Hilda (Alexis) Whipple

Email: adsejf@r.postjobfree.com

Phone: 240-***-****

OVERVIEW

I have extensive knowledge and over Ten years of experience in the Medical field

Including but not limited to; Bone Densitometry Tech, Surgery Appointment Scheduling,

Medical Insurance policies/procedures, Pre-certifications, contact lens ordering, writing out

Prescriptions, referrals & treatment plans. Electronic Billing and posting with every

Major Insurance Companies including but not limited to Medicare & Blue Cross Shield.

OFFICE SKILLS & SOFTWARE

• Excellent knowledge in office skills and basic office machinery

• Proficient With a calculator

• Extensive knowledge with high figures, Microsoft Windows, Quick Books, Internet Lookups,Word, Excel, Microsoft Outlook, Medisoft, Medical Manager, Meditech, CBSI, Scripts Invision,SMS, Amicas Ris, PACS, Medix, DocAssist, Medical Mastermind Software,ECW, and Epic just to name a few.

• Attended Insurance seminars and trained front desk and business office staff

WORK EXPERIENCE

Capital Orthopedics Specialist, LLC

Lanham, MD

September 2015-Present

Surgical Posting Secretary

• Schedule and coordinate patient’s surgeries as per the Doctor’s orders

• Prepare and send posting to the hospitals & surgery centers

• Contact Vendors/Reps for necessary equipment needed for surgeries

• Verify insurance coverage and benefits

• Knowledgeable of different insurance types

• Complete prior-authorization requests for procedures

• Keep patients, physicians and facilities informed of any and all scheduling changes

• Assist with medical necessity documentation to expedite approvals of procedures

• Assist with developing and implementing prior-authorization work flows, policies and procedures as needed

• Partner and collaborate with other departments cross functionally regarding prior authorizations, scheduling and/or clinical care services

• Provide all pre-surgery instruction and necessary information

• Schedule post-surgery appointments

• Prepare surgical charges for billing

• Maintain monthly surgical list for physicians

• Perform other duties as assigned

Shady Grove Radiology Consultants, P.A

Rockville, MD August 2007-September 2015

Lead Patient Coordinator/ Bone Density Tech

• Process and route all incoming telephone calls, schedule appointments including Thyroid

Biopsies, provide information as appropriate in accord with HIPAA guidelines and regulations

• Greet all patients and registers each in accordance with established procedures

• Collect, process, and balance all co-payments and deductibles as appropriate at the end of day

• File patient information, reports, jackets and films as necessary

• Work on double Number patient accounts as they are discovered in coordination with Systems

Support Administrator

• Distribute Daily appointment schedules

• Assist in the training of any new or current employees alongside the company training team

regarding the essential functions of the Patient Coordinator position

• Maintain a memorandum file concerning all documented billing and registration issues,

changes, new policies and protocols as distributed by administrative/billing management team

• Anticipate and answer questions regarding insurance acceptance, benefits and authorization as

presented by fellow patient coordinators

• Detailed Oriented and organized

• Excellent working knowledge of local insurance companies and their protocols for radiology

visits, understanding of medical terminology and medical records release to process legal

attorney request for records

• Provide input to the office manager and the Human Resource manager regarding progress of

the new or current employee in regard to learning the essential job functions of a Patient

Coordinator as it relates to their quarterly and yearly evaluation

• Make recommendations to the Office Manager should Corrective Action be necessary for a

Patient Coordinator Serve as a Lead role model/advocate for all of the other staff members and

helps facilitate the radiologist’s requests, patient complaints and referring physicians’ requests or

problems

• Maintain on going interaction with Management staffs daily regarding any changes in

procedures, clerical or administrative issues that need to be resolved regarding the front desk

team

• Perform Bone Densitometry scans and exams daily for scheduled appointments

• Float and travel to other company sites to help ensure staff coverage and daily functions

Contact this candidate