Medical Records Service Representative
Resume:
Jennifer Cortes
Fort Lauderdale, FL *****
************@*****.***
Medical billing and coding specialist with ten years providing administrative and patient support in medical office settings as a Medical Records Coordinator. Advance knowledge of private insurance processes, policies, and coding. Background in billing, collections, appointment setting, records management and maintenance. Work Experience
Medical Service Representative
Florida Medical Clinic PA, Tampa, FL June 2020 to March 2024
•Answer all incoming calls into department. Averaging over 60 calls taken each day
• Use medical system to verify insurance benefits
•Take telephone encounters for the doctors regarding patient's calling for medications
• Tiger text physician’s on call with patient information on why consult is needed
•Verify insurance benefits
•Ensure that all necessary demographics, billing, and clinical information is placed into Medical System
•Release office notes to other medical offices requesting
•Communicate with the physician's and their staff to exchange necessary information
•Register new patients
•Make office visit appointments for over 20 doctors Medical Referral Coordinator
Nova southeastern university family medicine - Fort Lauderdale, FL September 2019 to April 2020
• Assigned to certain amount of Medicare patients/ offices to monitor, process and communicate with Providers / offices as liaison with Patient regarding referrals ordered.
• Maintain list of all preferred specialist and ancillary providers for the assigned area.
• Obtain referral authorization if required by the health plan.
• Call referred to Specialists and schedule appointment for patients.
• Communicate respectfully and effective will with patients regarding appointments.
• Follow guidelines / workflows to complete & log all referrals processed through system. • Meet monthly - quarterly goals regarding utilization and process of ordered referrals.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assist with coordination of activities related to insurance pre-certification / authorization Medical Records Coordinator
Path Medical - Fort Lauderdale, FL May 2018 to August 2019
• Gather patients information by collecting demographic information from a variety of sources; interacting with registration areas and physician offices; retrieving information form automated printer. • Corrects and communicates problems according to established procedures.
• Initiates medical records request and tracks by creating and processing the patient care record in EMR system .
• Providing patients with referrals to specialists.
• Serves and protects the community by adhering to professional standards, company policies and procedures, federal, state, and local requirement and HIPAA standards.
Billing and Coding Coordinator
IntegraMed - Coral Springs, FL September 2015 to March 2018
• Reviewing medical procedures as documented by doctors.
• Translating medical procedures into codes that can be translated by payers, other medical coders and other medical facilities.
• Transmitting coded patients treatment information to payers and other recipients.
• Coordinating insurance reimbursement of care providers.
• Handling patients billing.
• Answering all patients or insurance telephone inquiries pertaining to assigned accounts. • Updating spreadsheets and running collections reports.
• Coding treatment information using common procedures terminology CPT codes. Medical Receptionist
New World Cosmetic Center - Miami, FL June 2010 to March 2015
• Greet patients upon arrival, sign them in obtain insurance information and any other necessary data. • Answer multi- line phones and either direct the caller to the appropriate party or handle the caller’s needs yourself.
• Provide patient with intake and new patient forms as well as copies of our office policies and legally required documents.
• Process payment form patients for co-pays and uninsured visits.
• Schedule appointments for new and recurring patients based on physicians and pa new patients availability.
• Maintain hard copy patient records as well the files stored.
• Call patients to remind them of upcoming appointments and to help them schedule testing for off- site services.
• Provide patients with support and guidance as needed. Bilingual Customer Service Representative
Access2Care - Tampa, FL February 2007 to November 2009
• Respond to customers inquiries and problems.
• Research complex issues and questions using multiple database.
• Work with internal and external resources to deliver expedited problem resolution.
• Assisting customers while making appropriate documentation in CRM system, multi-tasking and data entry.
• Responding efficiency and accurately to callers, explaining possible solutions, and ensuring that clients feel supported and valued.
Education
Associate in Medical Assistant
Everest Institute - Miami, FL
February 2008 to April 2009
High School Diploma
Barbara Goleman Senior High School - Miami, FL
September 1999 to June 2004
Skills
• Billing (2 years)
• Coding (2 years)
• Front Desk (Less than 1 year)
• Medical Billing (Less than 1 year) • Receptionist (2 years)
• Medical Records (2 years)
• EMR (2 years)
• Scheduling (6 years)
• Microsoft Excel (6 years)
• Word (6 years)
• Outlook (6 years)
• Management
• Excel
• Clerical
• training
• ICD-10
• Multi-line Phone Systems
• Medical Receptionist
• Medical Coding
• CPT Coding
• HIPAA
• Insurance Verification (4 years) • Medical Office Experience
• English and Spanish
• Expert
• ICD-10 coding
• Close attention to detail
• Patient chart Auditing
• Billing solutions
• Medical Terminology
• Data Entry
• Filling
• Fax
• Fast Learner
• General office
• HIPAA
• Internet
• Bilingual
Certifications and Licenses
Non-CDL Class C
Assessments
Medical receptionist skills — Proficient
April 2022
Managing physician schedules and maintaining accurate patient records Full results: Proficient Administrative assistant/receptionist — Proficient January 2022
Using basic scheduling and organizational skills in an office setting Full results: Proficient Call center customer service — Proficient
July 2021
Demonstrating customer service skills in a call center setting Full results: Proficient Attention to detail — Proficient
August 2021
Identifying differences in materials, following instructions, and detecting details among distracting information Full results: Proficient
Work motivation — Proficient
August 2021
Level of motivation and discipline applied toward work Full results: Proficient Work style: Reliability — Proficient
August 2021
Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient Customer service — Proficient
May 2020
Identifying and resolving common customer issues Full results: Proficient Medical terminology — Proficient
August 2021
Understanding and using medical terminology Full results: Proficient Customer focus & orientation — Proficient
July 2021
Responding to customer situations with sensitivity Full results: Proficient Customer service — Proficient
July 2021
Identifying and resolving common customer issues Full results: Proficient Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Contact this candidate