Medical Billing Office

Margarita Garcia

**** ******, *** ******, ** ****1

Home: 575-***-****

**********@*****.***

Referral-Authorization Coordinator

Profile

I review referrals made to the agency and call parents to verify all information. I call the primary care physicians office to verify diagnosis and ICD-9 code that was given to the patient. I call insurance companies to get eligibility and benefit information for the patient, which includes copay’s, co-insurance, deductibles, max in benefits and how many visits the client is approved for therapy. Once all necessary information is verified I submit the required authorization form to get approval for therapy. After all patient and insurance information is verified I call the patient to schedule an appointment with the Physical, Occupational or Speech Therapist.

Education

EPCC El Paso, TX

Relevant Courses:

MS Office

Keyboarding and Document Formatting

Medical Terminology

Introduction to Business Office

Medical Billing and Coding procedures

Office Skills:

Office Management

Records Management

Database Administration

Spreadsheets/Reports

Scheduling

Front-Desk Reception

Computer Skills:

MS Word

MS Excel

MS PowerPoint

Scan/Upload

Copy/Fax

Experience

Aprendamos/Esperanza Children’s Therapy Referral/Auth Coord. 2008 to 2012

Handled multifaceted clerical tasks (e.g., data entry, filing, records management and billing).

Highlights:

I communicated effectively with multiple departments during our scheduled meetings

to discuss new and old ideas.

Entrusted to manage the front office in the absence of receptionist. Provided timely, courteous and knowledgeable response to information requests; screened and transferred calls; and prepared office correspondence.

Prepared charts, Annual packets and Semi-annual packets for audit reviews. I also

filed/uploaded daily notes and medical records to patient files,

reconciled reports on a weekly and monthly basis.

Entered data into the New Mexico FITSYSTEM.

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