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| | Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLE AtlantaGA Street Address
CAREER OBJECTIVEAttentive Clinical Certified Medical Assistant with 18+ years of experience in performing administrative and clinical tasks in various healthcare environments. Looking to apply my background in managed healthcare to help fulfill any medical assistant needs within a solid compassionate healthcare organization. My experience as a medical assistant and ability to thrive using different medical technologies will allow me to immediately contribute toward the welfare of your physicians and their patients. Qualifications Proficient with various billing and EMR software Knowledge of ICD-10-CM and HIPAA &OSHAregulations. MS Office proficient Excellent customer service skills Front/Back office Insurance verification Superb organizational and time management skills Excellent written and verbal communication abilities Insurance authorizations X-rays Venipuncture Surgery SchedulingEDUCATION & CERTIFICATIONSCPC Medical Billing and Coding 2023Certified Medical Assisting, Advance Career Training 2006 Certificate of Occupational Proficiency: Phlebotomy, 2006 Certified Medical Assistant (AAMA), 2006CPR & First Aid Certification (ARC), 2006License # 590339PROFESSIONAL EXPERIENCEMorgan and Morgan Law Firm October 2023 - April 2024 Client Experience Manager/Reduction TeamDual-Role Responsibilities (but not limited to): Daily interaction with clients gathering medical information. Review and order medical records from providers and communicate records information to clients. Engage insurance carriers and healthcare providers to secure information and account balances. Interac with clients, insurance adjusters, and medical providers regarding medical conversations. Review medical records and analyze clinical tests and diagnostics. Work directly across multiple functional groups to coordinate and deliver a strong client experience. Manage active case inventory and customer experience metrics. Communicate and escalate client concerns to the supervisor. Reduction Team: Communication with providers and insurance companies to reduce all medical expenses based on the client's settlement. Submit requests for payments to providers and clients . Confirm mailing addresses before mailing payments. Resurgens Orthopaedics May 2019 - September 2023Medical Assistant/Surgery coordinatorDual-Role Responsibilities (but not limited to): Prepares patients for visit by directing/accompanying patients to the examining or X-ray room, providing gowns/drapes, and assisting with proper positioning of patient for the examination and/or treatment; Interviews patient and records medical histories, may order x-rays per provider order or protocol; Assists health care providers during examinations as directed. Duties may include, but are not limited to, performing dressing changes, taking vital signs, preparing and labeling medications for administration by provider, applying/removing casts/splints, removing sutures/staples, preparing laboratory test requests, preparing lab specimen for pick-up per protocol; Prepares and orders medication prescriptions and orders for x-rays, rehab, DME, etc. as directed by provider; documents in EMR; Schedules appointments, tests, procedures, and/or surgery following all scheduling protocols; Insures follow-up appointment(s) for patients regarding test results, post operative care, etc. with the provider; Updates patient health history information as needed, keys data and scans various documentation into EMR such as hospital dictation, disability forms, laboratory test requests, or any other correspondence as directed. Receives, disseminates for provider signature, and scans test results and medical clearances into EMR. Updates patient history in EMR within 24 hours of visit; Responds to patient phone calls in a timely way as directed by provider, makes follow-up calls, and documents in EMR; Maintains exam rooms which may include the following: prepares exam rooms including stocking of appropriate supplies, instruments, and equipment for examination of patients on a daily basis. Cleans examination rooms between patient visits and at clinic end and disposes of contaminated supplies per protocol; Cleans and sterilizes medical instruments and equipment; Other duties may also be assigned by Providers, RNs, and managers. Prepares disability and other forms for provider signature. Inventories and orders medical supplies.Surgery Coordinator: Schedule all surgery/procedure times between patient, hospital/outpatient surgery center, and physician Maintains calendar of surgery and procedure times; follows up with physician to manage and coordinate the patient and physician schedule Schedule COVID testing and hospital pre-admission appointments for patients Order all durable medical equipment to be delivered to patients home Complete necessary paperwork for aftercare post-surgery Assures all Consents, Forms, Registration packets and patient files are completed and entered in the EMR system Serves as a primary contact for the patient, provides pre- and post-procedure instructions and assists with patient inquiries Works proactively to ensure that all arrangements have been made to ensure a timely and orderly environment for each surgical procedure Follows up with all parties involved to communicate changes in schedule or place of surgery; works proactively to ensure that all changes are handled in an orderly fashion Confirms procedures are Pre-certified with insurance companies Peachtree Surgical & Bariatrics December 2016 - May 2019 Medical Assistant/Surgery coordinatorDual-Role Responsibilities (but not limited to): Assists with treatments ordered by physician as supervised by physician or registered nurse. Performs select clinical duties. Interviews patients, measures vital signs, and records information on patients' charts. Prepares treatment rooms for examination of patients. Performs basic clerical duties including answering the phone, maintaining records, and filing. Performs basic materials management functions to include ordering and stocking of supplies. Assists with maintaining a clean and orderly environment. Maintains clean, safely equipped and adequately supplied exam rooms. Inventories clinical supplies and places supply orders to maintain desired inventory levels. Complies with CLIA, OSHA, Joint Commission and other regulatory agency standards. Participates in in-service programs as needed. Follows infection controls and safety policies. Arranges for all diagnostic tests, makes future appointments for visits, and makes referrals. Provides referral forms and obtains authorizations as necessary. Administers medications including injectables according to approved procedures and provider instructions. Documents administration in patient's chart. Collects and packages specimens for lab processing. Performs routine office lab tests, EKGs, x rays and other procedures as ordered. Instructs patients regarding preparation for tests and signing consent forms when necessary. Surgery Coordinator: Coordinates surgery/procedure time between patient, hospital/outpatient surgery center, and physician Maintains calendar of surgery and procedure times; follows up with physician to manage and coordinate the