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PHONE NUMBER AVAILABLE home or email @ EMAIL AVAILABLECAREER OBJECTIVESTo obtain a position where my skills can be utilized and offer opportunity for advancement with your company.PROFESSIONAL EXPERIENCEWoodholme Gastroenterology/Lifebridge Health 10/2016-PresentReceptionist/ Medical SecretarySchedule appointments for proceduresInput demographics, verify insurance, check in patientsMake follow up calls, confirm appointments, provider postings, clinicalsGreet patients and get them prepared to have proceduresMaintaining a smooth running communication base among the endoscopy patients, and the endoscopy teamActing as a Centre Representative and a Public Relations liaisonPresenting a warm, pleasant, and welcoming demeanor to patients at all timesAnswer patient questions and gives information within the limits of his or her knowledgeRobert Half/Account Temps@ Woodholme Gastroenterology 03/2016-10/2016Data Entry Specialist/Front Desk ReceptionistVerified medical insurance, tracking and entering all charges for the hospitals and officesPosting payments for proceduresReconcile recordsProvide consent forms for procedures, collect copays and deductiblesProvide professional customer service, scan documents into systemEntering physician practice and endoscopy center fee tickets, referralsInvestigating all paperwork to make sure all proper documents are receivedUnited States Postal Service 10/2015-12/2015City CarrierSort/Scan mail and packages for residence and business deliverySort packages according to zip codesProvide safety procedures with driving and deliveringProvide proper forms for certified/priority mail or packages that requires signaturesLifestar Response 12/2012-10/2015Medical Biller-MedicareVerify insurance information: Basic Life support, Advance Life SupportHandle customer service calls in reference to billsMaking payment plans, paying co-pays or credit card paymentsMake determination to either bill for payment or deny based on information givenResolve customer complaintsAmerigroup Community Care 10/200708/2012Medicare Marketing AnalystMaintain enrollment and utilize CMS database and internal processes to ensure timely and accurate processing of membership applicationsCoordinate and prepare documents such as Sales Productivity Reports, Enrollment Application Reports, Commission Calculations and Submissions, and Retention Reports. Also enhance and refine core ongoing reportsCollaborate with Compliance and Medical Management to analyze disenrollment trendsWork on other special projects as neededAct as SalesForce.com liaison between plan and Virginia Beach ensuring data is updated and relevant for reporting and tracking purposes, impacting overall marketing activitiesEnsure all enrollment forms are processed and submitted to Virginia Beach enrollment department and CMS, preparing all enrollment communication and back-up paperworkDr. Victoria Staiman, MD-Chesapeake Urology 10/2006-04/2007Claims Entry/Front Desk SupportAcknowledge, Check-In, Check-out PatientsScan insurance cards, collect co-paysAnswer telephones, Schedule/cancel/confirm appointmentsPrint daily schedule reports/pull patients chartsEnter demographics and insurance informationProcessed all medical billing for (8) physicians: office visits, labs, surgeriesElderhealth Incorporated/Bravo Health 02/2002-08/2006Outreach Benefit SpecialistOutreach to members about programs with prescriptions, HMO benefitsBeing an assistant Team Leader and a member advocacy for the Health plansCustomer Service/follow-ups/documentationResolution with Dept. of Social Services and other AgenciesSubmitting applications for approvals and providing State/Federal GuidelinesTrainerTrain new hires on system operationsReviewing the manual of the different health plans to be testedBeing a mentor and resource agentBlueCross/BlueShield of MarylandInsurance Overload Systems 04/2000-02/2002Customer ServiceAnswering incoming calls and resolving member issuesTracking and sending claims to proper departmentClaims ProcessorProcessed PPA (Potomac Physicians) claims. Dental, Medical, PT OT, STInput insurance informationRe-direct to proper location/Provider Inquiry/Special ProjectsSuspend for proper authorizationsAdvanced Radiology, Baltimore, MD 07/1999-04/2000Customer Service RepresentativeAnswering incoming phone calls in relation to Radiology/X-Ray billingIn-Put insurance informationRe-direct calls to proper locationBill insurances, Attorneys, Workman Compensation, Self-Pay, Automobile AccidentsAdjustments, Co-Pay issues, ReferralsMake Collection CallsUnited Healthcare, Inc., Baltimore, MD 02/1998-07/1999Claims Analyst IIProcessed Medical, Dental, Specialty claims CPT/ICD-9 codingPT, OT, ST handled customer service and member service issuesInvestigated health insurance provider relationsSpecial ProjectsDatabase-member service modulesAdjustments/Provider InquiresQuantity/Quality controlUnited Healthcare, Inc., Baltimore, MD 09/1996-02/1998Data Entry OperatorKeyed in Medical, Dental, Claims, Suspension for reviewInvestigation Provider/Member look-upBecame Specialist for Provider/member look-upHandles large volume of work (300+ claims per day)EDUCATIONVilla Julie College, Management Science/Nursing, Stevenson, MDCoppin State University, Management Science/Nursing, Baltimore, MDPROFESSIONAL DEVELOPMENTDean Vaughn Medical Terminology