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Verification Specialist North Carolina

Location:
Raleigh, NC
Posted:
January 09, 2024

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Resume:

Joanne Dubiel

**** ******* ****

Durham North Carolina 27712

719-***-****

ad2lg2@r.postjobfree.com

January 8, 2024

Dear Hiring Manager,

I'm apply for the Benefit Verification Specialist remote position. Based on the posted description, I'm confident that I am fully qualified for the position and will be a strong addition to your team. I would appreciate a job interview at your earliest convenience. Please find my resume attached. Sincerely,

Joanne Dubiel

Joanne Dubiel

February 2009-August 2020

Joanne Dubiel

1819 Umstead Road Durham North Carolina 27712

719-***-**** • ad2lg2@r.postjobfree.com

To Obtain A Challenging Career Utilizing My Multitasking And Problem Solving Skills.

● Excellent Organizational Skills

● Strong Patient Relations

● Provide support and information to patients

● Provider negotiations per contracts

● Detail Oriented

● High Level of Professionalism

● Proven Analytical and Problem Solving Skills

● Teamwork Skills

● Active Listening Skills

● Ability to Work Independently

● HIPPA Compliance

● EMR

● Insurance knowledge of Managed Care, Commercial Insurance, Workers Compensation, Medicare, Medicaid and Tricare Plans

● Insurance Authorizations

● Insurance Benefits

● Medical Terminology

● Review and resolve uncollected accounts

● Prepare charge corrections and write offs

● Medical Records Management

● Digital Electronic Scanning System

● Scheduling

● Patient Registration

● Knowledge of CPT and ICD 10 Codes

● Multi Line Phone and Overhead Paging Systems

● Pitney Bowes Postage Machine

● Credit Card Machine

● HST Computer System

● Microsoft Computer Systems word excel and outlook Professional Experience

Medical Patient Account Representative

Audubon Surgery Center; Colorado Springs, Colorado

● Verified patient insurance eligibility and benefits by internet and phone

● Obtaining and verifying prior insurance authorizations prior to surgery

● Input patient demographics and insurance information into HST computer system

● Generate, review and mail billing statements to include payment plans to patients

● Resolve issues relating to patient accounts

● Assist patients with terms and options for repayment plans

● Tracking and reviewing of payment plans to ensure on time payments

● Adding overdue accounts to spreadsheet and sending to collections

● Worked denied claims and claims that were underpaid under the contracted fee schedules August 2005-October 2008

October 2000-July 2003

1997-2000

1992-1994

● Worked as liaison between patients and insurance carriers to resolve denied claims

● Preparing charts for the next days scheduled surgeries ensuring all necessary paperwork and patient labels are printed accurately

● Provided assistance to receptionist by checking in patients to include consent form signing, scanning insurance and ID cards, collecting co pays or self pay payments, answering phones and escorting family members to pre operative, post operative and pain clinic

● Medical records management ensuring any release of information was HIPPA compliant

● Scanned and attached patient charts to digital electronic filing system

● Updating employee files sorting and filing according to company guidelines

● Ensuring all surgical assistants, nurses and surgeons have updated malpractice insurance, licenses and continuing educational hours through Dora

Authorization Specialist Scheduling Coordinator

Springs Rehabilitation; Colorado Springs Colorado

● Handled scheduling for all pain management injections performed at outpatient surgery centers and the hospital. Maintained injection schedules for two doctors to insure allotted time frame was followed for certain injections and that they were scheduled at the proper facilities according to equipment needed and insurance plans. Determined when and where ASAP appointments were squeezed into the schedule. For injections that required the use of the hospital I coordinated schedules between availability of the hospital and availability of doctor’s schedule outside of their normal template. Registered patients in Lytec, checked insurance benefits, obtained authorizations from private insurances and workers compensation in a timely manner to allow doctors to perform injections as scheduled. Gave protocol instructions to patients, ordered INR’S and pretreatments as needed. Made charts for new patients and filed all outside records in chart. Scheduled, ordered on account and requested authorizations for therapeutic Botox injections. Radiology Receptionist

Forum Health; Beeghly X-Ray and Austintown Imaging, Youngstown Ohio

● Handled daily operations of six specialized radiology departments. Scheduling including knowledge of all preps, lab work needed, C-9 forms and pre certifications required for each specialized department. Pre registration and registering walk in patients. Acquiring previous films, ordering procedures, chart making, use of CPT codes, worker’s compensation and insurance pre authorizations. Multi line phone system. Extensive knowledge of medical terminology and diagnosis. Records management, preparing films for check out, numerical and alphabetical filing, proof reading and error finding on X-ray reports. Maintaining less than twenty four hour turn around time of reports.

Education

Associate Degree Of Applied Science, Medical Office Administration Ohio Valley Business College; East Liverpool, Ohio

● GPA 3.6

● Concentration in medical office administration

Medical Secretary Degree

Barton County College; Ft. Riley, Kansas

● GPA 3.75



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