ANA L DINIS

*** ****** ***, *********, ** ***** 401-***-**** ad1902@r.postjobfree.com

For over 25 years, I have worked strictly in healthcare specializing in health insurance benefits and requirements. My experience has provided me a depth of knowledge as it relates to the benefits and requirements both on the delivery (Hospital/Office) side as well as the Payor (Private/Public) side. I have a thorough comprehension of Medicare requirements, as well as, a complete understanding of the highly complex relationships required for the delivery of today’s healthcare and patient wellness. I am a certified EPIC Super User and work in all modules of MS Office as well a databases maintained in ATHENA, EPIC, SMS, ECW, Passport/Intellisource, Document Imaging and RQI. I possess all skills needed to work in this area such as a deep understanding of coding systems such as ICD 10 and CPT and am able to support clerical staff in transcription and data entry when needed. I am highly organized, able to prioritize duties, and work well independently. I am fluent in Portuguese, comprehend Spanish and will be an asset to an organization needing to fill a position commensurate with my experience.

EXPERIENCE:

06/20218 to Present: University Orthopedics, East Providence, RI

Adult Reconstruction Surgical Coordinator

• Schedule inpatient/outpatient surgery for 3 Surgeons with Hospital/Ambulatory Surgical Centers

• Obtain authorizations for inpatient and outpatient procedures

• Maintain Outlook calendar for 3 Surgeons

• Work on Athena

• ICD 9/ICD 10 coding and CPT coding

• Prepare mailings for patient regarding surgery

02/2000 to 06/2018: Rhode Island Hospital, Providence, RI

Business Office, Patient Account Rep/Lead

• Financially clear outpatient and inpatient accounts, verify insurances through Passport/Intellisource System,

Registration, admitting, pre-admitting, and SDA

• EPIC system super user

• ICD 9 and ICD 10 coding

• Obtain authorizations for inpatient and outpatient procedures

• Obtain referrals for various insurances

Registration Lead/Supervisor

• Work closely with staff to insure the utmost patient care

• Work with management on policies and procedures for the registration department and business office, do time

sheets/payroll, schedules and handle sick calls and find appropriate coverage for those areas

• Hire, train new employees, and do employee evaluations

• QA registration work

• Registration provider liability

• Claims and Denials

• Cover in outpatient registration areas, as well as, inpatient areas.

• Work extensively with RQI, Passport, ECW, and SMS

QA Office, QA Reviewer/Trainer

Work Extensively with the Passport and RQI systems, do weekly rejections and monthly provider liability. QA all registration and Business Office accounts to insure proper and timely billing, train new registration employees

Endoscopy Department, Front Desk Secretary

Registration, billing, ICD9 coding, answer telephones, appointment setting for physicians office, greet patients coming in to department for procedures.

09/2000 to 11/2001 Blue Cross and Blue Shield of RI, Providence, RI

Pre-cert Coordination Specialist

Medical terminology, data entry for all admissions to in-state and out-of-state facilities, ICD9 coding, CPT coding, editing letters before sending to members, process claims, denials

PROFESSIONAL AND PERSONAL REFERENCES AVAILABLE ON REQUEST

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