Medical Billing Receptionist
Resume:
Danica Miller
Medical Office Specialist
Irvington, NJ 07111
******************@***********.***
Computer-literate to include: file management, internet navigation, email management, word processing, spreadsheets, website management/maintenance, and PowerPoint Typing: 60wpm, Data Entry (alpha/numeric): 7,000 keystrokes Knowledge of E-Clinical Works, Office-Mate, Medi-Soft, Windows10 and MS Office Suite (Word, Excel, Outlook, and PowerPoint)
Experience in insurance verification, eligibility, and proof of coverage, via Navi-Net, NJMMIS (Medicaid), Availity, Connex (Medicare) and individual commercial insurance websites Experience in Medical billing procedures/creation and generation of patient/service encounter forms via Advanced MD system, E-Clinical Works and Medi-Soft Experienced in medical A/R duties, which included the collection of co-pays, posting payments, processing patient's accounts with credits/refunds/adjustments as needed Knowledge of HICFA-1500 medical service(s) claim(s) forms, individual commercial insurance claim(s) forms (for medical services/procedures), CPT/ICD-9 coding manuals Knowledge of insurance carriers, policies/procedures, to include PCP changes, referrals pre- authorizations, and authorizations
Basic understanding of Medical/Insurance Industry terminology, patient record keeping, and Medical office management, to include EMR (electronic medical records) systems Knowledge of HIPPA/OSHA guidelines and regulations Experience in Medical office management/automation, to include calendar management, receptionist duties, composing company/organization correspondences (letters/memos), and company/organization related customer service and policy/ procedure education Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Patient Registrar
Atlantic Healthcare Systems - Summit, NJ
Present
Register current health care patients and regular citizens for Covid-19 vaccinations, in accordance with current CDC guidelines and Overlook Hospital/Atlantic Health Care policies and procedures. PSR - Patient Service Representative
Celgene Corporation - Summit, NJ
December 2019 to March 2020
Handle inbound calls, and emails
Handle transactions concerning REMS programs and triage customers to Patient Support Handle registrations and assist with issue resolution associated with enrollment Handle any complaints or concerns about REMS or the service provided by Customer Care Educate customers on the REMS programs.
Keep track of the status of each form and maintain documentation to support the reconciliation process Process surveys for providers and patients for all REMS programs Radiology Scheduler
Salem Hospital - Bloomfield, NJ
August 2019 to October 2019
Patient scheduling
● Recording/updating patient demographics (written and electronic)
● Assisted with billing, to include verifying charges, collecting co-pays, processing/noting/posting credits/ adjustments, and posting payments received (via insurance and self-pay)
● Obtained insurance verifications/pre-authorizations and Primary Care referrals
● Obtained/recorded patient vitals to charts (written and electronic)
● Created/maintained Excel spreadsheets (weekly and monthly) for various office statistics
● Customer service, problem-solving, and office services/policies/and procedures education
● General housekeeping/exam room preparation/maintenance
● Created/composed/generated company/office correspondence, as needed
● Assisted with marketing efforts and community outreach/event planning, as needed
● General medical office automation duties
Patient Services Representative
Newark Community Health Centers - Irvington, NJ
December 2016 to January 2018
Scheduled/confirmed/and checked in patients having appointments in various departments which included: Internal
Medicine, Pediatrics, Dental and Obstetrics/Gynecology
● Verified patient medical/dental insurance coverage, eligibility and benefits for services
● Assisted with patient PCP(primary care physician)changes and authorizations
● Collected/posted payments of copays, vaccinations, LOA (Letter of Agreement/Sliding Fee Scale)
● fees, etc.
● Screened non-US citizens for LOA (Letter of Agreement/Sliding Fee Scale) eligibility
● Processed LOA applications and assigned services fees(based on financial ability)to non-US citizens
● Screened patients for Medicaid eligibility(based on NJ state requirements)for US citizens
● Documented departmental patient scheduling statistics: cancellations, reschedules, no-shows,
● walk-outs, etc.
● Maintained patient EMR (electronic medical records) chart: demographic info, insurance info, fees/ copays, notations of actions taken, scanning of patient docs into chart/medical record, etc.
