Medical Billing Patient Coordinator
Resume:
Felicia L. Sherman
ORLANDO, FLORIDA 32810
407-***-**** ************@*****.***
PROFILE SUMMARY :
●2 years’ experience Referrals and Authorizations
●15 years’ experience in both Medical Billing and Collections
●5 years’ experience in Provider Relations Medical Contracting
●Proficient with Microsoft office, Excel, Intergy, Med ware, Medical Manager, Misys, Cerner, Access, and Medic Putty, JDE, Build Pro.
EXPERIENCE
Mattamy Homes-Maitland, FL
Purchasing Starts Coordinator 10/2016
Starts coordinator ensures all purchase orders are processed in a timely manner.
●Assist with helping Sr. Purchasing agents.
●Creating reports Lot Job Gen and Comm Gen reports to create Purchase Orders.
●Assist with Builders in all communities with PO’s and Take offs.
●Change orders when buyers want to add or remove design options.
●Assist managers with reports and updates in Build Pro.
●
10/12/2015-5/20/2016
Behavioral Support Services, Inc.
Billing Manager- oversee the billing and authorization department.
●Monitor and create Aging Reports
●Credentialing and contracting Authorizations, Collections
●Claims rejections and denials.
●Monitor clearinghouse claims reports.
●Managers meetings.
● Webinars quarterly with contracted providers.
●Address any claims or authorizations issues with staff.
●Insurance eligibility reports.
●Payroll, timecards, PTO,
●Evaluations, performance
10/24//2010- 06/26/2015
Florida Urology Associates -Florida Hospital
Insurance Referral and Authorization Care Coordinator
●Verify new patient Insurance Information.
●Obtain authorization for outpatient and inpatient surgeries.
●Verify and confirm insurance contracts updates.
●Inter authorizations, scripts, and pre certs in Cerner, Intergy, Misys and Intergy.
●Verify with Care Coordinators all surgeries dates and any changes.
New Patient Coordinator
●Enter new patient demographics
●Enter new patient insurance
●Insurance verification and eligibility
●Contact patients to verify insurance demo and referring doctor information is correct.
●Request medical records from referring doctors
●Fax medical records release request to multiple doctors.
●Mail patient’s new patient paper prior to their appointment.
●Verify commercial and government insurance plan identification numbers.
EDUCATION
06/2003-09/2005
University of Phoenix, Maitland, FL
Associates Business Administration 2005
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