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Data Entry Service Representative

Location:
Upland, CA, 91786
Posted:
December 11, 2023

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Resume:

Arnetta Pearman

Upland, CA *****

*********@*****.***

+1-310-***-****

An enthusiastic and highly motivated medical personnel. Authorized to work in the US for any employer

Work Experience

Financial Clearance Specialist

City of Hope - Irwindale, CA

February 2022 to September 2023

Submitted referral request to designated insurance payors for authorizations and referrals to specialists and diagnostics facilities. Expedited authorization request for hospital outpatient services. Submitted Letter of Agreement for non contracted providers and insurance carriers. Financial Clearance Specialist

Kforce

August 2021 to February 2022

Verified insurance, submitted referral request to designated insurance carriers for approval via online and fax. Followed up on submitted request. Received incoming calls from patients and vendors. Admitting Representative/On-Call Temp Contract

Kaiser Permanente - Fontana, CA

September 2017 to July 2019

Admitted patients to the hospital. Interview patients to collect basic demographic information and financial/insurance data. Perform other administrative or data entry duties as required. Collected admission co-pays.

Member Service Representative

Pyramid Consulting, Inc./ Kaiser Permanente Contract - Corona, CA February 2017 to September 2017

Provided members with Health plans questions, benefits, co-payments, and billing. Assist members health plan options. Provided online assistance. Direct calls to appropriate individuals and departments. Referral Representative

PIH/ Interhealth Corp - Whittier, CA

August 2010 to August 2016

Duties: Verify patient insurance, demographic.Obtain authorizations and referrals from designated insurance

carriers. Receiving incoming and outgoing calls from clients and vendors. Fax authorizations to approved specialist and facility. Appeal denial letters regarding reasons for denied patients.

Referral Coordinator Specialist

Scottsdale Healthcare - Scottsdale, AZ

April 2007 to September 2009

Duties: Handling incoming and outgoing high volume calls. Interaction with vendors and clients. Receiving and sending authorizations requests via fax and computer. Maintaining files, submitting referrals and approval to specialist and diagnostic centers.

Admitting Clerk / Surgery Scheduler

Hoag Hospital

June 1996 to June 2006

Duties: Greet patients and visitors in person or via telephone. Obtained demographics, insurance, financial, medical information for registration and identification. Expedites the necessary authorizations and approval for hospital outpatient services or elective surgeries per the designated insurance carriers. Education

High school or equivalent in Medical Assistant / Secretary Technical Health Career College - Los Angeles, CA

Skills

• CPT Coding

• ICD-9

• ICD-10

• EHR systems

Additional Information

Software: HealthConnect, Paymate, Allscript, EHR/EMR, Nextgen, Alter, CPT Codes, ICD-9, ICD-10, HCPC

Over 20 years in the medical profession.



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