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Records Clerk Patient Representative

Location:
Philadelphia, PA
Salary:
28.00 an hour
Posted:
April 07, 2023

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Resume:

Edna Sanchez

**** ****** ** • Philadelphia, PA **116 • Phone: 215-***-**** • adwesw@r.postjobfree.com

Professional Profile

Proven ability to multi-task with over five years experience as within the healthcare industry with an adept knowledge of administrative support and superior customer service. Expert in gathering, analyzing and defining business and functional requirements while adhering to company policy and procedures. Responsible as a fiduciary trust with a positive "can-do" attitude, fostering the ability to work well independently as well as within a team environment. Performance-driven results to produce high quality work with accuracy. Experience in all Microsoft Office Software: Access, Excel, Outlook, PowerPoint and Word.

Summary of Qualifications

-Premier Physician Office Practice Management

-Injections Administration

-Type GO WPM+

-Thorough knowledge of CPT, ICD-9 & 10 Coding

-Appointment Scheduling HIP AA Guidelines CPR Certification

-Drug Screening

-Filing / Scanning Organizational Skills

-Problem Solving Analytical Thinking Medical Records Navinet Knowledge of SMS Phlebotomy

Professional Experience

Primary Home Care 2017 – Present

Patient Representative

Manage reception area, answer all calls and schedule appointments

Liaison between practitioner and patients

Assist patients with obtaining prescription refills and referrals

Registration of patient information

Order medical supplies

Prepare referrals

MARSCare - PHILDELPHIA, PA 2016-2017

Receptionist/Prior Authorization Coordinator

• Managed receptionist area, including greeting visitors and responding to telephone and in-person requests for information.

• Received and distributed faxes and mail in a timely manner.

• Supported executives and handled extra projects as needed.

• Wrote reports and correspondence from dictation and handwritten notes.

• Ensuring quality and accuracy of the patient insurance information.

• Verify patients medical or private insurance via telephone or online source.

Blake Gastroenterology Associates - PHIL DELPHIA, PA 2013-2015

Medical Assistance

• Communicate between patients and staff members when scheduling clinical visits

• Distribute schedules within deadlines and work with field staff and patients as reschedules requested in a timely manner

• Register patients upon arrival, collected copays, verify insurance

• Prepare patients for examination and treatments

• Use appropriate scheduling software - Premier Software to schedule appointments

• Make sure all schedule changes are made and all staff are notified of changes

• Fax/ copy Evaluations for appropriate staff who request them

• Run daily, weekly and as needed reports and follow up with staff to make sure all visits are addressed, accepted, scheduled and verified

• Run weekly reports for case conferences and contact all staff who service patients

• Communicate to field staff and the Intake Coordinator all hospitalizations, on- holds

• Maintain supplies and equipment including keeping them clean and sterilized

• Send schedulers and department mangers the clinical staff productivity for preceding week

HEAL TH PARTNERS PLANS - PHILDELPHIA, PA 2015-2016

Project Coordinator

• Respond to member and member-related calls in a courteous, professional and efficient manner providing timely follow-up requests for information services

• Participate in and conduct new member orientation outreach on a monthly basis as assigned

• Generate follow-up appointments

• Place outbound calls to customers in database

• Educate customers on plans and processes

• Maintain call records, logs and other documentation in accordance with departmental requirements

HEALTH PORT SCANNING SERVICES - PHILADELPHIA, PA 2007-2009

Medical Records Clerk

• Suggested selling of goods and merchandise increased by 10% in customers and buyers

• Travel to different locations to scan medical records

• Process medical records request from various attorneys and third party companies

• Ensure that each customer receives outstanding service by providing a friendly environment, which includes greeting and acknowledging every customer; maintaining solid product knowledge

• Maintain proactive communication with customers and client via telephone, e-mail, or regular mail; managing database records

NORTHWESTERN HUMAN SERVICES - PHILADELPHIA, PA 2006-2008

Medical Records Clerk

• Maintain patients files and retrieve records for scheduled appointments

• Responds to requests for medical records; processes letters and reports; answers and direct telephone calls

• Distributes lab reports to Physicians, PA's and also CMA's

• Photocopy records and documents for billing and or/or legal services

• Inform all departments through via telephone, e-mail, or fax

• Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.

• Keeps health care providers informed by communicating availability or unavailability of the record

• Maintains master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.

• Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities

EPSICOPAL HOSPITAL -PHILADELPHIA, PA 2005-2006

Medical Assistant

• Verifies patient information by interviewing patient; recording medical history; confirming purpose of visit.

• Schedules surgeries by making arrangements with the surgical center; verifying times with patients; preparing charts, pre admission and consent forms.

• Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight, and temperature; reporting patient history summary.

• Secures patient information and maintains patient confidence by completing and safeguarding medical records; completing diagnostic coding and procedure coding; keeping patient information confidential

• Counsels patients by transmitting physician's orders and questions about surgery

• Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs.

Education

Sanford Brown Institute - Philadelphia, PA (2004) Graduated 2004

Mercy Vocational High School- Philadelphia, Pa (1986)



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