Medical Billing Assistant, patient care coordinator, intake Supervisor
Resume:
Clarissa Harris
Sanford, FL 32773
***.*******@***.***
PROFESSIONAL SUMMARY
Certified Medical Assistant with expert knowledge of medical terminology and HIPAA compliance. Strengths are medical billing, ICD – 10, and extensive understanding of medical support. Highly organized, excellent oral and written communications, keen eye for detail, problem solver, adaptable, works well in a team environment and independently, and ability to consistently meet tight deadlines. Very eager to step out of my comfort zone and master something new with a team-oriented staff.
SKILLS:
•Clinical and Clerical Skills
•Critical Thinking
•Certified in First aid and CPR
•Documentation Skills
•Verbal communication
•Active Learning
Breakthrough Behavior - Intake Supervisor Sept. 2021 – Mar. 2022
●Oversee the Intake Department
●Run KPI reports
●Making sure that all clients have the necessary paperwork and are placed with the correct BCBA
●Conduct weekly team meetings
●Training of new hires
●Report tracking of leads and clients within the intake process
●Verification of Benefits
●De – escalate and resolve client disputes
US Anesthesia Partner’s - Accounts Receivable II Mar. 2020 – Sept. 2021
●Contact insurance companies for status on outstanding claims.
●Process and follow up on appeals with insurance companies.
●Print or demand or refile claims as needed.
●Maintain basic proficiency when using spread sheets.
●Work outstanding Accounts Receivable from work queues.
●Must work 40 accounts daily.
●Maintain an accuracy of 97% or greater on audited accounts.
●Meet productivity standards as set by the department.
●Maintains strictest confidentiality.
●Phone patients for payment or payment arrangements on outstanding balances.
Guide Well Emergency Doctors- Medical Ambassador July 2018 – March 2020
●Greet patients into facility in warm & professional manner
●Route incoming calls on multi-phone line system from patients/medical facilities to address questions & concerns
●Verification of patient insurance and collection of patient responsibility prior to rooming patient
●Reconciliation of patient accounts & maintaining daily balancing of transactions
●Hourly rounds to ensure quality medicine is being provided to patients
●Cross-trained in Medical records & Billing dept
●Readily available to travel to other GuideWell facilities for scheduling needs when short-staffed
●Follow company protocols, corporate compliance, and HIPAA compliant
Aventus Health (Biolabs) – Billing Specialist April 2017 – July 2018
●Insure accuracy of insurance claims. Verify correct ICD-10 and CPT codes.
●Productively handles billing for 3 different hospitals with accuracy.
●Effectively resolve claim rejections at the clearing house level.
●Accurately apply payments to patient accounts
●Bill claims for an advanced laboratory
●Set up new patient accounts
●Verification of insurance benefits
Billing Specialist/Certified Medical Assistant/Patient Care Coordinator March 2014 – April 2017
CFP Physicians Group – Casselberry, FL
•Efficient handling of client's administrative and clinical duties (e.g., answering phones, scheduling appointments/surgeries/medical consultations, referral billing, faxing, copying scanning documents, maintaining clients personal medical records, and bookkeeping).
•Transmit information or documents to customers using computer, mail, or facsimile machine.
•Receive patient's calls on a multi line phone system.
•Provide efficient and caring client service by greeting patients, sensitively preparing them for procedures, and assisting doctors.
•Excellent communication and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physician.
•Perform general office duties, such as triage calls, taking dictation, or completing insurance forms.
•Perform bookkeeping duties such as credits or collections, preparing and sending financial statements or bills or records.
•Assisted and provided information to patients, clerical staff and insurance companies, as well as identified and resolved patient/physician billing complaints.
•Reviewed and maintained medical billing and claim records, settlements and medical insurance statements for multiple facilities.
•Prepared weekly aging reports and billing submissions.
•Maintain assigned work in unpaid claims management folder with office manager.
•Follow up on correspondence and unfavorable determinations made by payees.
•Review collection module and follow up with patients regarding outstand balances.
•Post insurance hard checks electronically or manually.
•Insurance verifications for office visits and procedures.
•Ensure all exam rooms are clean, sanitize and stocked daily prior to patient visit.
•Clean and sterilize instruments and dispose of contaminated supplies.
•Prepare and administer medication as directed by physician.
•Authorize drug refills and provide prescription information to pharmacies.
•Interview and record patient to obtain medical information and measure vital signs, weight, and height.
•Ensured quality care services for patients.
•Experience in the Skilled Facility setting as well as Assisted Living Facilities.
•Worked with administration, staff and patients to help reach the healthcare goals of the patients while maintaining an open line of communication between the patients and providers.
•Obtain information about clients' medical history, drug history, complaints and allergies.
•Process payments and provide excellent customer service to all patients whether on the phone or in person.
•Listen and resolve complaints by patients or public with a high success rate.
•Ensure that all related patients appointments are provided in a timely manner and coordinated to patient convenience.
•Health Care Provider Relations and customer service
SYSTEMS:
Allscripts EMR, Collaborate, Drop Box, Windows Excel, Word, Avalon
EDUCATION
Keiser University, Orlando, FL – May 2013
Associate of Science – Certified Medical Assistant GPA 3.85
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