Experience

Open Cities Health Center

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

• Patient Registration Representative

  • Feb 2020 - Present

  • Input demographic information, billing information and insurance into medical management system. • Verify insurance benefits for all new patients, upon change of insurance coverage, and/or an annual basis. Document covered benefits on the insurance verification form. Educate patients regarding all financial and insurance benefits, government funds, grant, and drug reimbursement programs and offered fee schedule to the non-insured patients. Ensure all requirements are met. • Troubleshoot insurance-related problems in the EMR system. • Work with other departments at Open Cities Health in order to identify uninsured patients and facilitate patient care • Maintain patient and financial records within standard medical record and accounting and HIPAA procedures. • Check-in and check-out all patients using the EMR system. • Schedule appointments for client/patient care including all follow-up appointments. • Input third party reimbursements (Medicaid, Medicare, and private insurance) into EMR system. • Verifies Insurance is accurate and up to date. Maintains established department and billing policies, procedures, objectives, and quality assurance, safety, environmental, and infection control and suggests corrections or process improvements. • Generates patient referrals to medical specialists as ordered by Providers, using the appropriate channels as dictated by the patient’s health insurance. • Collaborates with patient to prepare and submit applications as appropriate. Register and screen patients for covid testing. Volunteers of America- Maplewood MN Show less



Volunteers of America

• Non-profit Organizations
• 700 & Above Employee

• Health Unit Coordinator

  • Oct 2018 - 2020

  Scheduled residents doctors and imaging appointments. Scheduled transportation to and from appointments. Inputted doctors and Nurses prescribed orders. Faxed and scanned labs and pharmacy orders and into EHR system. Updated assessment log. Ordered supplies. Stocked the medication room. Updated care and report sheets. Keyed in new admission paperwork. Updated residents charts upon being discharged. Scheduled residents doctors and imaging appointments. Scheduled transportation to and from appointments. Inputted doctors and Nurses prescribed orders. Faxed and scanned labs and pharmacy orders and into EHR system. Updated assessment log. Ordered supplies. Stocked the medication room. Updated care and report sheets. Keyed in new admission paperwork. Updated residents charts upon being discharged.



Labcorp

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

• Patient Intake Rep

  • Mar 2015 - Jun 2018

  • Manages the Front Desk Operations. • Screens calls and accommodate patient’s needs for appointments. • Schedules new patient appointments. • Verify insurance eligibility and copays from insurance office. • Obtains and tracks all necessary authorizations and pre-certifications. • Assists in inventory and order supplies. • Billing and booking functions include collect cash payments, posting and balancing daily transactions. • Sorts and post paperwork needing follow-up. • Register patient’s demographics, insurance information in database. • Trains new hires on operation systems. • Manages employee schedules. Receive referrals from doctor’s office. • Opens and close office. Create manuals for new hires. • Monitor employees when site coordinator is offsite. Provides patients lab results Show less



LabCorp Diagnostic Laboratories

• Nigeria
• Hospitals and Health Care
• 200 - 300 Employee

• Patient Intake Representative

  • Mar 2015 - Jun 2018



Aetna, a CVS Health Company

• United States
• Wellness and Fitness Services
• 700 & Above Employee

• Claims Associate

  • Jul 2012 - Jun 2014

  Researched incomplete dental claims for processing, and updated the wonderbox system for payment ● Denied claims for members not in the excel system. ● Researched members and providers in the wonderbox database. ● Added dental services for members in the wonderbox system. ● Viewed claim images from HIPPA claims master and updated provider and member information ● Completed authorizations for dental services rendered. ● Worked with customer service to resolve claim issues for In and Out of Network providers. Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Data Loading Specialist

  • Aug 2007 - Jul 2012

  Updated dental provider information in the Facets system. ● Processed claims in the XC database and Siebel system. ● Researched provider credentials and linked providers to appropriate network groups within United Healthcare. ● Processed changes from B notices, tax levies, correspondence and claim payments. ● Handled electronic claims submission for payment of dental services ● Researched NPI numbers and verified information with the patient providers. Updated dental provider information in the Facets system. ● Processed claims in the XC database and Siebel system. ● Researched provider credentials and linked providers to appropriate network groups within United Healthcare. ● Processed changes from B notices, tax levies, correspondence and claim payments. ● Handled electronic claims submission for payment of dental services ● Researched NPI numbers and verified information with the patient providers.



APS Healthcare, a subsidiary of Universal American

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Provider Relation Specialist

  • Jun 2005 - Aug 2007

  Updated providers licensing and demographic information in multiple healthcare systems. ● Updated provider information for healthcare providers. ● Linked service codes to patient service tickets for processing in accounts receivables for payment. ● Contacted providers regarding payments, returned checks and patients referrals ● Reimbursed providers for healthcare services rendered ● Posted charges to patient accounts. Updated providers licensing and demographic information in multiple healthcare systems. ● Updated provider information for healthcare providers. ● Linked service codes to patient service tickets for processing in accounts receivables for payment. ● Contacted providers regarding payments, returned checks and patients referrals ● Reimbursed providers for healthcare services rendered ● Posted charges to patient accounts.



Green Door

• Administrative Assistant

  • Jun 2002 - May 2005

  Maintained and created personnel files. ● Processed all new hire paperwork, and prepared new hire training pamphlets. ● Assisted Accounting department with payroll deductions. ● Performed background checks for new employees. ● Entered claim tickets for case management. ● Answered and routed calls to the appropriate staff member. ● Created and updated EOB for claims processing. Maintained and created personnel files. ● Processed all new hire paperwork, and prepared new hire training pamphlets. ● Assisted Accounting department with payroll deductions. ● Performed background checks for new employees. ● Entered claim tickets for case management. ● Answered and routed calls to the appropriate staff member. ● Created and updated EOB for claims processing.