Senior Clerk Biller/Coder
Resume:
Nandi Caines
Bronx, NY *****
M: 347-***-****
*************@*****.***
Human Resources Administration
To Whom It May Concern:
In the interest of exploring opportunities with your facility, I am enclosing my resume for your consideration and review. I believe my qualification would make me an outstanding asset to the position that is available. I would very much appreciate the opportunity for a personal interview at a suitable time, to discuss my abilities and needs of your facility.
I am currently interested in a company that offers stability, growth and room for advancement. Should you be conducting a search for someone with my experience, I would be happy to discuss my background and experiences in detail with you in person.
I can be reached at the telephone number or address given above. Thank you for your consideration.
Look forward to hearing from you.
Best regards,
Nandi Caines
Nandi Caines
Nandi Caines
967 Kelly street
Bronx, NY 10459
M: 347-***-****
*************@*****.***
Work Experience
Montefiore Behavioral Health Center 12/2016–Present
Senior Clerk Biller
● Verifying insurance for each client on a day to day basis
● Apply Financial Services (a sliding fee scale) for clients with no insurance ● Help the doctors and clinicians close opened encounter on a weekly basis ● Denial Revenue
● Medication Authorization
Montefiore Behavioral Health Center 12/2013–Present
Senior Clerk
● Operate switchboard answer and directed calls (Heavy Volume) in a professional, courteous and upbeat manner to elicit favorable customer response.
● Schedule, cancel and confirm appointments/ Patient outreach
● Confirm new insurance eligibility (Treks)
● Apply co-payments received to patients account
● Distribution of metro cards along with daily reports
● Handle Prescription pick up
● Maintain the productivity of the providers of the facility
● Assistant administration with Group sessions with providers also sending out group approval letters and obtain spreadsheet
Montefiore Medical Group-C.F.C.C. Bronx, NY 03/2007-12/2013
Senior Clerk
● Call Center-C.F.C.C
● Operate switchboard answer and directed calls (Heavy Volume) in a professional, courteous and upbeat manner to elicit favorable customer response.
● Transcribe messages through Electronic Medical Records / GroupWise ● Handle Prescription refill request
● Schedule, cancel and confirm appointments
● Confirm new insurance eligibility
● Referrals and Insurance Authorization
● Medication Authorization
OBGYN
● Answer and directed calls (Heavy Volume) in a professional, courteous and upbeat manner to elicit favorable customer response.
● Prescription refills
● Reserve and Confirmed Appointments
● Confirm insurance eligibility
● Apply co-payments received to patients account
● Transportation distribution
● Referrals incoming/outgoing
● Sort incoming/outgoing mail
Medical Records
● Answer and directed calls (Heavy Volume) in a professional, courteous and upbeat manner to elicit favorable customer response.
● Prepare charts for doctor next day appointments
● File and pull charts for Obgyn, Adult Medicine and Pediatrics
● Recovered missing charts
● Purged inactive charts
Montefiore Medical Group-C.F.C.C. Bronx, NY 11/06-01/07
Clerk Level I
● Answer and directed calls (Heavy Volume) in a professional, courteous and upbeat manner to elicit favorable customer response.
● Prepare charts for doctor next day appointments
● File and pull charts
Montefiore Medical Cardiology Associates Bronx, NY 08/06-10/06
Clerk Level I
● Answer and directed calls (Heavy Volume) in a professional, courteous and upbeat manner to elicit favorable customer response.
● Prepare charts for doctor next day appointments
● File and pull charts
● Confirmed Appointments
Education
AACP certified coder (current)
Career Quest New York, NY 2004 Medical billing/Administration office (certification course) Bronx Community College Bronx, NY 1996-1997 Major: Liberal Arts
Skills
Working knowledge of Microsoft word, Microsoft Execl, Windows98&XP, Switchboards, Medi soft, Electronic Medical Records, PTAR, US Bank, Epic, CounselEar,ClaimsMd
References furnished upon request
Contact this candidate