Medical Records Entry Level

Jamaica, NY ********@*****.*** 917-***-****

Juana Marte

Professional Experience

March 2003-Oct 2024

Elmhurst Hospital Center

Elmhurst, NY 11373

Clerical Associate Level IV

Verifying patient insurance eligibility, add and update insurance coverage

• Check claim appeals statuses

• Create Medical necessity denials on EPIC

• Update denials according to their new status

• Upload/Scan all documents into EPIC/ONBASE

• Manage medical records requests and medical records printing projects.

• Mail necessary documents to patients requesting insurance information and assignment of benefits.

• Make follow up calls to insurance and patients

• Prepare forms and mail appeal packets to insurance companies

• Sort and distribute incoming mail to unit.

• Attend all necessary training sessions to effectively perform the day-to-day functions of the position

• Pick up mail deliver from to other departments

• Perform all other duties, as assigned by Supervisor and Manager

• Handle all No-Fault billing and customer service for 60+patients on a daily basis, answer patients’ inquiries via telephone and face to face.

• needed to bill No-Fault insurance, claims update patients’ insurance information.

• investigate and processing all No-Fault denials to insured deductibles and payment are being appropriately reimbursed

• Revision of demographic and account information in UNITY, OAM Soarian. Interact with patients’ attorneys in regards billing questions. Review patients’ financial information to determine eligibility for fee scaling, acknowledgeable of medical diagnostic codes

• Accomplishments

• Earned highest marks for customer satisfactions

• Recognized for patient service follow through to ensure patient satisfaction

• Awarded certificate of excellence by Hospital Director

• Certificate of competency in language interpreting

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Work Experience

Emergency Department Registration

Elmhurst Hospital Center Elmhurst, NY June 2017-December 2019

• Perform quick registration for patients entering the Emergency Room

• Perform complete registration for patients post discharge

• Verified Patients insurance eligibility.

Education

English/Spanish Interpreter LaGuardia Community College July 2013 Medical Billing Certificate Queens College August 2002 GED NYS Department of Education June 1987

References

References are available upon request

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