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Click here or scroll down to respond to this candidate Candidate's Name
Email EMAIL AVAILABLE
Street Address Cheviot Hts.
San Antonio, TX
Street Address
Phone PHONE NUMBER AVAILABLE
Objective
Seeking a position to continue to work in healthcare providing thorough and skillful support
Experience
Assist case manager in all non clinical duties
Case Manager Set up home health and do referrals. Fax order and referral to home
Assistant/Commerical health company for patient being discharge from hospital and SNF.
Referral/ Assist in doing referrals for DME for patient being discharged from
Authorization hospital and SNF
Specialist/Medical Assist home health companies getting their paper work signed and
Records Clerk returned to them.
Cooper Family Medical Follow up referral calls for Humana patients
Bradenton, FL Help with the GAP list for Humana patient
Print hospital list for case manager every
July-2012 - June- 2020
Release information to persons and agencies according to
regulations. Process and prepare business and government forms
Responsible for the coordination of all patient referrals and follow-
up care for the clinic patients.
Verify current and accurate insurance information for patient and
work with insurance company to get authorization(s) for services.
To assure accurate documentation of patient demographic and
insurance information entered into Intergy system prior to
requesting treatment and visit authorizations.
Ascertain insurance information from patient s prior to service
Contact insurance company, as needed, to verify patient coverage
Obtain authorization for procedures and services, as required.
Reviews insurance registration documentation and/or existing plan
referral/authorization against data entered into data system.
Receives and process requests for treatment authorizations.
Completes on-line forms to request authorizations, scans required
documentation, and updates patient accounts
Gathers information for submission of Medicare SNF.
Reviews daily emailed requests for treatment authorization updates
and extensions.
Communicates with PA, Doctors, and medical assistants when
additional patient information is needed
Reviews system to follow up on daily TASK notices regarding
pending authorizations
Schedules all incoming new patients within 72 hours of receipt of
referral.
Obtains all new patient demographic information and insurance
data, verifies coverage and eligibility prior to first appointment.
Performs other duties as needed
Medical Records Technician Protect the security of medical records to ensure that confidentiality
InterCare Health Systems Network is maintained.
Review records for completeness, accuracy and compliance with
Eau Claire Michigan
regulations
May-2010 - December-2011
Compile and maintain patients' medical records to document
conditions and treatment and to provide data for research for cost
control and improvement efforts
Release information to persons and agencies according to
regulations. Prepare and process business and government forms
and subpoenas
Enter data, such as demographic characteristics, history and extent
of disease, diagnostic procedures and treatment into computer.
Identify, compile, abstract and code patient data, using standard
classification systems
Resolve/clarify codes and diagnosis with conflicting, missing, or
unclear information by consulting with doctors or with other to get
additional information and by participating in regular meetings.
Plan, develop, maintain and operate a variety of health record
indexes and storage retrieval systems to collect, classify, store and
analyze information
Radiology Scheduler, Medical Welcomes and greets patients and visitors, in person or on the
Receptionist and PBX telephone, answering and referring inquiries
Operator Optimizes patient satisfaction, provider time and treatment room
Sharp Rees-Stealy Medical Group utilization by scheduling appointments in person or by telephone
Keep patients' appointments on schedule by notifying provider of
Chula Vista, Ca
patients' arrival
July-1986 - October-2007
Comforts patient by anticipating patients' anxieties, answer
patients' questions, maintains reception area
Ensure availability of treatment by filing and retrieving patient
records
Maintains patients' account by obtaining, recording, and updating
personal ad financial information
Protects patients' rights by maintaining confidentiality of personal
and financial information
Education
Medical Receptionist Course:
Front Office Procedures,
Medical Terminology,
Anatomy and Physiology and
Medical Insurance
Maric College
San Diego, CA
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