W අඅ ൺආ B. Hඎඇඍඅൾඒ

** ******* ***, ******, ** ***32 678-***-**** aduhql@r.postjobfree.com

Highly-professional and organized Healthcare Administrator with strong experience in record keeping, appointment setting, and insurance processing. Skilled at prioritizing patients' needs within high-stress environments. Possess strong leadership and teamworking skills along with effective communication abilities demonstrated by years in healthcare.

Heavy Volume Data Entry

Medical Front & Back Office

IDX, CPT-4, ICD-9

Novice, SMS, Paper Host systems

Patient Accounts

Excellent Customer Service

Interpersonal skills

CPT coding, CPT, credit, CRM

Detail-oriented, problem solver

Strong organizational and time management skills

Team player

Excellent communication and interpersonal skills

Medical Records, 11/2014 to Current

Bone and Marrow Transplant Group – Atlanta, GA

Daily Dr. and Physician assistant clinic orders.

Consents, pharmacy HT/WT, EKG's.

Requisition updates.

Disability/SSI requests (copy, scan, mail, payments). Transfusion Form.

Responsible for finalized post packet scanning.

Responsible for billing related activities for assigned medical specialties. Ensures that any release of information requests are HIPAA compliant. Maintains medical records software to ensure all charts are audited and up to date. Responds to request for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.

Verify accuracy and timely accessibility of files. Communicates with physicians to clarify diagnosis or to obtain additional information. Pඋඈൿൾඌඌ ඈඇൺඅ Sඎආආൺඋඒ

S අඅඌ

Wඈඋ H ඌඍඈඋඒ

Insurance Specialist, 05/2008 to 10/2014

Emory Medical Care Foundation, Emory University – Atlanta, GA Ensured the timely resolution of medical insurance claims filed with insurance carriers and agencies. Ensured appropriate coding to maximize reimbursement of claims. Verified patient insurance and Medicaid coverage for billing purposes. Maintained a comprehensive knowledge of billing requirements for assigned medical specialties. Prepared physician charges for processing, using ICD-9 and CPT coding procedures. Determined if patient or third party is appropriate payer and posts payments to accounts. Assisted in training other employees on reimbursement related topics. Utilized SMS system to obtain patient medical insurance information. Provided exemplary customer service in the while coordinating all patient access functions for a patient's visits to the Emory Clinic, Inc.

Handled the tasks of receiving visitors, including checking in/out patients. Verified referral necessity and obtain authorization requirements immediately. Obtained global consent and documents in IDX if not previously completed. Collected co-payments and other monies due per Patient Financial Services. Entered charges and payments in IDX system.

Reviewed file's check-out information for delinquent returns by borrowers Maintained confidentiality of patient finances, records and health statuses. Development Information Systems Specialist, 02/2002 to 04/2008 Emory University Development Office – Atlanta, GA

Responsible for recording money received and/or creating, maintaining, and updating constituent biographical records in support of University and Healthcare activities in high volume office. Responsible for reviewing and checking data printouts for accuracy and making appropriate corrections. On a daily basis used knowledge of relational database concepts, CRM system requirements, & referral integrity to ensure that donor & gift information is accurate & up to date. Managed customer requests using enterprise wide request software (Service Now). Responsible for pulling money transaction data from online giving activities from third party credit card processor website while using data for input and reconciliations. Obtained global consent and documents in IDX if not previously completed. Reviewed file's check-out information for delinquent returns by borrowers. Located and retrieved files from requesting employee and/or departments. On a daily basis used knowledge of relational database concepts, CRM system requirements and referral integrity to ensure that donor and gift information was accurate and up to date. Obtained global consent and documents in IDX if not previously completed. Patient Financial Advocate, 10/1997 to 13/2001

Northside Hospital – Atlanta, GA

Performed insurance verification with all third-party payers, as well as obtains initial and subsequent pre-authorization for recommended services on all new patients and internal referrals. Ensured that all demographic, insurance, and patient eligibility information is obtained, current, and entered in an accurate and timely manner.

Ensured all appropriate signatures are obtained on all necessary forms including insurance verification and treatment pathway etc.

Communicated to the team any anticipated issues with coverage that may impact the timeliness of care. Utilized the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.

Followed all necessary HIPPA regulations to protect all patient information. Butler Highschool - Huntsville, AL

Graduated

HIPAA certified

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