Diane Price

ad4w6w@r.postjobfree.com

818-***-****

CAREER SUMMARY: Medical Claims Specialist, Medical manager, Front Office Administrator. Seeking a challenging new opportunity to apply and enhance my abilities. Strong administration knowledge, good communication skills and exceptional patient care quality.

Career Profile:

Detail-oriented, efficient and well-organized professionalism, extensive experience in medical and mental health claims, and administrative execution.

Thorough knowledge of office management, HIPPA compliant, communications and customer service.

Possess strong analytical and problem solving skills, with the ability to make well thought out decisions.

ICD-10, CPT, HCPCS, medical terminology, Medical Insurance verification, in patient and facility claims.

Excellent written and verbal communication.

Resourceful in developing new systems, completion of projects, effective at multitasking.

EXPERIENCE:

Cliffside Malibu/Discovery Behavioral Health February 2020-Pesent

Insurance Claims Specialist- Remote

Follow up on all outstanding claims for multiple facilities, correct and resubmit if necessary.

Review and work on unpaid claims, identifying and rectifying billing issues.

Provide detailed notes on actions taken and next steps for unpaid claims.

Check the Verification of Benefits to make sure all claims were paid correctly.

Follow up on all claims paid at an incorrect rate. Send Provider dispute or Appeals as needed.

Send medical records when requested.

Follow up with patients if insurance company thinks there is another insurance. Have patient call the insurance company and update their information.

Take patient calls

Oak Park Pediatrics March 2019-February 2020

Claims Specialist-Oak Park, CA

Follow up on all unpaid claims, correct and resubmit

Submit clinical records and collect on all unpaid balances

Take patient calls

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Luftman Dermatology July 2016-December 2018

Front Office Administrator-Calabasas, CA

Coordinate all administrative duties including appointments, filing, telephones, daily schedules and maintain patient records.

Organize and maintain inventory of all cosmetic and office supplies for two facilities.

Designed a new inventory control program.

Explain all procedures and fee quotations for cosmetic procedures and give patients appropriate materials and set appointments.

Collect and document patient co-pay, deposits for cosmetic procedures and balance payments.

Morris Halperin PHD July 2015-July 2019

Claims Specialist-Remote

Verify all patient insurance.

Follow up on all unpaid claims, correct and resubmit.

Collect on all outstanding unpaid patient bills.

Handle collections when necessary.

Cindy S. Scherban LCSW March 2015-March 2020

Biller-Remote

Bill ICD-10 medical billing to multiple insurance companies.

Complete Skin LA May 2015-May 2016

Office Manager/Front Office Administrator-Encino CA.

Administrate the daily management of medical practice.

Organize and schedule presentations for senior citizen organizations and skin clinics.

Handle billing and collection for self-pay and cosmetic procedures.

Organize and maintain inventory of all Skin Type Solution products.

Coordinate all administrative duties including office supplies, filing, telephones, daily schedules and maintain patient records.

Jeanie Cohen M.A. October 2012-January 2015

Bill ICD-9 & ICD-10 medical billing

Dr. Felicia Ota September 2009-December 2014

Front Office Administrator-Encino, Ca

Acquire proper ICD-9 medical billing codes on daily charge tickets.

Maintain all surgical schedules. Verify all patient and surgical benefits with insurance companies including pre-authorization for surgery.

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Daily patient care.

Verify in and out of network insurance benefits

Implement all administrative duties including filing, telephones, daily schedules, and maintained patient records.

E-scribe prescriptions.

Dr. Allen Entin & Dr. Felicia Ota May 2001-Septemer 2009

Front Office Administrator-Tarzana, CA.

Acquire proper ICD-9 medical billing codes on daily charge tickets

Manage and coordinate obstetrical surgery schedules between doctors and patients.

Review and coordinate obstetrical blood work: CBC, Glucose, Ashkenazi genetic testing.

Verify all surgical and maternity benefits with insurance company.

Obtain insurance pre-authorization for surgery, obstetrical care, daily patient care and prescriptions.

Implement all administrative duties including filing, telephones, daily schedules and maintained patient records.

Successful time management for a large patient volume.

Education:

Los Angeles Valley Jr. College, AA Degree

UCLA Lactation Educator Program Certificate

2010 Medical Office Billing Certificate Series

Skills:

Proficient in Collaborate MD, KIPU, Premier, MedEvolove, EMR, Kareo, Klara, EMA, Advanced MD, Avanta, Win, EVIF, MD Systems, PDF Filler, MS Office, Word, Excel

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