LILIAN WAHBA

**** ******** *** **** ****** NC 732-***-**** adbml0@r.postjobfree.com

Objective:

Exercising direct supervision over professional, technical and clerical staff; hardworking, energetic and flexible; adapt easily to change of environment and work schedule. Maintain critical thinking skills essential to providing competent in customer service. Personable with a positive attitude; interface effectively with patients and co-workers.

Education:

Wake Technology

oBusiness Administration 08/2019-Present

Cairo University

oBachelor’s Degree in Law. 9/1994-7/1999

Eastern International College. 9/2011-7/2012

oCertified Medical Assistant

oDean’s List (all semesters); graduated with honors (GPA: 4)

H.S Diploma-El Menia, Egypt 9/1990-6/1993

oGeneral studies

Licenses:

American Heart Association BLS for Health Care Provider (CPR& AED).

Certified Clinical Medical Assistant.

Certified Phlebotomy Technician.

Microsoft Office Certification.

Technical Professional

Microsoft Office Programs; Windows, Word, Excel, Power Point, Access, and Outlook.

Different EMR Software; Epic, Practice fusion, Trak net, E Clinical Works, Webcis, E Smart link, E Smart log, Cobius, Concopy, Meditech, Paper vision, BCBS Portal, UHC Portal, Palmetto CMS, All Script, DataArk, Care 360, Success, Netvault, Health Source, Sovera, JIRA, Percussion, ChemTrack and Drupal.

Core Qualifications

Strong understanding of HIPAA and privacy laws.

Excellent organizational and computer skills.

Excellent attention to detail and data analytical skills

Excellent understanding of medical file documentation.

Excellent file auditing skills.

Excellent verbal and written communication skills.

Excellent customer service principles and practices

Experience:

SciMetrika- McLean, VA

Central Management Specialist – (Remote) 04/2019-Present

Process Credentialing/Enrollment Services: medical and mental health professionals such as doctors, nurse practitioners and physician assistants in Medicare, Medicaid and private insurance programs.

Responsible for processing payments, adjustments and denials claim according to established guidelines (Payment Poster)

Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed and Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure.

Ability to read explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments and provide patient financial services.

Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information

Medical Documentation Specialist: (Home Health & Hospice Liaisons) manages the relationships, paperwork and visit requirements to ensure adequate services for our patients and compliance for the vendors. Track and meet deadlines.

Referrals Coordinator: manages our podiatry services including obtaining consents, scheduling, managing referrals from our primary care providers and other related tasks. Transfer appropriate medical records.

Update the graphic design for website, News&Events, all slides&Banner and added links, uploaded

PDFs, etc.

Assist team with user documentation and training guides for the data management applications.

Track all work performed in support of quality metrics.

CioxHealth – UNC Hospital– Chapel hill

Site Client Service Supervisor. 01/2016-03/2019

Manage the Operations of the training; medical, billing, compliance, patient financial service,

subpoena, court orders, legal department requests and directions for the Client Service Rep Positions.

Full responsibility to resolve all issues, submit reports to the corporate site and compile memos and meeting minutes.

Provides input to the Manager of Operations for the evaluation of the Client Service Rep positions.

Answers day to day questions posed by clients and the Client Service Rep positions.

Create strategies for effective methods to increase the productivity.

Assist in meeting regional revenue goals on a consistent basis.

Comply with all release of information related functions as stipulated in service agreement.

Participate in counseling sessions of site personnel and makes probationary or termination

recommendations when necessary.

Responsible for properly training release of information, RAC, Compliance and Audit for staff in

company and facility specific functions. Distribute workflow to site personnel.

Ensures supplies are available at designated facility.

Prepare month-end reports and monthly work schedules on the first work day of each month and

distribute.

Maintains confidentiality by keeping all information seen and heard in the facility in the strictest

confidence.

Client Service Representative. 04/2015 - 12/2015

Administrative experience in an office setting; release of information, medical records, or other related

experience in a healthcare environment accordance with HIPAA guidelines and medical legal guidelines

to obtaining pertinent patient data from various sources, including electronic, off-site, or physical

records that match patient request.

Front desk support: greeted patients and provide professional services for the patients and log medical

record requests into database.

. Quality Staffing Specialists- Cary, NC on call & per diem 11/2014 - 03/2015

Medical Assistant

Full responsibility for providing patient care services. These duties include, but are not limited to

assisting the provider with exams, procedures and other processes related to direct patient care under

direct supervision and, ear lavage, EKG, medication administration, triage, vitals, splinting, urine drug

testing and strep testing. Customer service skills, ability to multi-task, prioritize and critical thinking

skills.

