Data Entry Follow-Up Representative
Resume:
Beth Harford
Port Jervis, NY *****
*******@*****.***
Authorized to work in the US for any employer
Work Experience
Follow-up Representative
Our Lady of Lourdes Memorial Hospital-Binghamton, NY May 2022 to Present
Determine and verify insurance coverage and coordination of benefits from all sources. Ensure proper adequate and timely billing to ensure prompt payment. Determine necessity for pre-authorization.
Determine financial responsibility for services provided. Communicate with patients regarding insurance coverage issues. Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. Prepare and or correct claims for commercial insurance companies, third party organizations. Consult with appropriate parties to resolve unbilled claims. Review recent accounts for proper billing practices and reimbursement. Review of all accounts for insurance denials.
Contact insurance companies for resolution of claim denials. Review claims for insurance and patient refund.
Review accounts for adjustment.
Review and note correspondence from insurance companies. Prepare medical record requests for claim appeals. Attend monthly team meetings with insurance companies for trending claim issues and policy changes. HIM Assistant
UHS Delaware Valley Hospital-Walton, NY
July 2021 to May 2022
Process all medical record requests.
Scan all incoming records into patient charts.
Work on deficiency work queues.
Patient Registrar
St. Anthony's Hospital Outpatient Registration-Warwick, NY September 2020 to July 2021
• September 2020 - July 2021
• Collection of patient demographics and insurance information while activating the patient encounter for medical treatment.
• Interview patient/patient representative for direct admissions, outpatient services, ambulatory surgery, minor surgery and /or procedures performed in all ancillary departments and direct patients to the appropriate departments.
• Perform correct and accurate data entry of patient demographic information and medical insurance.
• Able to handle the printing and distribution of admission/registration forms, face sheets, labels, and NY state and Federally mandated forms to patients or nursing unit as appropriate.
• Obtain and witness signatures for insurance assignments and guarantor statements.
• Responsible for timely data entry and changes to patient information when required.
• Review registration data for accuracy and satisfying delinquent data.
• Collect all required payments for service.
• Process and submit payments for posting to the financial counselor.
• Answer telephones promptly, efficiently, and professionally.
• Maintain a quiet, calm, and clean professional office environment.
• Identify and register patients of all age groups: newborns, pediatrics, adolescents, adult and geriatrics.
• Direct and/or escort patients to area of service.
• Deal with distraught parents who are admitting their child/children.
• Complete all on-line courses in Health stream and attend department training.
• Perform other duties as required.
• Work patient accounts that fall on work queues to ensure proper billing and statistical reporting. Patient Registrar
Bon Secours Community Hospital Outpatient Registration-Port Jervis, NY October 2014 to September 2020
• Collection of patient demographics and insurance information while activating the patient encounter for medical treatment.
• Interview patient/patient representative for direct admissions, outpatient services, ambulatory surgery, minor surgery and /or procedures performed in all ancillary departments and direct patients to the appropriate departments.
• Perform correct and accurate data entry of patient demographic information and medical insurance.
• Able to handle the printing and distribution of admission/registration forms, face sheets, labels, and NY state and Federally mandated forms to patients or nursing unit as appropriate.
• Obtain and witness signatures for insurance assignments and guarantor statements.
• Responsible for timely data entry and changes to patient information when required.
• Review registration data for accuracy and satisfying delinquent data.
• Collect all required payments for service.
• Process and submit payments for posting to the financial counselor.
• Answer telephones promptly, efficiently, and professionally.
• Maintain a quiet, calm, and clean professional office environment.
• Identify and register patients of all age groups: newborns, pediatrics, adolescents, adult and geriatrics.
• Direct and/or escort patients to area of service.
• Deal with distraught parents who are admitting their child/children.
• Complete all on-line courses in Health stream and attend department training.
• Perform other duties as required.
• Work patient accounts that fall on work queues to ensure proper billing and statistical reporting. Switchboard Operator/ Registrar
Bon Secours Community Hospital
September 2009 to October 2014
• Manage the communications network of the organization.
• Responsible for receiving the incoming calls and providing the callers with necessary information.
• The voice of the organization.
• Help to coordinate all calls for the hospital, staff, and departments.
• Make certain the inquiries made by the patients and the family member are received and handled appropriately.
• Perform certain administrative and secretarial duties as well. Education
High School diploma
Delaware Valley High School - Milford, PA
1989
Skills
• Hospital inpatient and outpatient records EPIC (10+ years)
• Familiar with commercial and private insurance carriers (10+ years)
• Insurance and collection procedures (10+ years)
• Understands insurance benefits (10+ years)
• Composed professional demeanor (10+ years)
• Excellent problem solver (10+ years)
• Resourceful and reliable worker (10+ years)
• Close attention to detail (10+ years)
• Adept multi-tasker (10+ years)
• Excellent verbal communication (10+ years)
• COLLECTION (7 years)
• OUTPATIENT (7 years)
• BENEFITS
• FAXING (10+ years)
• FILING
• Office support (phones, faxing, filing) (10+ years)
• Clerical Experience
• Multi-line Phone Systems (10+ years)
• EMR Systems (10+ years)
• Insurance Verification (10+ years)
• Medical Office Experience (10+ years)
• ICD-10
• Medical Terminology (10+ years)
• Medical Records
• Epic (8 years)
• Customer service (10+ years)
• Documentation Review
• Medical billing (1 year)
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