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Click here or scroll down to respond to this candidate Candidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLE
CORE COMPETENCIES
Medical Office Administration Skills Experienced in handling and safeguarding confidential
Impeccable Customer Service Skills. Medical Records Information.
Appointment Scheduling Skills. Patient Services Representative Skills.
Insurance Coverage Verification Skills. Data Entry Skills.
Electronic Medical Records Skills PHI and HIPAA Compliance Skills.
Patient Advocacy and Support. Insurance Prior Authorization skills
Patient Intake and Outtake Skills. COVID-19 screening skills
Ability to multitask, pay attention to Documentation, Filing and Scanning Records Skills.
detail, strong organization skills, and a Ability to maintain a professional demeanor and composure
team player.
when handling difficult and irate patients.
PROFESSIONAL EXPERIENCE
FAMILY HEALTH CENTERS ORANGEBURG, SC FEBRUARY 2021-NOVEMBER 2023
Office Manager/Financial Service Rep.
Manage the operations of the center, making sure we are fully staffed and running smoothly.
Maintain confidentiality of account information at all times.
Prepares the yearly budget for the center.
Manage office supplies and equipment and place an order when necessary.
Monitor the no-shows and cancellations of patients and reach out to get them rescheduled.
Address any issues that may arise (complaints, concern, etc.).
Perform receptionist duties: greet visitors, answer and direct phone calls.
Receive and sort incoming mail and deliveries.
Provide patients with the necessary paperwork needed for them to be administered Covid vaccine/test.
Add patients onto schedule, verify their information and check them in.
Made sure supplies were stocked in company vehicles and drove it to job sites.
Collected the vaccine each day to transport to and from location.
Performs clerical responsibilities of registration, insurance verification, data entry, and cashiering functions
related to the patients visit.
Inform uninsured patients of the Sliding Fee Scale program that we offer, based on their income.
Assist patients with applications to apply for the Sliding Fee Scale program.
Create telephone encounters informing staff or providers of patient s medication requests or concerns.
Verify that demographic is scanned and updated every 6 months in the system.
Scan documents into the patient's electronic chart in ECW.
Collect and document payments (check, cash and credit/debit card) to the patient's account..
Print payment report and complete deposit documentation at the end of the shift.
Scan and copy the patient s current insurance card(s), identification and other demographic information.
ORANGEBURG AREA MENTAL HEALTH CENTER ORANGEBURG, SC. FEBRUARY 2020-DECEMBER 2020
Administrative Specialist II
Greeted patients on the phone and in-person and provided excellent customer service.
Performs clerical responsibilities of registration, insurance verification, data entry, and cashiering functions
related to the patients visit.
Sorted incoming mail and used a postage machine to stamp outgoing mail.
Carried bank deposits to the bank and obtained change when needed.
Candidate's Name PHONE NUMBER AVAILABLE Page 2
Helped to create a manual for the new hire Administrative Specialist.
Add patients onto the schedule and check them in.
Collected deliveries and distributed to the appropriate individual/department.
Put together information packets for new patients.
Conducted interviews with patients when opening charts to obtain identifying and demographical information
to verify insurance coverage and financial information.
Secured all signatures necessary for treatment and entered the information into CIS database.
Scheduled/canceled patients appointments with the clinicians and physicians using EMR database.
Collected and documented all payments (cash, checks, money orders and credit/debit) received.
Prepared documents needed for bank deposit and F9 packet and sent copies to the deposit processing
department.
Performed additional job duties, such as photocopying forms and patient information, mailing appointment
reminder cards, preparing patient s chart and retrieving/sorting faxes and incoming mail.
Maintained the patient's confidence by keeping their records confidential.
Performed Covid-19 screening (provided masks and hand sanitizer, checked temperature, and asked questions)
to all patients and staff members to determine if they can enter into the facility.
Drove state vehicle when traveling to cover other satellite locations front office duties.
Assisted with creating a manual for the new hires as well as trained.
Opened facility for staff members to have access to the building.
Collected packages from different carriers and distributed them to the appropriate individual/department.
THE REGIONAL MEDICAL CENTER ORANGEBURG, SC JULY 2018-FEBRUARY 2020
Patient Counselor (Insurance Authorization)
Greeted patients on the phone and in-person and provided excellent customer service.
