Primary Care Medical Records

Marissa N. Thomas

**** ****** **** **********, ** 30039 347-***-**** ************@***.***

Pre-certification counselor

**** – 2023 Desiree Ratner, PC New York, NY

Monitor scheduled surgeries and maintain organized list with status of pre-certification process.

Verify insurance eligibility and benefits via phone and/or internet access. Update insurance policy information in Epic, Eagle and eIDX system as required.

Check insurance payment policy for scheduled procedures and obtain prior authorization when required.

Verify receipt of all necessary pre-authorization documents prior to procedure

Notify primary care physician for managed care plans that require PCP authorization or referrals

Supply patients with written or verbal estimates of surgical codes and fees upon request.

Meet with patients pre-operatively or communicate effectively as necessary with patients so they understand the billing process and their financial expectations pre-operatively.

Collect pre-payment from the patient when necessary.

Data Specialist

2007- 2013 Beth Israel Hospital, New York, NY

Creation and Presentation of Productivity spread sheet

Estimated revenue spreadsheet creation and distribution

Obtaining medical records at insurance requests for review and processing of claims

Handling and corrections as required upon denials

Monthly A/R reports for one practice physician

Update patient insurance information in Eagle

Create departmental open visit reconciliation spreadsheet

Monthly statistical report creation and distribution

Weekly transmittal deposit for CPR & Cardiac Rebab Departments

Obtain authorization for surgical/office procedures and diagnostic test

Manage and update departmental website including providing doctor referral, resume review and distribution, provide CPR class information etc.

Medical Biller

2006-2007 Midtown Medical Practice New York, NY

Submit N.F and W.C paper claims with office notes

Collection calls to insurance carriers and patient re: outstanding accounts

Eligibility verification, obtain authorization/referrals for office visits and procedures

Daily posting of super bills

Answering telephones and making appointments

Medical Biller/Medical Secretary/Front Desk Receptionist

2000-2004 Drs. Raskin and Rettig Hand Surgery New York, NY

Medical billing insurance coding, Insurance verification, posting of changes processing

Obtained Pre-certification/referrals for surgery, MRI,CAT Scan etc

Schedule appointments, address incoming office calls

Registration of patient, demographic, data entry

Medical records including x-ray coping, chart preparation, filing and report retrieval

Senior Staffing Coordinator

1999-2000 Careerstaff unlimited New York, NY

Recruitment and staffing of rehabilitation therapist and nursing professional

Liaison between clients (health facilities) and providers (therapist/nurses)

Scheduling and conducting interviews of applicants

Work closely with director of recruitment and senior management teams

Track and update credentials for auditing purposes

Payroll preparation

Skills Epic, eIDX, Eagle,IDX web frame, MDe,Medisoft,Probity (medical manager)

Microsoft outlook, Windows 7, Microsoft word, Excel, Power Point, Knowledge of WC and NF

Reference References are available on request.

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