Billing Specialist and Patient Access Expert
Resume:
Dominique Peterson
Brooklyn, NY *****
**************@*****.***
Professional Summary
To obtain a challenging position with an opportunity for growth and advancement. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Service fee biller
Catholic Charities Brooklyn and Queens-Brooklyn, NY November 2025 to Present
• Front end billing and Data collections
• Eligibility verification using electronic software for all Insurance types.
• Open and close clients in Net Smart
• Enter and update Medicaid, Medicare and Managed Care rates in Net Smart
• Enter client information into electronic health record.
• Follow up corrective action plans.
• Perform other tasks as assigned.
• Verify insurance using epace, availity, submitting to waystar Remote Patient Access Specialist
Conifer Health Solutions-Brooklyn, NY
February 2024 to Present
• Patient Registration:
• Collect and verify patient demographic information (e.g., name, address, date of birth, insurance details).
• Ensure accurate and complete registration in the system.
• Insurance Verification:
• Verify patient insurance coverage and eligibility with insurance providers.
• Document and communicate any insurance discrepancies or issues to the appropriate departments.
• Pre-Authorization:
• Secure pre-authorizations from insurance providers for certain procedures or services.
• Ensure that all necessary documentation is provided for approval.
• Financial Counseling:
• Discuss financial responsibilities with patients, including co-pays, deductibles, and out-of-pocket costs.
• Offer assistance with payment plans or financial assistance programs when applicable.
• Patient Scheduling:
• Schedule patient appointments based on physician availability and patient needs.
• Confirm appointments and ensure that all necessary information is relayed to the patient.
• Medical Record Updates:
• Ensure that medical records are up-to-date and correctly reflect patient information.
• Address any discrepancies or issues with medical records or documentation.
• Co-payment Collection:
• Collect co-pays, deductibles, and other payments from patients at the time of service or before services are provided.
• Charge Capture and Documentation:
• Ensure that all required information is accurately entered into the system for billing and coding purposes.
• Patient Communication:
• Communicate any important pre-procedure information to patients, such as preparation instructions, required forms, or financial information.
• Handle patient inquiries regarding insurance, billing, or procedural concerns.
• Compliance with Regulatory Guidelines:
• Ensure adherence to HIPAA regulations and company policies related to patient privacy and data handling.
• Ensure compliance with all payer-specific regulations.
• Troubleshooting Issues:
• Identify and address any issues related to patient access, insurance verification, or pre-authorization.
• • Work closely with billing departments, insurance companies, and healthcare providers to resolve discrepancies or issues
Medical Records Coordinator
HEALTHPLUS MANAGEMENT-Brooklyn, NY
October 2023 to January 2024
• Process the release of information, organize, prep, and scan documents into the electronic systems and ensure the efficient processing of requests for patient information for billing department, attorneys, and outside facilities.
• Responsible for pulling and reviewing all charts prior to the doctor's appointment to ensure that all medical records are on file.
• Obtain records from outside sources for preview prior to the office visit.
• Review charts to ensure all patient demographics information is complete, accurate, and follow up if necessary.
• Sort, file, and retrieve all classifications of records, including laboratory, diagnostic, and operative reports.
• Purge inactive records from the main file area, when necessary; scan all inactive records into the EMR system.
• Perform all quality control procedures required by the department to ensure the accuracy of data.
• Prepare patient charts to include demographic information, previous x-rays, tests, etc.
• Ensure providers complete and sign necessary forms requested by attorneys, Worker comp, and insurance companies.
• Maintain and update computerized and manual lists of incomplete/complete charts. Remote Patient Access Scheduler
R1 RCM-Salt Lake City, UT
October 2022 to July 2023
• Firmly following HIPPA and other confidential guides set by laws, medical ethics, and patient values.
• Assist in the day-to-day operations of the call center scheduling department.
• Responsible scheduling radiology appointments including ultrasounds, MRIs, Mammograms, Ct scans, etc.
• Phone duties also include assisting patients with answering questions for test prep, verifying appointments date, time, and location and rescheduling.
• Collected patient demographics to be entered in EMR system.
• Worked closely with other departments, radiology techs, specialist office, urgent care facilities, internal medicine.
• Provided scheduling for all facilities umbrellaed under Intermountain Healthcare,
• Generate regular reports on appointment schedules, cancellations, and other relevant metrics as required by management.
