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Data Analyst Physician Billing

Location:
Pleasantville, NJ
Posted:
January 04, 2024

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Resume:

Objective: To obtain a challenging position in an environment where my skills and experience can be utilized to their fullest potential.

Work Experience:

AtlantiCare Regional Medical Center: 6/24/1993- 11/25/2022

6/2017 to 11/2022 – OR Scheduling Coordinator

oResponsible for the daily oversight of scheduling procedures, tests, and diagnostic services provided by the AtlantiCare & Center of Perioperative Medicine

oCoordinates with patient and information flow between physician offices, Pre-Admission Testing, Radiology and the Operating Room.

oResponsible for the initial patient registration process as well as the online tools necessary to provide patients with information regarding Precertification, referral need & co-payment.

1/2012 – 6/2017 - Clinical Data Analyst, Quality Management Department

oTimely abstracting of records within the required reporting and accuracy rate parameters and responsible for assuring efficient data collection and data abstracting.

9/2008-12/2011- Credentialing and Provider application Coordinator, Physician Billing Dept.

oProvided insurance companies with necessary documents (license, etc.) in order for Providers to be credentialed while maintained current and accurate records.

8/2005-9/2008- Physician Billing Representative, Physician Billing Department

oEnsured that patient demographic, medical and insurance billing information was accurate, investigated insurance denials or incorrect payments and adjusted accounts accordingly and responded to inquiries to resolve issues from patients, insurance companies and Physicians.

2004-2005- Patient Access Associate, Patient Access Department

oStrong patient and telephone shills, responsible for patient registration process and entering radiology exams for the patients while providing quality customer service.

2001-2004- Member Service Representative, Member Services

oResponsibilities were performed through telephone contact with the customer, quoted benefit information to Physician offices and members and assisted customers with problem resolution.

1996-2001- Radiology Receptionist, Radiology Department

oScheduled appointments, registered patients and ordered radiology exams, strong patient contact, filing and answering phones.

1993-1996- Physician Billing Representative, Physician Billing Department

oBilling insurance and/or patient, posted charges and payments and electronic billing

Education:

Atlantic Cape Community College

Inpatient Medical Coder - Certificate awarded 3/2016

Atlantic Cape Community College

Pharmacy Technician - Certificate awarded 11/1996

Atlantic County Vocational Technical School and Technology

Medical Assistant - Certificate awarded 6/1993

Atlantic Cape Community College - 27 college credits

Atlantic City High School- Diploma awarded 6/1984

Skills:

Computer Proficient (Excel, Word, Power point, Outlook, Cerner, Nuance, Premier)

Excellent Customer Relations

Effective Time Management

Outstanding organizational Skills

Detail-oriented

Works under minimum supervision

Proficient in appointment scheduling and billing

Knowledgeable in medical terminology



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