Resume

Service Representative Medical Assistant

Location:

Las Vegas, NV

Posted:

January 19, 2024

Contact this candidate

Resume:

Miloni Kothari

ad2w2l@r.postjobfree.com

Objective

Seeking a position in which to utilize and enhance my skills to be an asset to the office or clinic. This clerical work performing a variety of tasks related to the scheduling of clients to receive services from medical service providers. Core Qualifications

In-depth knowledge of medical terminology

Understanding of confidentiality laws and regulations

Proficient in MS Office, medical data programs, and spreadsheets

Understanding of insurance policies and coverage

Great mathematics skills needed to perform basic transactions

Capable of multitasking and remaining organized in all aspects of work

Friendly and personable nature with patients, visitors, and all medical staff and personnel

A very detail oriented and reliable person

9 year patient registration and insurance verification experience in a health care setting,

Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors Systems Knowledge

Microsoft office

AVALITY

EMR system

STOCKEL

GE billing system Passport one source

CYNER scheduling system MEDI-CAL website

Power charts system Otter system

Core scan system

ATHENA NET

PROCENTIVE

PBAR system

FIRST NET

Professional Experience

MS international, Las Vegas, Nevada

Administrative Service Representative – Accounting SEPTEMBER 2020 – APRIL 2023

Responsible for vendor maintenance.

In charge of comprehending the invoice to voucher process.

Follows accounting terms and deadlines.

Performs reconciliation of accounts.

Monitors vendor account details for non-payments, delayed payments and other irregularities.

Follows established procedures for processing petty cash, checks, and corporate credit card usage.

Investigates and resolves vendor queries.

Responsible for the processing of adjustments.

Communicates with the vendors via phone, mail, or personally.

Performs additional duties as required and or requested. Summit Behavioral Health, St Paul, Minnesota

Administrative Specialist/Front Desk/MEDICAL ASSISTANT AUGUST 2019 –JULY 2020

Provided quality recovery services by collaborating effectively with team of clinicians, nurses and technicians in order to best assist patients with various behavioral problems including, substance abuse, eating disorders, mental instability and/or physical and emotional abuse.

Participated in daily Treatment Team meetings with program manager, other BHT's, shift supervisors and psychiatrists to coordinate services.

Ensured patient's individual needs were consistently met by monitoring progress and providing appropriate solutions and support as needed (making changes to IBP when necessary).

Observed and documented patient's behavior, reporting any changes in physical and mental states to medical staff.

Performed routine checks and vitals on patients to ensure the highest quality of health and safety was met at all times.

Assisted patients with activities of daily living and personal hygiene.

Skilled in data entry and use of various computer software programs to admit patients, update files and upload attachments in a timely manner.

Completed all billing documentation daily, ensuring all information was accurate before sending out.

Assisted in developing and implementing individualized treatment plans. Monitored and documented client progress in accordance with state and federal regulations.

Completed administrative tasks, facility maintenance and transported clients to/from appointments.

Participated in weekly treatment team and supervision meetings with clinician.

Identified and appropriately responded to clients in crisis.

Conducted breathalyzer/urinalysis tests as needed.

Answered phone calls, scheduled meetings, filled out company paper work every day, and attended ISP and doctors appointments

Conducted household duties, prepared all three meals of the day, dispensed medicine, and carried out objectives from all of our clients behavior treatment plan

Watch for signs and asses situations carefully so that your consumer is out of harm's way SWENSON FOOT AND ANKEL- PODITARY, LASVEGAS

Administrative Specialist/Front Desk/MEDICAL ASSISTANT AUGUST 2017 –OCTOBER 2018

The Patient Access staff member should validate and update demographic and insurance information ensuring a clean claim can be generated by the Patient Accounting Department.

The job also involves many strategies, including procedures that hospitals and clinics use to improve cash collections and meet goals.

Assists clients by determining needs, scheduling or canceling appointments, or referring to correct staff person.

Maintains and updates schedule of medical service providers' availability; maintains contact with clients, notifying them of any scheduling changes.

Codes information and enters into files and databases; reviews to ensure accuracy and completeness and purges as necessary.

Responds to inquiries on policies and procedures and/or refers questioner to correct staff person.

Assists in training new employees and serves as resource person to them.

Handles any necessary arrangements for client utilization, i.e. pulling records, determining needs, scheduling pre

-examination tests, ensuring necessary equipment or supplies are available.

Assists with any other medical record duties such as purging files, processing health history forms, etc.

Initiates the medical chart, and then responsible for routing the chart to the appropriate personnel

Pull charts daily for patients who are scheduled and make sure that the date of service is stamped on the progress note. Inserts any lab results or other results needed for review as instructed by the clinical staff. Check for patient identifying information on all documents.

