Revenue Cycle Medical Records
Resume:
Enid De Dios
ad5mmh@r.postjobfree.com
OBJECTIVE
Seeking a challenging position where my Experience and skills May be Utilized While Providing Opportunities for Advancement, Very Dependable, Honest and Responsible with a Positive Attitude that Gets Job Done.
Work HISTORY
REVENUE CYCLE SPECIALIST/OPHTHAMOLOGY-RETINA SPECTIALTY
EYE CENTER OF AMERICA WAYNE, NJ
02-PRESENT
•Reviews & prepares collection-eligible accounts for physician review, follow up on accounts accordingly.
•Sends accounts to external collection agency as needed.
•Interacts with patients Via the phone, staff and payers, to answer any account question.
•Obtains information needed to resolve issues.
•Ensures that the patient balances are accurate by reviewing EOB’s and insurance payments.
•Communicates with patients and insurance companies to resolve outstanding balances (COB issues)
•Establishes payment plans and financial assistance for patients with outstanding balances.
•Maintain open, positive and team-oriented lines of communication with management and staff members.
•Contributes to the team through positive attitude, respectful interaction and innovative ideas.
•Ensure that self-pay accounts are always handled in a customer service-oriented manner.
•Performs ad-hoc duties and projects as assigned.
•Identify and bill secondary or tertiary insurances.
•Verify patient benefit eligibility/coverage and research ICD-10 diagnoses and CPT treatment codes as needed.
•Advise management of any trends regarding insurance denials to identify problems with payers.
•Knowledge of Electronic of Medical Records (EMR) Also Sending Invoice and Following up.
CALL CENTER/ OPHTHAMOLOGY-RETINA SPECTIALTY
EYE CENTER OF AMERICA UNION, NJ
01/2020-02/2022
•Assist Patients in a timely manner to avoid long waiting times.
•Calm frustrated or upset customers by providing excellent and friendly service.
•Answer phones and Patients requests and complaints in an efficient manner.
•Transfer calls to appropriate department.
•Schedule patients Appointments.
•Make patient aware of any prior preparations.
•Report to Supervisor with any Problems.
•Callings Patients to Confirm Appointments making them aware of Any Preparations.
•Schedule Patient Appointments.
•Entering Patient and insurance information in the system.
•Checking insurance eligibility.
SKILLS AND SOFTWARE KNOWLEDGE
•AthenaNet
•Nextech EMR
•Microsoft Office Suite (Excel,Word,Adobe)
•Payment Bridge
•Bilingual
•Customer Service
•Posting Money
•Health Insurance Portals
•Upload Medical Records
LANGUAGES: ENGLISH AND SAPANISH
Education
Eastside High School 2003
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