patient and physician schedule Heavy journal entries utilizing Excel, Kronos and patient tracking platforms Manage/prioritize day-to-day workflow Interact with patients professionally and effectively Assures all Consents, Forms, Registration packets and patient files are completed and entered in the EMR system Obtains necessary special equipment requested by physician for specific procedures Serves as a primary contact for the patient, provides pre- and post-procedure instructions and assists with patient inquiries Works proactively to ensure that all arrangements have been made to ensure a timely and orderly environment for each surgical procedure Up keeps with the status of stand-by surgeries and communicates to practice timely Follows up with all parties involved to communicate changes in schedule or place of surgery; works proactively to ensure that all changes are handled in an orderly fashion Confirms procedures are Pre-certified with insurance companies Acts as a liaison between Administration, Surgeons, Patient Care Coordinators and Scheduling team of various facilities Provides relief for the front business office, Receptionist and all other business functions, as needed. Contribute to team efforts by accomplishing related results as needed Crossed trained to fill in and effectively perform all other job descriptions Orthopedics of Atlanta May 2016 December 2016Medical Assistant Interviews new patients efficiently and accurately and orders appropriate x-rays utilizing the EHR. This include taking vitals, updating review of systems, history of present Illness, documenting primary care Physician, medications, allergies and correctly documents the past medical, social and family history Ensures x-rays are completed prior to examination based on orders as indicated in the chart. Completes the Constitutional and Physical exam with the physician and patient in the room while transcribing the information into the EHR Removes dressings and sutures as indicated by physician Prepares injections and patients for the physicians maintaining injection trays and appropriate stock. Completes the assessment, plan and appropriate coding for the assessment. Place any orders per the physician, including physical therapy, diagnostic studies and lab work. Instruct patients with any follow up instructions needed for that visit. Completes the electronic health record for that visit for approval from the physician. Maintains exam rooms including supplies and equipment for physicians. Fills out proper lab forms and ICD-10 codes on the lab sheets correctly making copy for the Test Schedulers for proper tracking of results. Confirms information in the system has been completed including any procedures completed in office for that visit prior to the patient checking out.Dr. Indira Devu (Clinical Pathology)April 2014 May 2016 Lab Technician/ Medical Biller Perform blood collections by venipuncture and capillarytechniques for all age groups Collect specimens for drug screens, paternity tests, alcohol tests etc. Perform data entry of patient information in an accurate and timely manner Process billing information and collect payments when required Prepare all collected specimens for testing and analysis Maintain patient and specimen information logs Provide superior customer service to all patients Administrative and clerical duties as necessary Travel to additional sites when neededFront desk checking in/out, verifying insurance, collecting copays/balances, scheduling follow-up appointments Helping patients with the Patient Portal Work directly with insurance companies, healthcare providers, and patients to get a claim processed and paid. Work all denials to insure payment in a timely fashion Process the payments received from insurance companies and maintain records about those payments. Prepare patient statements and review for errors. Manage account receivable reports and collect and manage payments for patient accounts. Create, maintain and review patient medical records and assign appropriate medical codes to diagnoses and procedures performed. Work directly with healthcare providers regarding discrepancies identified in patient medical records so accurate claims and billing can be performed. Apply principles of HIPAA, and implement healthcare regulations used to ensure the confidentiality, safety, and quality of allied health services and safeguard the release of private medical or financial information. Work with computer software to organize data, maintain databases, and prepare charts and reports. Review and verify patient insurance/healthcare benefits and perform insurance referrals. Communicate with patient and healthcare provider regarding patient insurance/healthcare plan benefits.. Cobb County Health Department June 2007- May 2014Medical Records Technician Maintains medical records operations by following policies and procedures; reporting needed changes Initiates medical record by searching master patient index; identifying existing patient records or need to assign a new number; interacting with registration areas and physicians' offices for information verification; processing or creating the record folder. Ensures medical record availability by routing records to admissions and emergency departments, physicians, and other authorized hospital staff; maintaining chart location systems. Completes medical record by reviewing information; notifying health care providers of record deficiencies; tracking outstanding records; notifying the medical director of physicians in jeopardy of losing admitting privileges. Resolves medical record discrepancies by collecting and analyzing information. Maintains historical reference by abstracting and coding clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems; filing documents. Prepares statistical reports by collecting and summarizing medical care and census information, such as types of diseases treated, surgery performed, and use of hospital beds. Provides medical record information by answering questions and requests of patients, hospital staff, law firms, insurance companies, and government agencies. Maintains patient confidence and protects hospital operations by keeping information confidential; following release-of-information protocols. Maintains the stability and reputation of the hospital by complying with legal requirements. Keeps equipment operational by following manufacturer's instructions and established procedures. Conserves resources by using equipment and supplies as needed to accomplish job results. Contributes to team effort by accomplishing related results as needed. Alliance Spine and Pain Center October 2006- June 2007 Internship - Medical Assistant / Office Manager Greeted patients during their check in and check out process. Ensured all needed paperwork is completed, entered into the computer system along with insurance information and correct identification. Collected payments at time of service, balance deposit book and made required daily deposits. Prepped daily clinical records for each day according to their provider. Assisted patients with placing them on their recommended therapy machines until seen by the provider. Complete all back office duties on a daily basis. Cleaned and sterilized all therapy equipment and cleaned the front office area after closing. |