● Light accounting/bookkeeping: processed patient payment arrangements, petty cash management, daily/nightly facility
closing count(all departments: cash and credit)
● Performed patient problem solving, conflict resolution, and customer service
● Provided patient education/explanation of company/facility policies, guidelines, rules, and regulations
● General medical office automation and special projects/assignments(as directed) Medical Receptionist
Parkway Eye Care, LLC - Irvington, NJ
April 2016 to November 2016
Scheduled/confirmed patients appointments
● Verified and confirmed insurance and eligibility for services/products
● Collected patient's co-insurance responsibility payments, insurance deductible payments, copayments and balances on services/product orders
● Dispensed glasses/ contacts and provided product/company education
● Assisted with sales and customer service duties: processing new orders for glasses/contacts, processed replacement/lost
or damaged orders for frames, lenses and contacts
● Performed medical office automation duties, to include: creating/generating company correspondences, checking/
responding to voicemails, checking /responding to office emails, checking for/responding to/and scheduling online
appointment request, generating patient referrals
● Trained to assist with Pre-testing to include: recording patient history, giving vision test/noting and recording results, performing GDX/GAT/Auto-Refraction/and Retinal photos
● Assisted with surgical coordination for Cataract and Glaucoma patients, to include scheduling of consultations, surgical
procedures, pre/post-op appointments, /arranging patient transportation to/from the surgery center, obtaining patient
clearance from PCP, obtaining pre-authorization/approval for procedure/service from patient's insurance, also provided
patient education regarding surgical/procedural rules, regulations, policies, and guidelines (before/ during/after surgery/
procedure)
● Maintained adherence to/compliance with HIPPA and OSHA policies, guidelines, and procedures
● Assisted with various administrative, sales, and customer services duties as assigned Receptionist/Customer Care Representative
East Orange Eye Care - East Orange, NJ
October 2014 to January 2015
Patient scheduling (new and existing)
● Verified patient insurance and obtained insurance/service authorizations and pre-certifications
● Assisted with billing functions/duties (co-pay collection, product/service balance collection, posting/ noting payments)
● Placed product orders and billed patients/ insurance carriers for products/services
● Sorted/processed patient product orders received
● Customer service, problem-solving, and company/organization services/policies/and procedures education
● Patient chart creation and maintenance (paper and electronic)
● General medical office automation duties
Medical Assistant/Secretary
New Life Health and Wellness Center - Bloomfield, NJ September 2012 to January 2013
Patient scheduling
● Recording/updating patient demographics (written and electronic)
● Assisted with billing, to include verifying charges, collecting co-pays, processing/noting/posting credits/ adjustments, and posting payments received (via insurance and self-pay)
● Obtained insurance verifications/pre-authorizations and Primary Care referrals
● Obtained/recorded patient vitals to charts (written and electronic)
● Created/maintained Excel spreadsheets (weekly and monthly) for various office statistics
● Customer service, problem-solving, and office services/policies/and procedures education
● General housekeeping/exam room preparation/maintenance
● Created/composed/generated company/office correspondence, as needed
● Assisted with marketing efforts and community outreach/event planning, as needed
● General medical office automation duties
Education
Diploma in Medical Office Automation in Medical
Star Technical Institute - Newark, NJ
October 2005 to October 2006
BA in English
Hampton University - Hampton, VA
August 1994 to December 1999
Bachelor's in English
School of Liberal Arts and Education - Hampton, VA June 1994 to December 1999
Skills
• Customer service
• Billing
• Organizational skills
• Receptionist
• Filing
• Typing
• Scheduling
• Microsoft outlook
• Outlook
• Word
• Confident
• Front Desk
• Microsoft Word
• Schedule Management
• Medical Office Experience
• Medical Receptionist
• Medical Scheduling
• Medical Billing
• EMR Systems
• HIPAA
• Insurance Verification
• Medical Terminology
• Accounting
• Dental Receptionist
• Medical Coding
Assessments
Customer Service — Proficient
November 2019
Identifying and resolving common customer issues.
Full results: Proficient
Personality: Hard-Working — Proficient
November 2019
Measures a candidate's tendency to be rule-abiding, well-organized, hard-working, confident, and think before acting.
