Office Assistant Insurance Coordinator

LAURA E.PRINCE 314-***-**** ************@*****.***

SKILLS AND KNOWLEDGE

Scheduling Written & Verbal Communication Charting Multitasking Organizational Time Management Medical Terminology CPT and ICD coding Insurance Verification Workman’s Comp Medicare Medicaid Regulatory Compliance Customer Service

EXPERIENCE

2018 - Present

NCPDP AVA Benefits Coordinator, Option Care Health

·Verify health insurance coverage from contracted payer's Commercial, Medicare, work compensation, and Medicaid plans.

·Collect and verify insurance and Medical claims, Prior Authorizations, specialty drugs all to ensure correct coverage of patient procedures and costs.

· Oversee patient benefits and ensure that proper prior authorization and re-authorization is obtained for additional treatment.

· Work from que of incoming Referrals and medical records with Clinician Technical Specialist and hospital staff.

·Acquire specific CPT's, HCPCS and ICD-10 codes for insurance billing.

·Review protocols, as appropriate for various clinical research to ensure compliance with regulations.

2015-2018

Medical Assistant II, Mercy Health (Orthopedics)

·Supported a multi-physician practice.

·Obtained and pertinent medical information including, referrals, MRI results, and x-rays.

·Documented, updated health history, and charted patient information utilizing Epic.

·Pre-authorized surgery, medications and physical therapy with various insurances.

·Requested Peer to Peer phone calls for claims denials.

·Roomed patients, took vitals, reviewed charts prior to physician visit.

·Removed dressings, casts and wound care management, provided assistance for a wide scope of patient needs.

·Scheduled patients, working both check in and check out.

·Answered and relayed triage phone lines.

2012- 2015

Insurance Coordinator and Registration, Feet For Life

·Answered phone system, scheduled patient appointments, and patient follow-up calls.

·Obtained, verified and coordinated Insurance benefits.

·Pre-certification of treatments.

·Collected payments and accounts receivable.

·Coordinated various imaging requests with outside providers.

·Assisted physician with x-rays and treatments (whirlpool, Anodyne, Cold Laser, Ultra Sound, CPM, and ESWT Therapies).

·Charted and created consolation work-ups.

·Created organizational protocols and training procedures with the office.

ADDITIONAL EXPERIENCES

2005-2015

2005-2015 Home Healthcare 2007-2011 Front Office Assistant

2006-2007 Massage Therapist 2006-2007 Personal Trainer/ Sales

EDUCATION

Associates of Occupational Studies (Medical Massage Science-Medical Assisting/Massage Therapy)

Missouri College, St. Louis Missouri 2005

SOFTWARE

Sage Intergy EHR, Lotus Notes, Next Generation, PAC’s System, Epic, Kronos, Visage Imaging

Reference Point, CPR+, Smart Pay, WorkDay, Clearance Health, Navi Health, Microsoft Office, Zoom

Contact this candidate