Data Entry Medical Biller

Doris Jones

Mays Landing, NJ***** 856-***-**** *************@*****.***

Professional Summary

Results oriented leader with several years in the health care industry, Strong problem solver who is adaptable, energetic, and possessive excellent organizational analytical skills, self-motivator working independent or team environment. Stellar background in managing inpatient care of patients. Exceptionally talented at monitoring patients, overseeing staffing needs and developing, implementing, and revising policies and procedures.

Skills

In-service Programs

Policy and Program Development

Employee Performance Evaluations

Operating Plans Development

Financial Reporting Coordination

Decision Making

Budget Planning

Employee Work Scheduling

Verbal and Written Communication

Time Management

Employee Recruitment and Hiring

Employee Supervision

Critical Thinking

Work History

Supervisor Home Care 10/2022 - Present

Aleph Home Care /Jewish Federation - Cherry Hill NJ.

Direct supervisory role to aides, up to 100 employees

Manages and oversees all scheduling, nursing assessments etc.

Evaluate employee’s performance.

Select and assign aides for patient care to fit needs and requirements.

Coordinates activities by scheduling work assignments, settings priorities

Assistance in implementation of care plan for each client

Coordinate and schedule reassessments if any changes in care arise in a client.

Monitor and update database daily.

Review of billing codes for submission to billing

Hospitalist / NP's Coordinator, 02/2015 to June 30, 2022

Trinity Health / Nazareth – Philadelphia, PA

Manage Hospitalist Physician schedule including on- call coverage, call outs and locums by communicating schedule to stakeholders, data entry.

Copies and distribute the assignments list to nursing units and physician Leadership as directed.

Kronos Timekeeper

Hospitalist Coverage capture billing, billing review of inpatients. Billing databases update

Support Hospitalist Director team meetings, community meetings, community outreach.

On boarding and assist in Credentialing new hirers

Succession Planning

Employment Law

CV Review

Senior Professional in Human Resources

Manages Nurse Practitioners:

Scheduling and call outs, communicate to stake holders

Distribute schedule and assignment

NP's Timekeeper

Audit and track NP"s billing

Office Equipment

Fluency with excel and managing scanning / transmission of paper forms, combining EMR

Utilizing word and excel effectively in preparation of projects, reports and presentation as required

Interact with I.T. staff to productively capture needed information

Demonstrate ability to use and trouble shoot office equipment

Human Resources Information System

Transitional Coordinator

Trinity Health /Nazareth Hospital

Assisting BPCI Navigator

Collecting of data for analytical review related to patients

Communication with pts, facilities, concerning patient status and condition

Comply with federal requirements

Assessed, developed, and coordinated Physicians and NP's teaching programs to educate medical staff of 15 - 20

Medical Biller Coordinator, 10/2011 to 09/2014

Envision / Emcare – Philadelphia, PA

Adhered to established standards to safeguard patients' health information.

Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.

Delivered timely and accurate charge submissions.

Track’s hospital admits, outpatients, direct admits, procedures ICU.

Summit billing information to ensure reconciliation with ED department

Handel phone calls inquiries

Maintain files

Follow company procedures

ICD10 / CPT -4, procedural coding

Computer skills

Data entry to company data base

Medicare Claim Processor, 09/2012 to 05/2013

Staff Mark Agency – Swedesboro, NJ

· Analyze and process Medicare insurance claim electronically

· Knowledgeable about the health insurance industry

· Knowledge of medical terminology

· Correctly read and assess medical documents

· Good communication skills

· Data entry skills

Computer skills

Managed team of 15 - 20 employees, overseeing hiring, training, and professional growth of employees

Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment

Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity

Used coordination and planning skills to achieve results according to schedule

Used Microsoft Word and other software tools to create documents and other communications

Oversaw daily operations to ensure high levels of productivity

Monitored company inventory to keep stock levels and databases updated

Completed paperwork, recognizing discrepancies, and promptly addressing for resolution

Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately

Exceeded goals through effective task prioritization and great work ethic

Actively listened to customers' requests, confirming full understanding before addressing concerns

Hospitalist Coordinator, 06/2006 to 05/2011

Envision / Emcare / Shore Memorial Hospital – Somers Point, NJ

Triaged and assessed phone calls from facilities, physicians, and patients to prioritize care and quickly handle urgent issues.

Phoned in prescriptions to preferred pharmacies and assisted with processing medical assistance applications to handle patient pharmacy and payment needs.

Manage seven Hospitalist physician assistance with scheduling

· Coordinate meetings for Hospitalist Medical Director

• Medical Billing

· Update corporate data base

· Serves as liaison corporate office and hospital

· Manage chart capture and other administrative duties.

Assessed, developed and coordinated Physicians, NP's teaching programs to educate medical staff of 15 - 20.

Reduced patient loads through balanced treatment plans involving minimizing length of hospital stays and implementing effective at-home and specialist care

Education

Associate of Science: Medical Insurance Billing,

Cumberland County College - Vineland, NJ

Associate of Applied Science: Health Information Technology,

DeVry University - Villa Park, IL

Associate of Applied Science: Medical Assistant,

National Health Terminology - New Philadelphia, PA

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