Office Administrator Insurance Verification
Resume:
Sandra Annette Parker
High Point, NC *****
*********@*****.***
To continue gaining greater knowledge of medical practices of revenue systems; to become an excellent candidate in the Medical Billing field as a Medical Office Administrator. Authorized to work in the US for any employer
Work Experience
Revenue Cycle Services Advocate
Novant Health Medical Group-Charlotte, NC
April 2015 to Present
27283
Duties:
Resolved insurance and claim errors in Claim edit, Retro and Charge Review and Medicaid Referrals to ensure clean claim and timely payment posting for RCS. Ensured patient information entered in chart was correct for filing insurance claims and collection of information needed to timely filing. Responsible for contacting insurance for dispute of plan errors documented in patient account to ensure corrections and timely filing. Responsible for corresponding with patients for missing and updated information in change of healthcare to ensure proper filing to prevent denial of claims. Responsible for personal production in claim edit/retro to enable RCS production rates for overall RCS department. Patient Coordinator II
Novant Health Medical Group-Salisbury, NC
September 2012 to April 2015
28144
Duties:
PRN Float for various offices which included training and working knowledge of Patient registration, insurance verification along with gathering information to confidently access patient information to/ from Epic system, patient scheduling, patient check-out processing, referral status follow-up and coordination, medical record distribution to HIPAA guidelines, message handling and distribution, end of day processing for both check-in/check-out, patient chart filing and making for new patients. Receptionist
Lake Norman Regional Medical Center-Huntersville, NC September 2010 to February 2012
Duties:
Patient scheduling, insurance verification, daily charge entry, co-pay collection and daily reconciliation with secured bank deposits. Medical records coordinator, patient account representation. Assisted practice manager with monthly reports to HR. Maintained steady flow of daily patient to each physician and timely check-in/out. Handled phones, faxes and deliveries. Receptionist
Piedmont Healthcare Inc-Statesville, NC
April 2008 to April 2009
Duties:
Patient scheduling, insurance verification, daily charge entry with reconciliation. Responsible for co-pay collection, patient account representation, weekly and monthly reporting to practice managers. Prepped patients for CT Scans and Mammograms. Medical record coordination, as well as collections on past due accounts. Handled phones, faxes, copies and daily transferring of patient medical information within HIPAA guidelines.
Match Support Specialist
Big Brothers Big Sisters-Statesville, NC
November 2003 to May 2006
Duties: Data entry specialist for match enrollment, Administrative Assistant to Program and Executive Director. Match support and documentation specialist to over 200 plus matches in system. Handled match events and fellowship events within the community. Responsible for all spreadsheet reports to national offices as well as local board members.
Maintained phones, faxes, copies, mailing and general office duties assigned by Program Director. Education
Associates of Applied Science in Billing and Coding Fortis College Online Studies - Centerville, OH
November 2010
Skills
• Related Skills
• Excellent skills with timely and accurate patient registration and insurance verification process
• Excellent skills managing patient daily flow in clinic setting.
• Proficient skills in timely and accurate daily charge entry and ensure CPT and ICD9 codes are compliant and within coding policies
• Ensured accuracte completion of follow-up scheduling referrals to ensure insurance verification and patient contact is complete
• Handle medical records within EMR or manual to ensure accurate data is placed and distributed according to HIPAA policies and procedures.
• Proficient skills displaying accurate and timely management and distribution of messages to physicians and staff
• Proficient skills handling patient accounts such as; posting payments, clearing write-offs and distributed payments to correct facilities.
• Proficient skills working excel spreadsheets to resolve billing issues within Practice management, NextGen and Epic medical software systems.
• Proficient skills in Retro- adjudication
• claims
• Billing
• Medical Terminology
• Medical Billing
• Medical Coding
• ICD-10
• Medical Office Experience
• Medical Scheduling
• Transcription
• Medical terminology
• HIPAA
• Epic
• ICD coding
• ICD-9
• HCPCS
Contact this candidate