• Assist in training new hires and providing feedback to management.
• Assist with patient insurance verifications, authorizations, and copays.
• Contact the referring office for any missing information on orders and request correction of order as needed.
PRRC Representative (Call Center/Remote)
ENT and Allergy Associates-Brooklyn, NY
October 2020 to October 2022
• Worked remotely
• Efficiently communicate and handle routine patient service tasks, but not limited to, verifying, updating, maintaining patient demographics, insurance, electronic files, and managing appointments.
• Maintain connection to both an inbound and outbound call queue throughout shift.
• identify and escalate priority issues
• Through appropriate call control, ensure that calls are handled efficiently to attain daily call production goals of 100 calls per day
• EMR
• Provide a high level of customer service and attentiveness to patients.
• Maintain strong knowledge of all site protocols and physician schedules/changes to ensure appropriate information is provided to patients.
• Answer calls and respond to emails
• Appropriately schedule patient appointments based on physician guidelines. Patient Service Representative
ENT and Allergy Associates-Brooklyn, NY
May 2019 to October 2020
• Scheduling patient appointments
• EMR
• Assisting incoming patients
• Verifying insurance coverage
• Medical billing
• Entering patient demographics into the computer
• Pulling and filing medical charts
• Assisting the office manager and physicians as needed.
• Worked with NextGen
• Liaison between the patient and CBO
• Answer and navigate calls
Medical Records Clerk/Clerical Support
CORRECTIONAL MEDICAL CARE-Brooklyn, NY
October 2016 to May 2019
Update and maintain youth health records
● Initiates the medical records by creating and processing the patient care record binder.
• Manage physician clinical schedule.
● Gathers patient information by collecting demographic information from state Database
● Clerical support for nurses and doctors
● Take minutes during minutes
● Prepare memos
● Answer and direct calls
● Maintain office cleanliness and supplies
● Data entry, filing, copying, scanning
● Manage emails
● Complete and send out monthly reports
● Distribute and sort mail
● Manage staff payroll, time check and weekly scheduling
• Data entry
Education
Business and technology (High school)
Paul Robeson High School-Brooklyn, NY
September 2002 to June 2006
Skills
Diagnostic radiology CRM system proficiency Reliability Google Docs Medical administrative support Cash handling Productivity software Experience with Children Team Work Helpfulness Professionalism Administrative tasks Phone answering Microsoft Excel Phone call management Medical Records Windows Medical records HIPAA Data entry Data collection Client interaction via phone calls Outlook Healthcare management Attention to detail Computer operation Case management Phone communication Medical Terminology Medical Scheduling Spreadsheet conditional formatting Google Sheets Clear verbal communication Editing customer service Epic Escalation handling Customer service Medical Coding Proofreading Patient interaction Front desk Clinic EMR systems Database management Flexibility Continuous improvement Customer service problem-solving Problem-solving AI EHR systems multitasking Collaborate with healthcare professionals Word processing Documentation review Referral coordination Electronic health records (EHR) management EMR English Clerical experience Help desk Radiology Grammar Experience CPT coding Interpersonal skills Employee evaluation Managing patient records Relationship management Achieving HIPAA compliance Receptionist Telehealth experience Maintaining patient confidentiality Call center agent experience Photocopying Zoom Care coordination Fax machines Computer literacy Client services Phone call backs Medicare Friendly demeanor Outbound calling Records management Call center 50 WPM Call center management Customer relationship management Outpatient clinic experience Food service Google Suite Insurance prior authorization Ethernet Written communication Software troubleshooting Time management Outpatient Microsoft Teams Excel data analysis Meeting scheduling Patient registration Scheduling Computer skills Microsoft 365 proficiency Analysis skills Hospitality Writing skills Medical imaging MS Office Excel Insurance Verification Multi-line phone systems Mobile devices Office management Medical terminology Technical Proficiency Healthcare data collection Banking Clerical Experience Supervising experience Medical Billing Order entry Medical Office Experience Leadership Typing ICD-10 Hospital Experience
Languages
• English
Certifications and Licenses
RHIT
In progress
CPR Certification
Additional Information
SKILLS
● Proficient in MS Office Suite
● Type 45 WPM
● Great customer service skills
● Pleasant phone demeanor
● Great with multitasking
● Strong interpersonal skills
● Knowledge of office work methods and procedures
● Data Processing
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