Horizon Health Center- Jersey City, NJ 11/2013 - 10/30/2014

Clinical Service Representative.

-Perform administrative duties:-

Build case management in EMR, and multi-line phone use.

Efficiently provides optimal reception services and translator for the patients and medical staff, using

effective communication and organizational abilities thorough knowledge of medicine, pharmacological

terminology and medical information.

Perform clerical duties such as faxing, copying, emailing, etc.

Interviews patients, answered calls and queries, register new patients, checking patients in and out,

scheduled appointments, confirm appointments mediated with medical staff, assisted patients in

completing medical forms and collected co-payments preparing daily cash log receipt and securing cash

received as per firm’s protocols..

Check insurance eligibility obtains required Pre-Authorizations and Pre-Determinations when needed and Counsels patients regarding payment options if needed.

Maintained and order front office supplies and record of daily monetary transactions.

-Perform clinical duties:-

Include collecting and preparing laboratory specimens, sterilize medical instruments, taking medical histories, recording vital signs, prepare for minor surgery, ancillary testing, and preparing patients for examination.

Demonstrated proficiency in taking patient medical histories and vital signs, as well as in performing various diagnostic procedures and ancillary tests (e.g., EKGs, immunoassays, chemistry analysis, hematology and urinalysis).

Ensured the cleanliness, sanitation and maintenance of all facilities, exam rooms and equipment.

Dr. Maged Ghaly, Pediatrician Office- Jersey city, NJ 09/2009-10/2014

Medical Biller

Perform charge review, claim submission, claim follow-up, payment posting and patient statements.

Code records by following prescribed coding standards such as ICD-9 and CPT.

Ensure signatures on all medical records.

Assign appropriate medical codes to all diagnosis and services.

Follow up with insurance companies and ensure that all claims come to fruition.

Admin Assistant, Receptionist and Medical Assistant 09/2009- 06/2013

Greeting and registering patients, scheduling appointments, answering multi phones lines, medical

charts, laboratory reports, and data entry in EMR, verifying appointment, checking patients in and out,

translator and clerical duties.

Verifying patient’s insurance and obtains required Pre-Authorizations.

Collect co-payments, prepare bank deposits and maintain accounts and bookkeeping ledgers

Prepare vaccines under provider rules.

Perform administrative duties such as sending recall notice and emergency request.

Inventory and order office supply.

Greeting patients, vital sign, medical history, update patient information, prepare exam room.

Plants tuberculosis skin tests and interpret results with supervision

Works effectively as a member of a team which may include responsibility for scheduling, sending recall notices, and prescription refills per provider orders.

Perform laboratory testing within established protocols, (such as urine tests or finger stick glucose

levels), when ordered.

Dr. Ibrahim Haro Podiatrist Office- Jersey city Temporary position 06/2012-09/2012

Receptionist, Medical Assistant

Interview patients, vital signs and maintains confidential records in EMR.

Ensures patients receive timely follow up care as requested by the provider.

Prepare treatment rooms for examination of patients.

Drape patients with covering and positions instruments and equipment according to medical

procedures.

Hand instruments and materials to doctor as directed.

Clean and sterilize instruments, maintain infection control protocols.

Inventory and order medical supplies and materials.

Schedule appointments, receive money for bills, keep medical records in order, perform secretarial

tasks, and complete insurance forms.

The Good Shepherd Hospital- El Menia, Egypt

Legal assistant/Attorneys’ Unit 09/2001-02/2009

Assist with preparation of legal documents.

Assist in litigation procedures and project management.

Respond to client inquiries.

Perform research activities pertaining to precedents and other information.

Schedule appointments and take phone calls.

Organize law libraries and case files.

Coordinate outside attorney services such as court filing and exhibits management filing and exhibits

management.

DHL Worldwide Express - Mohandessin Giza, Egypt

Logistics Specialist 07/1995-02/2009

Performed project analysis tests and recommended solutions as required

Analysed end-user requirements and potential improvements in coordination with logistics team.

Maintained and updated running purchase orders and verified contents on a regular basis.

Upheld all safety regulations in freight loading and unloading.

Reported all shipment shortages and damages to management.

Attended webex staff meetings concerning company policy updates on a regular basis.

Conducted various equipment safety tests and maintained schedules, orders and other data records.

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