Administrative Assistant Claims Analyst
Resume:
Jossie Palmares
West Milford, NJ *****
**************@*****.***
Professional Summary
To obtain a position in a fast paced environment that will allow for personal growth and career advancement.
Work Experience
Claims Analyst
Jorie Ai-Oak Brook, IL
August 2024 to Present
• Obtain status of hospital/physician’s bills/claims.
• Retrieve information from the Insurance company both via online portals and via direct calls to the carrier office/s.
• Research why claims have been denied and find the best action to rectify the issue at hand.
• Attention to detail and trends.
• Communicate said knowledge to upper management when requested. Insurance Follow-up Representative
RTR Financial Services-Staten Island, NY
April 2023 to April 2024
• Obtain status of hospital/physician’s bills/claims.
• Retrieve information from the Insurance company both via online portals and via direct calls to the carrier office/s.
• Research why claims have been denied and find the best action to rectify the issue at hand.
• Attention to detail and trends.
• Communicate said knowledge to upper management when requested. Administrative Assistant
Max Revenue Medical Billing-Bogota, NJ
January 2016 to February 2023
- Provide administrative support to medical billing department.
- Create daily and weekly reports for billing management.
- Investigate and resolve billing issues.
- Resolve issues between physicians practice and insurance credentialing department. operations.
- Complete credentialing for all physicians.
Front Desk Receptionist
THERADYNAMICS PHYSICAL REHABILITATION-New York, NY October 2014 to April 2015
- Welcome and greet all patients and visitor in person, and over the phone.
- Register new patients, and upgrade existing patient demographics.
- Schedule follow up appointments.
- Respond to all fax inquires in a timely manner.
- Verify insurance eligibility and benefits for all patients.
- Obtain authorization from insurance as needed.
- Keep a clean and organized work space.
RADIOLOGY PATIENT CARE COORDINATOR
MEADOWLANDS HOSPITAL MEDICAL CENTER-Secaucus, NJ
January 2011 to March 2014
- Schedule patients for outpatient radiology procedures.
- Prepare necessary information needed prior to patients visit.
- Pre-register patients the day prior to their scheduled exam.
- Fax reports to referring physician's office after testing.
- Verify insurance eligibility, benefits and pre-authorize as needed. ADMITTING REGISTRATION
- Register patients upon arrival of exams and consultations.
- Respond to inbound phone calls from doctors, patients, and hospital staff.
- Admit patients into inpatient hospital setting as per doctor's orders.
- Transfer inpatient locations as per nurse's orders.
- Collect proper documentation from patient upon arrival. EMERGENCY ROOM REGISTRATION
- Register patients upon arrival for emergency care.
- Respond to inbound phone calls from doctors, patients and hospital staff.
- Admit patients into inpatient hospital setting as per doctor's orders.
- Transfer inpatient locations as per nurse's orders.
- Collect proper documentation upon arrival.
SAME-DAY SURGERY REGISTRATION
- Register patients upon arrival of scheduled surgery.
- Verify insurance eligibility, benefits, and pre-certification.
- Pre-register patients the day prior to their scheduled surgery.
- Obtain proper documents from doctor's office and patients in an organized manor. CUSTOMER SERVICE REPRESENTATIVE
- Operate switchboard in a hospital setting.
- Transfer inbound calls to appropriate destinations.
- Make overhead announcements as needed.
- Properly document every phone transaction made in an organized manor. SECRETARY
VALDEZ & VALDEZ MD'S-New York, NY
December 2006 to February 2008
- Call various health insurance companies to verify eligibility.
- Answer phones and respond to fax inquiries.
- Manage appointments and flow of patients.
- Fill out necessary paperwork for patient charts. Education
CRIMINAL JUSTICE (HIGH SCHOOL DIPLOMA)
LEONIA HIGH SCHOOL
September 2003 to May 2004
Skills
• Hospital Experience (5 years)
• Data science
• POS
• Medical records (5 years)
• Medical Office Experience (10+ years)
• Patient Care
• EMR systems (10+ years)
• Documentation review
• Clerical Experience (10+ years)
• Insurance Verification (10+ years)
• Excel
• Medical Records
• Time management
• Epic (7 years)
• Data Entry (10+ years)
• Customer service
• Administrative Support
• Proofreading
• ICD-10
• 55 WPM (Less than 1 year)
• Medical Scheduling
• Medical Terminology
• Administrative experience
• Hospital experience
• Microsoft Powerpoint
• Microsoft Office
• Communication skills
• Medical terminology
• Cash register
• Windows
• EMR Systems
• RETAIL SALES (3 years)
• CUSTOMER SERVICE (3 years)
• Front desk
• HIPAA
• Executive Administrative
• Medical receptionist
• Medical Billing
• ICD-9
• QuickBooks
• Computer skills
• RECEPTIONIST (3 years)
• Supervising experience
• Basic math
• Sales
• CPT coding
Languages
• Spanish - Fluent
Additional Information
SKILLS SUMMARY
Scheduling Bilingual (English and Spanish, both written and verbal) General Office Skills Computer Savvy
Microsoft Word (type 55 WPM) Microsoft Excel
Customer Service Written correspondence
References:
Steve Escudero
Anthony Richiez
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