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Medical Administrative Assistant

Location:
The Bronx, NY
Posted:
November 04, 2020

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Resume:

Sheena Daisy Geran

*** ******* *** #** *****, NY 10451 646-***-**** adhjef@r.postjobfree.com

PROFESSIONAL PROFILE

Well qualified, results driven, proactive and resourceful medical professional with more than 22 years experience seeking to continue my career with an organization that will utilize my supervision and administrative skills to benefit mutual growth and success. Strong leadership and interpersonal skills to direct work, develop talent and drive engagement. Top performer with track record of consistently meeting or exceeding goals and customer expectations. Team player with polished communication skills: verbal, written, presentations and rapport building. EDUCATION

Metropolitan College of New York New York, NY

Master of Business Administration/ Health Services and Risk Management 2018 The College of New Rochelle New Rochelle, NY

Bachelor of Arts in Liberal Arts/ Psychology 2015

EXPERIENCE

New York Presbyterian: Weill Cornell Medical Center New York, NY Financial Coordinator: Kidney and Pancreas Transplant Program 2016 – Present

Identify issues in the process-flow and departmental structure that impedes financial outcomes, proposes solutions, and collaborates with the department to implement corrective action

Coordinate and clarify patient specific financial aspects of care for transplant patients and their families for all initial evaluation and recurrent patients in order to help facilitate access and provide continuity of care in the transplant program; Collaborating with the transplant team, patients, and their families to advise patients on procedure costs and alternate source of funding

Educate and train the front-end staff and related divisions within NYP to key revenue cycle functions

Obtaining authorizations for transplant evaluations, listings, and surgeries

Liaise with the contracting department to initiate Single Case Agreements for potential new patients

Assisting in the advisory and development of the departments Hepatitis C Transplant Financial Agreement and policies for transplant listing and financial clearance Mount Sinai Health System/ Beth Israel Medical Center New York, NY Data Specialist: Professional Billing 2013 - 2016

Provided Medicare Part B billing and additional commercial insurances for correct coding initiatives for multiple hospital locations and practices for collection of current, past and lost revenue cycles

Assisted manager with error reports, claim processing reports, accounts receivables and pertinent ad hoc reports

Initiated insurance eligibility, benefits and verification for electronic and paper claims and communication with patients for specific details required on insufficient accounts

Trained and assisted staff and new employees on Medicare guidelines and policies for daily operations

Acted as a liaison with Managed Care division for Medicare credentialing of medical providers and updates based on claim denials, rejections and reports for four hospital systems Beth Israel Medical Center: Spine Institute of New York New York, NY Senior Administrative Assistant 2002 - 2012

Created, organized, implemented, and obtained online precertification/authorizations for radiology testing, surgical procedures and specialty medication for outpatient and in-office procedures, and other specialty services with outside pharmaceutical companies as well as in-house pharmacy department

Served as a liaison between physicians and law offices for edits of narrative reports and Independent Medical Examinations evaluations for all legal cases which also includes medical record processing

Developed a system to train new and temporary employees on office systems and daily operations

Arranged communication efficiency between departments, patients, and vendors for outpatient surgical procedures and non-chemotherapy infusion procedures SKILLS

Proficient in Presidio, EPIC, Eagle, Tableau, Telehealth, UNET/UNOS, PeopleSoft, CPT and ICD-10 codes, E-Clinical Works, C-Bay transcription, Lab-query, Soft, Profee/Stockamp, Oracle, Medicare NGS Connex, and Microsoft Office.



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