Answered all calls in a pleasant mannerism and deals with physician offices, insurance companies, and
addresses all the patient s needs expeditiously. Documented messages and transferred calls to other
departments when necessary.
Performed clerical responsibilities of registration, insurance verification, and data entry.
Conducted interviews with patients, to obtain identifying and demographical information to verify insurance
coverage and financial information.
Secured all signatures necessary for treatment and obtained copies of identification and insurance cards.
Communicated and explained the hospital policies and ensured that all patients and/or relatives understood and
signed the consent and insurance forms.
Performed data entry by entering the patients' CPT and diagnosis code(s) into the hospital electronic medical
records system (Cerner), to verify if the procedures considered medically necessary for Medicare Members.
Scanned and faxed supporting clinical notations from providers to the insurance company to seek approval for
billing.
Collaborated with all departments and disciplines to meet the needs of the patient and family and acted as a
liaison for patients and The Regional Medical Center.
Documented all approved and denied claims by utilizing Microsoft Excel to create a spreadsheet.
Performed additional job duties, such as photocopied forms and patient information, mailed surveys, prepared
patient s charts, faxed forms and retrieved faxes as needed.
Maintained patient confidence by keeping patient s records confidential.
COLUMBIA EYE CLINIC COLUMBIA, SC NOVEMBER 2017- JULY 2018
Patient Service Representative
Answered telephones in a timely, professional, and polite manner and decided on the best way to meet the
caller's needs. Took messages for providers and documented all calls that took place.
Communicated with patients and visitors in a courteous, professional, mature and cooperative manner.
Checked patients in and out utilizing the medical scheduling PM system, and printed their encounters to
organize the patients and matched their information to their respective doctors boxes.
Identified payer source, verify insurance eligibility (and obtain authorizations for services when necessary)
daily, financial status, and assigned correct pay type in the electronic medical records system.
Candidate's Name PHONE NUMBER AVAILABLE Page 3
Scanned and copied the patient's current insurance cards, driver licenses, identification cards, and other
demographic information.
Scheduled and rescheduled appointments when needed via phone and in-person utilizing the electronic medical
records system.
Monitored the waiting room(s) frequently to maintain a professional, comfortable medical office to help ensure
a pleasant patient experience.
Created and prepared patient charts neatly and accurately.
Updated consents and patient privacy policy procedures documents annually.
Performed routine administrative duties, which may include researching patient data, copying, filing, printing
and distributing reports, etc.
Maintained confidentiality of account information at all times.
BLUE CROSS AND BLUE SHIELD OF SC COLUMBIA, SC JANUARY 2012- SEPTEMBER 2016
Medical Tech Analyst
Researched, reviewed and indexed medical records received through a computer-based system (WMS Doc
Finity).
Redirected misrouted medical records to the correct area using Lan Fax.
Utilized the Document Management System to retrieve documents and to check for requested medical records.
Processed medical record orders using the Eagle One System to generate letters upon request from
providers.
Organized and filed medical records and supporting documents recommended for appeals.
Reviewed and indexed all medical records received through LanFax into the WorkFlow Management System
(WMS), so that nurses can retrieve them later.
Collaborated with other coworkers to assist with logging and updating (RMSL and RMMWSGI) to assign
claims by the nurses.
Scanned all medical records into the WMS system by utilizing a desk scanner.
Trained new employees on how to complete tasks that were associated with the position of the Medical Tech
Analyst.
BLUE CROSS AND BLUE SHIELD OF SC (PAI) COLUMBIA, SC JANUARY 2009-FEBRUARY 2011
Group Account Administrator II
Processed returned mail items by updating the new addresses into a computer-based system (Verisource), and
types the information onto return mail into Excel Spreadsheets.
Generated letters for all the returned mail by using the mail merge.
Faxed and mailed out letters to the enrollees and/or employers.
Retrieved post-production reports from the emails and saved the information to the public drive.
Organized, and printed out omitted documents and loaded them into the batch tracking system.
Typed the enrollees' application for insurance into the Verisource System, and proceeded to close the
documents in a batch tracking system.
Managed enrollments and determined employee eligibility.
Collaborated and maintained professional communication with the accounting department.
Trained new employees and cross-trained existing employees on new processes.
EDUCATION
Bachelor of Science: Healthcare Management 2016
South University Columbia, SC
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