LIZ CIFFONE

**** ******** ******* #**● Wake Forest, NC 27587

919-***-**** ● adc4nm@r.postjobfree.com

MEDICAL OFFICE ADMINISTRATOR

Highly motivated, self-directed medical office professional, a proven track record of successfully supporting the critical day-to-day operations of high volume, multi-site medical practices. Through rapid advancement to positions of increasing authority, gained hands-on experience in a broad range of practice, including billing, transcription, scheduling, insurance verification, and office management. Seeking opportunities to bring talent and vision to a respected organization that values hard work, dedication, and results.

KEY STRENGTHS

Medical Office Management ● Scheduling ● Front Desk/Reception ● Operations Management ● Transcription

Medical Billing ● Insurance Pre-Authorization and Billing ● Accounts Payable ● Credentialing

Project Management ● Computer Systems Troubleshooting ● Customer Service

PROFESSIONAL EXPERIENCE

TRIAL CARD, Morrisville, NC 2018 – Present

Call insurance companies to confirm insurance coverage

Verify specific procedures with insurance companies

Initiate and follow up on prior authorization and appeals if required for the service

Research financial responsibility of the patient and report findings to the physician

Customer service representative

AEROTEK, Morrisville, NC 2017 – August 2018

Reimbursement Case Manager – Prescription Copay Assistance

Call insurance companies to check pre-authorization requirements

Call patients to advise them of their benefit requirements and financial responsibilities

Work with provider offices to obtain prior authorizations for medication

CROSSMARK, Durham, NC, 2014 –Present

Marketing Demonstrator, Event Demonstrator

Demonstrate, explain and offer samples of product to increase sales.

Create a positive product impression and generate brand awareness for onsite/in-store food and non-food demonstrations.

Proactively intercept, engage, interact and communicate with consumers to demonstrate products features and benefits in a professional manner.

Possess the ability to acquire and maintain knowledge of products represented.

Properly prepares event table/cart (set up & breakdown) for demonstration execution.

Ability to prepare and serve food and beverage samples using required appliances, such as; microwave, convection oven, electric fryer, skillet, juicer, coffee maker, cooking utensils, forks/knives and hot oils.

Maintain a clean, sterile and safe work station using cleaning chemicals.

Maintain an overall professional appearance consistent with the requirements of the role.

Provide excellent customer service and develop a professional working relationship with store personnel to effectively meet CROSSMARK’S and client objectives.

Accurately prepare and submit all online requirements on the day of event demonstration/execution.

Liz Ciffone Resume, Pg. 2

RTI, Raleigh, NC July 2017-October 2017

Data Collection Specialist – MEPS

Call medical billing offices to collect patient billing and payment records.

Send signed authorization

Call back and collect the billing and payment records

Enter data accurately in the computer database for government analysis

QUEST PHYSICIAN SERVICES, Charlotte, NC, 2016 - Present

DSP (Direct Support Provider)

Working with Special needs clients who are in the volunteer world offering support for them to succeed in the community

Help client fill out applications for employment and participate in community activities

Participate in activities with clients

MYCO MEDICAL SUPPLIES, Cary, NC, 2012-2016

Administrative Assistant (2012 – 2016)

Perform a variety of administrative support tasks, including order management, customer service, quality control, reception, PTO tracking, and management of office operations.

Input and check accuracy of orders in SAP program prior to warehouse packing.

Maintain critical office equipment including copiers and postage machines.

Serve as point of contact for building and office management issues.

Support sales efforts by ensuring adequate inventory for sample room, sending sample requests to customers, and logging lot numbers for traceability.

Troubleshoot IT and computer problems prior to escalating user issues with technology support companies to provide quicker resolution and save costs associated with service calls.

Manage phone system maintenance and changes to employee phone extensions.

PEDIATRIC UROLOGY ASSOCIATES, P.C., Yorktown Heights, NY, 1999-2012

Administrative Assistant (2006-2012)

Oversaw day-to-day operations of a busy medical office, executing effective administrative support and office management responsibilities to ensure ongoing operations to support patient care for five regionally diverse locations.

Performed critical IT tasks when necessary, including troubleshooting of T1 lines and computers, and performing daily backup of computer systems using Complex, ECW, and PCN.

Coordinated relocation and opening of offices, managing all aspects of move from hiring moving companies, installing internet and phone lines, ordering supplies and equipment, and securing vendors for cleaning.

Served as risk management coordinator, collaborating with attorneys on expert reviews, medical record release, audits, and malpractice issues.

Maintained and managed credit card reconciliation, EZ pass accounts, cell phones, hospital parking permits, and accounts payables, and patient reimbursements, while administering company benefits packages.

Provided administrative support to doctors and executives including appointment scheduling, calendar maintenance, and back-up receptionist support.

Transcription Manager (2004-2012)

Ensured detailed and accurate transcription of file notes and communication to primary care physicians from tapes dictated by 12 practitioners.

Managed conversion of in-house typing to outsourced transcription, overseeing quality of work provided by external transcription vendors.

Managed provider database, regularly updating information, and conducting research for updated contact information for doctors.

Liz Ciffone Resume, Pg. 3

Credentialing specialist (2002-2004)

Managed physician’s privileges and credentials for hospitals and insurance companies, ensuring appropriate documentation and compliance with medical license and certification requirements.

Enroll and maintain insurance coverage for physicians at 11 office locations, ensuring that new doctors are promptly and accurately added to insurance programs, and that renewals are processed on time.

Medical Biller (2000-2002)

Oversaw all medical billing activities, including timely processing of payments and dissemination of electronic bills.

Answer patient billing inquiries, investigating discrepancies as needed.

Managed weekly collection of insurance information to ensure proper billing activities, following up on unpaid claims to ensure receipt of billing.

Pre-certified all biofeedback and VCUG procedures.

Surgery Scheduler (1999-2000)

Scheduled procedure dates and times for patients requiring surgical interventions.

Retrieved and disseminated required insurance information, including CPT and ICD-9 codes, to gain pre-authorization for procedures.

Ensure that all pre- and post-operative instructions were received and understood by patients.

Coordinate and confirm day-of-surgery activities, including scheduling of operating rooms, and communicating patient arrival times.

Insurance Pre-Certification (1999)

Verified insurance coverage and provider participation prior to administration and execution of medical interventions.

Obtained pre-certification authorization numbers to streamline payment of submitted claims.

Manage insurance requirements, ensuring that all are met prior to surgery date.

MORRIS I. GLASSMAN, M.D., Yorktown Heights, NY, 1998-1999

Front Office Receptionist

Performed critical front-office responsibilities while providing outstanding customer service as the patient’s first point of contact.

Answered phones, scheduled appointments, collected payment, entered data for insurance reimbursement, and managed daily dissemination of mail and correspondence.

Filed electronic and paper insurance claims.

Reconciled payments and made daily bank deposits.

Converted and transferred electronic information into new computer system.

NORTHEAST EYE CARE, Brewster, NY, 1987-1998

Medical Biller

Provided key administrative, customer service and medical support for a busy eye care center, including managing billing functions, front office reception duties, IT backup, and visual field testing.

Liz Ciffone Resume, Pg. 4

Certificates:

Bellum Training

Organizational Orientation 1.0 MAR Training 2.0

Fire & Fire Extinguisher Safety 2.0 Service Definitions 2015

Overview of Developmental Disabilities 2.0 Incident Reporting/Restrictive Interventions 2.0

Protective Device Usage 2.0 Rights Training 2.0

Infectious & Communicable Diseases 2.0 Person directed Planning 2.0

Seizure Management 2.0 Cultural Competency & Diversity 2.0

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