients to ensure adequate daily health care needs are met. Scheduled medical appointments for patients. Collected insurance payments at the time of patient’s appointments. Accurately updated and recorded patient’s medical chart with each visit. Assisted physician with minor medical procedures. Successfully monitored records for medical transcribing, filing, and scanning. American Family Dentistry-Medical Office Assistant January 2013-March 2013

Switchboard and multi-line system operator. Collected insurance payments such as co- payments, deductibles, and co-insurances at patient appointments. Explained the process of insurance benefits and eligibility with patients and colleagues. Successfully checked in patients for doctor’s appointments. Maintained EMR system for filing, EDUCATION

Wooddale High School

2005

High School Diploma

Professional References Available Upon Request

EDUCATION

Remington College

2007

Medical Assistant Certification

Concorde Career College

2012

Medical Office Professional Certification

scanning, and office for patient tracking. Scheduled doctor’s appointments for new and current patients. Daily input of billing and coding for patient payment for medical services provided.

Comprehensive GYN- Medical Office Professional (Extern) November 2012-January 2013

Successfully checked in patients for doctor’s appointments. Answered multi-lines to schedule patient appointments. Collected insurance co-payments, full-service payments, and deductibles at the time of service. Explained the process of insurance benefits and eligibility with patients and colleagues. Input medical coding and billing for accurate patient billing and insurance providers. Verified medical benefits prior to patient appointments. Successfully sorted mail for physicians and medical office. Memphis Center for Reproductive Health-Medical

Assistant

August 2006- April 2008

Served as a liaison between medical physicians and patients for adequate healthcare. Daily intake of patient vital signs included taking blood pressures, checking temperatures, pulse, and heart rates. Assisted with minor surgical procedures. Daily prep and autoclave of equipment for physicians. Collected, analyzed, and tested patient blood samples. Collected and examined urine samples for multiple tests daily. Scheduled medical appointments for patients. Answered multiple phone lines to gather and update patient information. Verified patient insurance for eligibility. Collected insurance payments at patient’s appointments. EMR patient records. Manually filed and scanned patient records.

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