Medical Insurance Specialist

JONI LEGER

*** ******* ** *****, ** ***** · 337-***-****

adchnr@r.postjobfree.com

Detail oriented and quality focused professional with over 12 years’ combined experience as a Medical Office Assistant and Medical Insurance Biller. Successful track record in handling complicated assignments and administrative requests. Highly experienced in billing, posting deposits, and reconciling accounts with high degree of accuracy and in a timely manner. Solid foundation in software applications, database management and data entry, with the proven ability to readily master new technology. Dedicated to delivering and maintaining outstanding support and strict patient confidentiality. Great communication skills, and consistently recognized for delivering outstanding patient and client relations. EXPERIENCE

2019 – 2020

MEDICAL/DENTAL INSURANCE SPECIALIST, LAFAYETTE ORAL SURGERY

- Maintained accurate log request for medical information and records

- Utilized WINOMS to manage and confirm all pertinent patient data

- Input all required information: insurance, demographic and medical history

- Verified insurance coverage via telephone and online

- Confirmed proper reimbursement of benefits and patients' financial responsibilities

- Communicated with insurance companies to discuss/resolve unpaid and incorrectly paid claims

- Filed claims for medical and dental patients

2017 – 2019

INSURANCE SPECIALIST, SMILES BY SOILEAU

- Expertly tracked all pending authorizations to ensure timely resolution and avoid revenue loss

- Successfully recorded treatment plans

- Filed dental and medical insurance; Billed all medical and dental

- Scheduled patients, checked in patients, presented and collected copayments and deductibles

- Verified insurance, incl. all dental/medical pre-certifications, including Sleep Apnea appliances

- Accurately input patient demographics and insurance information

- Proficient in Dentrix and XDR

- Served as Medical Records Custodian

2013 – 2017

MEDICAL ASSISTANT, SURGICAL SPECIALISTS OF LAFAYETTE & LOUISANA

- Scheduled appointments; Assessed patients upon arrival; Took vital signs

- Assisted doctors and nurses in clinic as needed

- As medical custodian, prepared and monitored charts for three doctors

- Conducted insurance pre-certifications for inpatient and outpatient procedures

- Followed up on insurance claim statuses

- Sterilized and bagged instruments used for in-office surgeries

- Assisted in all office procedures/tasks as needed 2

2012 – 2013

MEDICAL OFFICE ASSISTANT, REGIONAL ORTHOPEDICS & SPORTS MEDICINE

- Scheduled appointments

- Greeted and directed patients upon arrival

- Input patients’ demographics, insurance information, medical history

- Conducted pre-certifications as required for diagnostic testing and surgery

- Collected copayments and deductibles

- Assisted doctors as needed; prepared charts for two doctors

- Served as Medical. Records Custodian

2006 – 2012

MEDICAL OFFICE ASSISTANT, MCLEOD TRAHAN SHEFFIELD PHYSICAL THERAPY

- Greeted and directed patients

- Scheduled appointments

- Documented patient medical history

- Conducted insurance verification; pre-certification; private and workers compensation

- Answered a multi-line phone system, consistently delivered perfect phone etiquette

- Handled all aspects of record management and office automation: filing, bookkeeping, logs, and business correspondence.

EDUCATION

2005

MEDICAL OFFICE ASSISTANT, ACADIANA AREA CAREER COLLEGE LAFAYETTE, LA

2002

LICENSED COSMETOLOGIST, COSMETOLOGY TRAINING CENTER LAFAYETTE, LA

2001

HIGH SCHOOL GRADUATE, ACADIANA HIGH SCHOOL

LAFAYETTE, LA

SKILLS

• Medical Software

• ICD-9

• CPT-10

• Dental Coding

• Medical Terminology

• Medical Insurance

• Medical Billing

• Online Claim Submission

• Keyboard & 10-Key

• MS Excel & MS Word

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