Administrative Assistant - Patient Accounts & Rx
Resume:
SUMMARY
Seeking an administrative assistant position to apply skills in patient access coordination, prescription verification, insurance authorization, and patient accounts follow-up. Committed to efficiency and productivity in optimizing patient care processes.
EDUCATION
Walden University
Bachelor's Degree in Medical Management
2011 – 2014
Gibbs College
Associate Degree in Health Administration 2004 – 2006
HARD SKILLS
Familiar with Medical Billing and Coding (CPT,
ICD-10) Procedures
Insurance Verification
Revenue Cycle Management (RCM) software
Customer Service
Microsoft Office Suite (Word, Excel,
PowerPoint, Outlook)
Healthcare Industry Knowledge (HIPAA,
Medicare, Medicaid)
Medical Management Platforms (Meditech,
PBAR, Ace)
SOFT SKILLS
PROFESSIONAL EXPERIENCE
Patient Accounts Follow-Up Representative
Conifer Company 2023 - Present
Regularly monitor aging reports and take proactive actions to address outstanding balances in accounts. Efficiently oversee the revenue cycle, including following up on overdue Medicare, Medicaid, and other private commercial insurance accounts, to promptly address outstanding balances and enhance financial performance.
Adhere to all relevant regulations and guidelines, including HIPAA privacy and security regulations, in handling patient financial information.
As a follow-up representative focused on the revenue cycle, diligently handled Medicare and Medicaid claims, ensuring accuracy in processed and paid claims, and quickly resolved any processed and rejected claims.
Prescription Account Specialist
TTEC Holdings, Inc. & OptumRx Company 2022 - 2023
Provide comprehensive education to members regarding prescription benefits and eligibility.
Proficiently utilized computer databases, such as Pharmacy Dispensing Systems, to track prescription orders, refills requests, and medication dispensing history, ensuring data accuracy and completeness. Updated accounts with precise demographic details to uphold data integrity
Assisted promptly and accurately with incoming calls regarding benefits eligibility, Medicare, and commercial insurance inquiries. Utilized plan formularies and tracked the status of orders and claims to address inquiries effectively.
Patient Access Specialist
Parallon Company 2017 - 2022
Verified insurance coverages for scheduled patients across SDS, SDM, IP, and OP departments
Managed incoming calls, verifying benefit eligibility and addressing inquiries regarding Medicare and commercial insurance. Recorded electronic account notes for a range of purposes, including instances of verification issues, incomplete authorizations, and inquiries regarding Medicare coverage and other commercial insurance plans. Communicated with primary and secondary insurance providers, including but not limited to Aetna, United Healthcare, Cigna, to verify eligibility and coverage details.
Facilitated patient registration procedures prior to scheduled appointments, ensuring seamless and efficient check-in processes.
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