Experience

Northwest Neurology, Ltd.
• United States
• Medical Practices
• 1 - 100 Employee
• Infusion Billing Coordinator

  • Jun 2023 - Present


AristaCare Health

• United States
• Pharmaceutical Manufacturing
• 1 - 100 Employee

• Intake Coordinator

  • Sep 2019 - Jun 2023

  Communicate in a timely manner to the referral source (clinical liaison, discharge planner, medical social worker, clinic nurse) the patients insurance benefits and coverage or non- coverage for services that have been requested. Effectively communicates with insurance companies and their representatives, agency staff, referral source, patients and family the treatment plan that is being proposed by the referral source for the patient to discharge home safely. Obtain appropriate authorizations necessary from the patient's insurance provider, then effectively documents all information into CPR+. Show less



Orsini Healthcare

• Senior Admissions Representative

  • Nov 2016 - Mar 2019

  Lead and supervised benefits investigation team including time sheet approval, PTO requests, yearly reviews, disciplinary action, and weekly meetings. Conducted benefit investigations for both pharmacy and medical benefits for home infusion and specialty medications. Initiated and followed up on prior authorization and pre-determinations including denial investigations for pharmacy claims. Communicate directly with pharmaceutical manufacturers providing updates, reporting and any other pertinent reporting and/or patient information. Provided customer service to patients, insurance companies and vendors via face to face interactions within the office, incoming phone calls and email communication. Show less



Weil Foot Ankle and Orthopedic Institute

• Benefits Coordinator

  • Feb 2014 - Sep 2016

  Obtained benefits for Custom Molded Orthotics, Diabetic Shoes and Custom Braces via insurance companies and performed precertification, as required, then entered charges. Verified benefits for Electronic and Ultrasound Bone Stimulators while obtaining predetermination by evaluating clinical information and composing letters of medical necessity. Entered podiatric surgeon and assistant surgeon charges for Regenerative Surgery Center. Posted daily payment receipts, insurance EOBs, patient payments, refunds and adjustments manually. Provided customer service to patients, insurance companies and venders via face to face interactions within the office and incoming phone calls. Show less



Center for Advanced Breast Care

• United States
• Medical Practices

• Front Office Coordinator

  • Jan 2012 - Feb 2014

  Performed front office responsibilities including checking in/checking out, making appointments, co-pay and deductible collection, managing patient flow within the clinic, surgery scheduling, precertification, manage patient records, manage incoming emails and faxes and triaging phone calls. Provided customer service to patients, insurance companies, vendors and outside physicians. Trained and designated as super user for new electronic medical records system, eClinicalWorks. Performed front office responsibilities including checking in/checking out, making appointments, co-pay and deductible collection, managing patient flow within the clinic, surgery scheduling, precertification, manage patient records, manage incoming emails and faxes and triaging phone calls. Provided customer service to patients, insurance companies, vendors and outside physicians. Trained and designated as super user for new electronic medical records system, eClinicalWorks.



Barrington Orthopedic Specialists

• United States
• Medical Practices
• 1 - 100 Employee

• Payment Poster and Refund Specialist

  • Sep 2005 - Dec 2011

  Responsible for posting payments, EOB denials and appeals from patients, insurance companies and 3rd party payers for 16 physicians, MRI, and physical and occupational therapy services. Processed refunds for patients and insurance companies.Ran reports and made spreadsheets for collection activity including inside collections and two phases of outside collections. Scheduled office appointments on Misys Tiger and EMR.

• Accounts Receivable and Refund Specialist

  • Aug 2005 - Dec 2011



Illinois Gastroenterology Group, LLC

• United States
• Medical Practices
• 1 - 100 Employee

• Scheduling Coordinator

  • Jun 2004 - Aug 2005

  Responsible for appointment and procedure scheduling for a 9 physician group, surgery center and hospital locations. Performed initial verification of benefits for highest level of reimbursement. Responsible for appointment and procedure scheduling for a 9 physician group, surgery center and hospital locations. Performed initial verification of benefits for highest level of reimbursement.



Northwest Community Healthcare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Laboratory Representative

  • Jun 2002 - Jul 2004

  Responsible for registering patients and ordering lab tests for all outpatient and reference lab clients. Conducted initial screening of diagnosis codes for Medicare patients to insure payment, including ABN experience. Provided customer service and laboratory results to patients and physicians. Responsible for registering patients and ordering lab tests for all outpatient and reference lab clients. Conducted initial screening of diagnosis codes for Medicare patients to insure payment, including ABN experience. Provided customer service and laboratory results to patients and physicians.