Lorena Barraza-Angel 617-***-****

*** ****** **. #* ******, MA 02151 ad19i6@r.postjobfree.com

Professional Profile

To obtain a full-time position at a fast-paced, challenging, and quality medical organization.

• Interpersonal Dynamics and Ethics

• Medical Law and HIPAA training

• Anatomy and Physiology, I&II

• Office suite (Word, Excel, PowerPoint,

Outlook

• Health Information Systems

• CPR/First aid Certified

• Epic/Vital ware

• Epic and Medisoft Program

• Health Administration & Records

• Management

• Billing and Reimbursement

• Advanced Keyboarding Skills

• Meditech

• Quest Care 360

Professional Experience

All care Lynn, MA

Home Health Aide/Hospice Aide 08/13/2010-10/05/2012

• Helping patients with personal hygiene, dressing, bathing, and other daily tasks.

• Performing basic health care services for patients, including checking vital signs, or administering prescription medication.

• Helping with general light housekeeping.

• Making transportation arrangements as needed.

• Working with a nurse, personal care aide, CNA, nurse aide, nursing assistant, and other caregivers and in-home care professionals.

• Observing and reporting on patient's condition.

• Keeping up with in-service training

• Helping patients with personal hygiene, dressing, bathing, and other daily tasks. Massachusetts General Hospital

Boston, MA September 1999-July 2014

Clinical Laboratory Technician/Practice coordinator

Processed specimens following outlined clinical procedure with stated timeline.

Prepared samples for testing by centrifuging and decanting specimens in the laboratory.

Working knowledge safely, Universal precaution, and OSHA guidelines.

Update the molecular auth excel spreadsheet

I use Vital ware to check Medicare medical necessity for labs.

I review the daily Copath report for cytology and histology labs.

Reconcile Mayo invoice for Moldx, FMISC labs with WQ2176.

In EPIC I send in basket msg, upload docs to media, fax, use enterprise charge code viewer, unit charge entry and referral entry.

Newton Wellesley Hospital

Lab Billing Molecular Tech Coordinator 11/06/2018-Present The Laboratory Billing Coordinator performs a variety of billing related tasks under the general supervision of Laboratory Revenue Operations Manager. Key responsibilities include obtaining authorizations for Molecular lab tests and Sleep studies, obtain missing Insurance or Diagnosis codes and timely communication with the manager and Lab Compliance Coordinator for efficient billing compliance. Customer support for molecular labs which entails checking the hourly report for molecular labs and then checking with the patient’s insurance if a Prior Authorization is required, contacting send outs to release or cancel the lab and communicating with the requesting doctor’s office regarding the authorizations process.

PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:

• Daily billing report send out molecular specimen to mayo if is okay with prior auth.

• Responsible for completing daily all designated Epic work queues to resolve all insurance coverage issues prior to billing and ensure accurate claims processing.

• Calling insurance for verification or prior authorization for Molecular Lab tests.

• Daily review of certain send out tests for verification of accurate billing and entry of charges for government payers.

• Timely follow up to obtain additional diagnosis information when medical necessity is not met to include review of requisitions,

• faxing of supplemental requisitions, receipt of supplemental requisitions, updating diagnosis in registration system, tracking, and scanning of supplemental requisitions.

• Prior authorization obtains for molecular testing.

• Copath report and checking for NWVPs on urine tests and reverse for all patients listed under LAB location for each patient, one at time.

• Result and updated laboratory from mayo clinic and LabCorp lab and Quest Diagnosing.

• responsible for coding all diagnoses returned on supplemental requisitions.

• responsible for entering the diagnosis code(s) using the Coding tab in the registration system.

• have access to the claims processing system and be required to enter diagnosis code(s) into this system.

• Other duties as assigned by Laboratory Revenue Operations Manager. Education

Lincoln Tech Allied Health Somerville, MA 02145 August 2012-June 2013 Medical Administrative Assistant (GPA 4.00)

Executive Director List

Completed LTI’s Health Division certificate program This intensive medical administrative assistant curriculum included 900 hours of classroom instruction and training to accommodate administrative processes and legal aspects of medical of medical environment in accordance with Allied Health regulations. A practical externship consisting of 180 hours concludes the program. Chelsea High School Chelsea, MA September 1994-June 1998 High School Diploma

References

References are available upon request.

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