Danica Miller

Medical Office Specialist

Irvington, NJ 07111

adomnj@r.postjobfree.com

862-***-****

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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