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Click here or scroll down to respond to this candidateCandidate's Name
Baton Rouge,LAPhone PHONE NUMBER AVAILABLEEMAIL AVAILABLEObjective: To obtain a challenging position using my strategic and conceptual skills, complemented by my solution - based ideas enabling me to grow within a company.Qualifications: Over 15 year experience in Medical Terminology and Insurance,Customer Service, Computer and Communication Skills, Knowledge of Availity, Care-plus, Freedom and Optimum, United Health Care,for Referrals and Authorizations for Upcoming Surgeries and Specialists Visits .Skills:Assisting patients with Referrals and Authorizations, providing general information, Knowledge of EMR systems, Ubiquity, All scripts, and Epic and, Excellent customer service skills.Relevant Experience:OPTUM /Landmark Care Coordinator02/27/2023 Present- Scheduling Appointments for providers- Updating Demographics in patients chart- Requesting notes or reports from PCP and Specialist visits- Right fax for uploading documents- Incoming calls from patients- Reminder calls for upcoming AppointmentsTGH Imaging powered by Tower08/25/2022 -02/22/2023 Front Desk- Check in- Scheduling patients next appointment- Calling Patients to remind about their appointment- Preparing charts- Answering incoming calls- Excellent Customer ServiceOptum Healthcare05/15/2017-07/0/2022Care Coordinator/Medical Receptionist- Referrals and Authorization- Answering Phone Calls- Consult Not Receive Reports from Specialists- Durable Medical Equipment ReferralsHeart and Vascular Assoc. Of Tampa4/2016-3/2017Office Administrator-Answering incoming calls-Check in and checkout patients-Collect payments from patients-Referrals and authorization-Scan documents and put in patients charts-Medical Records-Insurance verification-SchedulingPediatric Neurology And Epilepsy of Central Florida, Orlando, FL4/2013-4/2016Medical Records Specialist-Create medical charts for all new patients.-Organize all patient charts for next business day.-Update patient charts and documentation with any same day schedule changes. - Scan all new documentation into patient files.-Request and follow up on all outstanding MRIs and lab reports. Handle all incoming phone calls and message delivery.-Process all updates to primary care physician.-Maintain patient file organization for office.General Dynamics Technology, Riverview, FL9/2009-4/2013Customer Service Representative-Verify Medicare insurance claims with clients.-Handle clients calls regarding questions on policies.-Follow up calls with client and beneficiaries card holders.-Draft MSN/EOB explanations letters to clients.-Research and process all aspects of claims.-Part A, Part B, DME Claims.Healthpoint Medical Group, Tampa, FL3/2009 -7/2009Customer Service Representative-Draft EOBs(Explanation of Benefits) letters for clients.-Draft unpaid insurance claims to CMS ( Center Medicare/Medicaid Services).-Verify clients insurance benefits.-Researching non-payments secondary insurance companies.Nextran Truck Center, Tampa Fl3/2006 3/2009Receptionist-Answering multi-lined telephones.-Accurate daily filling responsibilities.-Accounts Receivable balancing.Eckerds Drug Store, Brandon Fl5/1999 2/2006Pharmacy Technician-Filled/Validated Prescriptions.-Taking calls for refills of prescription.-Typing prescriptions written by doctors for patients.-Communicated with doctors office on medications validation.-Inventory management for medications/drugs in order to keep the proper stock.-Communicated with the wholesaler to secure medications needed for the pharmacy.-Communicated with Insurance companies on Prior-Authorization of medications.-Provided customer service to amend challenges on prescriptions with the doctors, patients, insurance companies when needed.Education:Sanford Brown Institute, Tampa, FLMedical Billing and Coding Specialist-CPT-4, ICD-9 and HCPCS Coding.-Health Insurance Verification.-Reimbursement Methodologies.-Medi-Soft and Med-Cin Software training.References provided on Request |
