Patuent Service Specialist
Resume:
Dotty Miranda
Hammond, In *****
(219) 219-***-****
Objective: To secure a responsible and challenging position in your organization, utilizing the knowledge, experience and education that I have acquired, and where advancement opportunities exist.
Education: Hammond Baptist High School August, 1988 to May 1992
134 West Joliet Street
Schererville, Indiana 46375
High school Diploma
Hammond Beauty Academy 1992-1993
Work Experience:
UChicagoMedicine OB/GYN SPECIALTY June 2006-present
5758 S Maryland Ave
Chicago Il 60637
Responsibilities: Ensure our patients have a wonderful experience. I check in patient for their appointment as well as verifying insurance if needed. I check out patients once done with visit which entails making future appointments within the department and in other departments in the clinical areas. I have managed 2 offsite facilities for our department and fill in at the others if needed. I am currently managing 1 location due to high volume. Procedure and Surgery scheduling, taking co-pays, and obtain referrals and authorizations. Making appointments, and ensure our doctors don’t need for anything. I have worked with the specialty groups of Maternal Fetal Medicine, Uro-Gynecology and Gynecologic Oncology. I also work with a GI Liver transplant specialist.
Integrated Orthopedics
July 2004-June 2006
3717 N Ravenswood Ave Chicago, Illinois 60613
Precertification Specialist Responsibilities: Verified benefits and eligibility for all new referrals, created spreadsheets for private and workman’s compensation insurance price negotiations, negotiated prices with insurance companies, completed phone and fax orders. and organized all pre-certifications, entered all patient data in our soft aid system, called and followed up on claim status, appealed denied claims, and denied authorizations, submitted predeterminations, sent letters of Medical Necessity to physicians, analyzed patient diagnosis in order to determine insurance coverage. Recognize ICD-9 coding.
Apria Health Care July 2002-July 2004
Customer Service
1581 E 90th Place
Merrillville, In 46410
Responsibilities: Received phone referrals for durable medical equipment, ex: oxygen, nebulizers, ventilators, trachea supplies, and hospital beds, distinguished diagnosis for medical equipment ordered for patients, recognized ICD-9 and HCPC codes and entered patient information into the ACIS systems
Skills and Abilities:
Type: approximately 75 words a minute, Bilingual: English and Spanish, Adaptability, communication, capability to work under pressure, conflict resolution, time management, teamwork, problem solving, strong worth ethic, self-driven, critical thinking, handling pressure, dedication, taking ownership, taking responsibility, time management, self-motivation and decision making.
References:
Chantelle Burns 708-***-****
Regina Miller 219-***-****
Shelley Robinson 773-***-****
Dr. Anthony Gentile 219-***-****
Melinda Martin 219-***-****
Christine Mcmahon 708-***-****
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