Data Entry Front Desk
Resume:
Donna Clifton
Kingwood, Texas 77339
I am experienced with Medicare, most commercial insurance and 3rd party insurance. I have worked with EClinicalWorks, Medisoft, Misys, Physicians Office Manager, Centricity software, Microsoft Outlook and Word. I am skilled at insurance verification and demographic data entry. My knowledge of CPE and diagnostic coding are useful with charge posting, billing. and heavy collections. I have several years working in Call Centers. I recently obtained my Registered Technicians Trainee certification from the Texas State Board of Pharmacy.
Louetta Family Medicine Spring, Texas
September 2017 to present
Insurance Coordinator/Receptionist
• Patient demographics
• Insurance Verification
• Verification of benefits within multiple pay portals including UHC, BCBS, AETNA, Medicare, Availity
• Medical Records
• Daily Front Reception Duties such as: check in/out copayment collection and posting to accounts
• Scheduling appointments
• Pharmacy calls for med refills
Kingwood Sleep Lab Kingwood, Texas
September 2015 to September 2017
Assistant Manager
• Responsible for daily operations for sleep lab
• Maintain schedules for Doctors, Patients and Techs
• Insurance Verification and Prior Authorizations
• Daily Operations of organization of reports, charts and spreadsheets
• Posting charges with correct ICD-9 and CPT codes
• Billing insurance
• Collecting payment
• Reconcile deposits
• Return Calls to patients to schedule appts
• Handle incoming faxes
• Ordering patients DME
• Uploading scored reports to patient’s chart
Family Health Clinic Kingwood, TX
1/2013 - 9/2015
Receptionist
• Responsible for front office greeting and helping patients
• Schedule/Confirm appointments
• Maintain Doctors and Patients Schedules
• Collect/Post daily charges and payments
• Insurance verification and benefits
• Prior Authorizations and Referrals
• Maintain front desk including: Check patients in/out, entering patient demographics
• Review fee slips for correct CPT and diagnosis codes
• Answer multiple phone lines
• Return pharmacy calls for patient’s refills
Family Medicine Associates of Texas Carrollton,TX
9/2008 -3/2010
Patient Account Representative
• Maintaining patients accounts including collecting outstanding debts
• Prepare claims for billing, appeals and corrected claims with documentation
• 3rd party liability accounts including underpaid and denied accounts
• Post charges, payments and notes to accounts to keep current
• Review fee slips for correct demographics, CPT and diagnosis codes
• Work A/R accounts in timely manner to meet goals and deadlines LENSING AND WIEN,M.D. PLANO,TX
1/2007-9/2008
Receptionist/Scheduler-
• Answered multi-phone lines
• Schedule/confirm appointments
• Patient demographics
• Maintain doctors schedule
• Pull charts for daily scheduled patients
• Collect heavy outstanding debts
• Work monthly A/R
• Monthly billing of patient statements
• Return calls and faxes to pharmacies for refills
• Insurance verification and benefits
• Prior authorizations for medications and referrals
• Coordinated benefits for referrals and admission
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