In coordination with established policies makes sure that payor information has been verified for each scheduled patient and that all patients are called the day before to confirm appointments.

Responsible for inserting all other documents in patients’ charts in accordance with program requirements, policies and procedures established at the direction of the clinical staff.

Perform other duties as required, must relief receptionist when needed and perform related duties such as:

(a) Transfer old charts to new charts. (b) Place out guide when charts are pulled out. (c) Prepare new charts and have them handy for use as new patients.(d) Make copies of various forms when required.

(e) Mail out requests for records when presented with a properly completed medical release. Make copies of records in response to in-coming medical releases. (f) Order forms and other necessary supplies when needed. DIGNITY HEALTH,ST ROSE DOMINICAN – EMERGENCY ROOM, WEST FAMINGO CAMPUS,LAS VEGAS,NEVEADA

Patient Access Specialist, Operations (PRN)

APRIL 2017 – OCTOBER 2018

The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

· Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings

· Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships

· Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff

· Provide and obtain signatures on required forms and consents

· Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle

· Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system

· Obtain insurance authorizations as required by individual insurance plans, documenting authorization numbers in the appropriate fields for accurate billing

· Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service oriented fashion

· Scan all registration and clinical documentation into the system and maintain all medical records

· Obtain patient satisfaction surveys from all patients upon discharge

· Coordinate the transfer of patients to other hospitals when necessary

· Respond to medical record requests from patients, physicians and hospitals

· Maintain cash drawer according to policies

· Maintain log of all patients, payments received, transfers and hospital admissions

· Maintain visitor log

· Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff

· Receive deliveries including mail from various carriers and forward to appropriate departments

· Notify appropriate contact of any malfunctioning equipment or maintenance needs

· Attend staff meetings or other company sponsored or mandated meetings as required

· Assist medical staff as needed

· Perform additional duties as assigned

· 1 year patient registration and insurance verification experience in a health care setting,

· Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors

· Basic understanding of medical terminology

· Excellent customer service

· Working knowledge of MS Office (MS Word, Excel and Outlook)

· Position requires fluency in English; written and oral communication Keck Hospital of USC Department of Cardiothoracic Transplant Unit Los Angeles, California Administrative and financial Coordinator

Jan 2016 to May 2016

Coordinates with contracted Organ Procurement Agents training programs for medical and nursing staff to insure understanding and compliance to policy.

To maintain processes and methodologies that organizations put in place to ensure accurate and timely billing and payment of claims.

The job include representation from Scheduling, Registration, Ancillary Services, Case Management, Health Information Management and Patient Accounts. To ensuring the integrity of registration data collected, include insurance and benefit verification, acquisition of referrals and pre-certifications for elective procedures, medical necessity validation and collection of patient financial liability.

Also responsible for charge capture, clinical documentation, complete and accurate coding, validate and update demographic and insurance information ensuring a clean claim can be generated by the Patient Accounting Department.

Assists clients by determining needs, scheduling or cancelling appointments, or referring to correct staff person. Maintains and updates schedule of medical service providers' availability; maintains contact with clients, notifying them of any scheduling changes.

Codes information and enters into files and databases; reviews to ensure accuracy and completeness. Maintains files and databases; updates and purges as necessary.

Responds to inquiries on policies and procedures and/or refers questioner to correct staff person. Assists in training new employees and serves as resource person to them.

Handles any necessary arrangements for client utilization, i.e. pulling records, determining needs, scheduling pre examination tests, ensuring necessary equipment or supplies are available.

Initiates the medical chart, and then responsible for routing the chart to the appropriate personnel. Keck Hospital of USC Department of Cardiothoracic Imaging and Surgery Los Angeles, California Administrative Specialist/Front Desk

Sept 2015 to Dec 2015

Checking in patients at the front desk

Answering the phone and Scheduling patients for the proper appointment

Interviewing patients for case histories in advance of appointments

Compiling medical records and charts

Transferring lab results to the appropriate clinician

Maintaining supplies and appearance for the office and Operating computer software and office equipment

Hospitals are some of the largest types of facilities with large facilities, roles and responsibilities are more specialized and clearly defined.

Depending upon the department, there can be emergencies coming in continuously so hospital employees need to know what their role is and be able to perform quickly .It is also important for those working at the front desk to convey a calming demeanor, especially in emergency departments.

Many patients that come in are anxious new mothers or have a serious injury, and it’s the job of the medical admin to calm the patient and reassure them

USC Roski Eye Institute at Keck Medicine of USC Los Angeles, California Patient Access staff/ Medical records assistant

May 2015 to Sept 2015