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Customer Service Medical Receptionist

Location:
Centereach, NY
Posted:
August 30, 2023

Contact this candidate

Resume:

Brianna M Williams

Phone: 631-***-****

E-mail: adzc0j@r.postjobfree.com

Objectives

To obtain a responsible position with a progressive company which will utilize my skills and offer stability and growth.

Education

Central Islip High school

Diploma obtained June,2010

All studies

Suffolk Community College

Graduated January,2012

Associate’s degree obtained in Healthcare Administration

Experience

Stony brook hospital

January 2017-current

Obtain insurance authorizations for chemotherapy, Imaging, procedures, medications and other special patient needs (i.e., nutritional supplements and durable medical equipment). May also be required to obtain referrals as needed.

•Required data entered timely and accurately, work collaboratively with other departments to ensure accuracy of patient information. Proficiency in required applications.

•Compile and distribute daily volume data for the Cancer Center.

•Maintain database of all authorizations and referrals received, request outside physician offices obtain authorizations/referrals for their patients.

•Advanced computer skills, proficiency with using numerous insurance company websites to request authorizations, referrals, etc.

•Ability to work collaboratively and professionally with physicians, nurses and staff at all times.

•Any other duties/projects as assigned by supervisor.

IVY Rehab Physical Therapy Ronkonkoma NY

March 2015-2017

Account Receivables/Medical Biller

•Reviews third-party aged trial balances and follows-up on all unpaid claims either, by phone, mail or online in accordance with departmental procedures and insurance guidelines

• Reviews patient responsibility trial balance and prepares detailed bills for outstanding balances. In addition to follow up calls and sending 1st, 2nd, 3rd and final demand letters

• Completes a daily worksheet tracking workflow, collection and write off issues according to department policy

• ICD-10 coding for facility

• Correcting and re-billing diagnosis codes

• Follows up on denials for payment processing and processed appeals as necessary

• Reviews and posts all payments received by the insurance carriers and patients to ensure accurate account balances.

• Reconciles monthly receipts for closing purposes

• Processed refund requests according to the company policy and procedure.

DBL Associates

Ronkonma,Ny

December 2013-March 2015

Hospital Medical Biller

• Created UBO4 claims to submit to correct insurance carrier

• Post payments to various accounts• Collector for bills over 60 days past due.

• Met monthly and daily quota• Filed appeals to various insurance companies in and out of network

• Collected copay from patients

• AR follow up

• Handled all patient phone calls and questions regarding billing

• Highly trained in customer service

• Requested EOB’s

• Submitted corrected claims and No claim on file’s

• Checked patient eligibility via phone and web assigning E&M levels for both the physician and the facility

• ICD-9, ICD-10 coding

• CPT coding

Dr.Stephen Hiller ENT

Port Jefferson station, NY

October 2011-November 2013

Medical receptionist/medical assistant

•Handled high call volume •Set and confirmed patients appointments

•Utilized Emr systems

•medical billing/insurance verification

•conducted hearing tests on patients as needed

• Welcomed patients, families and visitors

• Checked in patients and out

• Verify and filled in essential information in patients charts

•Enter patient demographics and insurance information into the EMR system

• Helped disabled patients with physical difficulties

• Verified insurance coverage

• Notified Doctor when a patient is ready

• Maintained appointment schedules

Doctors Immediate Care

Farmingdale NY

January 2009-Agust 201

Junior Medical Receptionist

•Handled high call volume

• Screened calls and visitors

• Took messages and provided routine information

• Processed charge tickets accurately as patients exit the clinic

• Reviewed tickets for exactness

• Determined suitable fees for services rendered and calculated totals

• Collected right amount from patients, and correctly recorded information

Skills

• Able to give precise and detailed information to visitors

• Demonstrated ability to screen visitors and answer routine requests for information

• Proven ability to maintain work area and entrance hall in neat and orderly manner

• Excellent knowledge of medical terminology

• Dedicated and meticulous - utmost level of accuracy and attention to detail

• Skilled in MS Word, Excel,EMR,Outlook and PowerPoint

• HIPAA Certified

• Trained in both Medical Front and Back Office



Contact this candidate