Experience

Shriners Children's Chicago

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Medical Insurance Supervisor/Currently Remote

  • Aug 2011 - Present

  Responded to correspondence from insurance companies. Reviewed provider coding information to report services and verify correctness. Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations. Utilized Citrix to manage and confirm patient data, such as insurance, demographic and medical history information. Processed patient admission and discharge documentation. Input data into computer programs and filing systems. Compiled electronic patient records covering conditions, treatments and diagnoses. Used correct diagnosis-related groups based on patient encounter details. Identified new methods to optimize medical records management. Reviewed medical records for completeness and filed records in alphabetic and numeric order. Maintained accuracy, completeness and security for medical records and health information. Compiled, abstracted and coded patient data using classification manuals and standard systems. Communicated effectively with staff, patients and insurance companies by email and telephone. Secured medical records against loss or unauthorized access. Used classification manuals to gain additional knowledge of disease and diagnoses processes. Supported smooth admission and discharge processes by handling associated documents. Accurately pulled patient records for upcoming appointments and procedures, typically within 2-hour period. Medical Intake Coordinator Oak Park Hospital - Oak Park, IL June 2009 to June 2011 Receive and coordinate all referrals to include notification of insurance providers for prior authorization and services covered. Responsible for handling phone calls from patients, insurance companies and healthcare providers about outpatient and inpatient admissions. Show less



Shriners Children's Chicago

• Medical Specialist