Medical Billing Front Desk

LORETTA DEVITO

Croydon, PA ***** 610-***-**** *********@***.***

Professional Summary

Current Senior PET/CT Coordinator with over 10+ years of successful experience in patient scheduling, billing and coding, ordering of material for PET/CT, obtaining insurance verification and precertification. Recognized consistently for performance excellence and contributions in adding to the success in the coordination of the PET/CT department of Temple's Fox Chase Nuclear Medicine department which currently provides 200 PET/CT cases per month. Continuously provides strength in patient management skills and computer skills as it relates to this job position backed by training in insurance/precertification.

Accomplishments

Consistent Overall Excellence in Performance evaluation.

AAPC Certification in Medical Billing and Coding

CPC (Certified Professional Coder) 2008

Skills

Computer skills:

EPIC, PHS, SYNGO, INVISION EMR 9.2, CITRIX, MICROSOFT WORD, EXCEL

CODING SKILLS:

CPT-4, ICD-9-cm, Medical Terminology, Passport, Pathway Compliance Advisor, Portal Invision, Sorian Clinicals, Pathways Healthcare Scheduling System.

Work History

Senior PET/CT Coordinator 11/2016 to Current

TUHS/ Fox Chase Cancer Center – Philadelphia, PA

10+ years experience in Clinical field with medical support dedicated to patient scheduling, ordering, and insurance verification and precertification in PET/CT division of Nuclear Medicine which provides on average 200 cases per month.

In charge of supervising fellow staff coordinator within PET/CT department.

Works with ordering physicians in- house and outside facility in scheduling PET/CT procedures. Expertise in verifying clearance through insurance for smooth patient flow. Responsible for ordering all drugs related to diagnostic and research studies for PET/CT.

Excellent billing, coding and computer skills related to job.

Excellent troubleshooting skills and knowledge of medical terminology.

Worked closely with team members to deliver project requirements, develop solutions and meet deadlines

Kept team on track by assigning and supervising their activities and giving constructive feedback

Medical Biller/ Receptionist 01/2014 to 11/2016

Abington Memorial Hospital – Abington, PA

Medical Front desk receptionist for patient scheduling, billing and coding.

Established phone triage for busy call center personally averaging 60+ calls per day.

Responsible for scheduling patients for Radiology procedures.

Central Scheduling

Responsible for doing pre-registration and verification of insurances.

Proficiency in GPMS and EMR (Electronic Medical Records)

Collect all Co-payments

Verify all patient Precertifications and Referrals

Knowledge of Cisco, Passport, EMR, Star, Ecare, PHS, and Navinet

Work with multiple Insurance Agencies for patient throughput.

Medical Insurance Specialist/Precertification 10/2012 to 01/2014

Fox Chase Cancer Center/ OBO Department – Philadelphia, PA

Precertification for all Diagnostic Imaging

Reviewed medical records to meet insurance company requirements.

Expertly assigned charges and payments for medical procedures.

Interpreted medical terminology and pharmacological information to translate information into coding system.

Filed and submitted insurance claims.

Documented and filed patient data and medical records.

Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.

Performed with precision by entering data accurately and researching to resolve questions.

Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.

Coding experience, CPT-4, ICD-9-cm, Medical Terminology

Expertise in Passport, Pathways Compliance Advisor, Portal, Invision, Sorian Clinicals, PHS

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