Full results: Proficient
Customer Focus & Orientation — Highly Proficient
July 2019
Responding to customer situations with sensitivity. Full results: Highly Proficient
Receptionist — Familiar
July 2019
Using basic scheduling, attention to detail, and organizational skills in an office setting. Full results: Familiar
Verbal Communication — Highly Proficient
May 2019
Measures a candidate's ability to effectively convey information when speaking. Full results: Highly Proficient
Scheduling Skills — Proficient
August 2018
Measures a candidate's ability to cross-reference agendas and itineraries to avoid conflicts when creating schedules.
Full results: Proficient
Intermediate Word Processing with Microsoft Word — Familiar April 2019
Measures a candidate's knowledge of intermediate Microsoft Word techniques including the use of formatting, Track Changes, and Comments.
Full results: Familiar
Personality: Customer Service Fit — Proficient
December 2019
Measures the traits that are important for high-quality customer service. Full results: Proficient
Medical Receptionist Skills — Highly Proficient
March 2020
Managing physician schedules and maintaining accurate patient records Full results: Highly Proficient
Verbal Communication — Expert
March 2020
Speaking clearly, correctly, and concisely
Full results: Expert
Dental Receptionist Skills — Proficient
March 2020
Managing practitioner schedules and maintaining accurate patient records Full results: Proficient
Medical Billing — Proficient
December 2019
Understanding the procedures and forms used for medical billing. Full results: Proficient
Written Communication — Proficient
August 2018
Measures a candidate's ability to convey written information using proper grammar rules. Full results: Proficient
Organizational Skills — Expert
August 2018
Measures a candidate's ability to arrange and manage files or records using a set of rules. Full results: Expert
Proficiency with Microsoft Office: Mail & Calendar (Mac) — Completed July 2019
Measures a candidate’s proficiency in using Microsoft Office Mail and Calendar tools to manage their workload.
Full results: Completed
Customer Focus & Orientation — Highly Proficient
August 2020
Responding to customer situations with sensitivity Full results: Highly Proficient
Receptionist — Familiar
July 2019
Using basic scheduling, attention to detail, and organizational skills in an office setting. Full results: Familiar
Electronic Health Records: Best Practices — Proficient March 2020
Knowledge of EHR data, associated privacy regulations, and best practices for EHR use Full results: Proficient
Medical Receptionist Skills — Highly Proficient
March 2020
Managing physician schedules and maintaining accurate patient records Full results: Highly Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
SKILLS
• Billing
• Filing
• Microsoft Outlook
• Organizational Skills
• Outlook
• Receptionist
• Scheduling
• Typing
• Word
ASSESSMENTS
Customer Service - Proficient
November 2019
Identifying and resolving common customer issues.
Full results: https://share.indeedassessments.com/share_to_profile/ b9139ee1f93a5f20b8dbf5469c962f0ceed53dc074545cb7
Personality: Hard-Working - Proficient
November 2019
Measures a candidate's tendency to be rule-abiding, well-organized, hard-working, confident, and think before acting.
Full results: https://share.indeedassessments.com/share_to_profile/ 41ffd7dd62f44faba99da6a5e9c534e1eed53dc074545cb7
Customer Focus & Orientation - Highly Proficient
July 2019
Responding to customer situations with sensitivity. Full results: https://share.indeedassessments.com/share_to_profile/ 3b2f5761fe35f723b1e6ae6524af2d53eed53dc074545cb7
Receptionist - Familiar
July 2019
Using basic scheduling, attention to detail, and organizational skills in an office setting. Full results: https://share.indeedassessments.com/share_to_profile/ 98ffb4da631c30de4089f53a4bd920d1eed53dc074545cb7
Verbal Communication - Highly Proficient
May 2019
Measures a candidate's ability to effectively convey information when speaking. Full results: https://share.indeedassessments.com/ share_to_profile/32a586d96d28162b65a192718dba0887
Scheduling Skills - Proficient
August 2018
Measures a candidate's ability to cross-reference agendas and itineraries to avoid conflicts when creating schedules.
Full results: https://share.indeedassessments.com/share_to_profile/ 9c5dbf376753c8f59cfd59112267b78ceed53dc074545cb7
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in
any professional field.
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