Experience

WELLSPRING FAMILY MEDICINE

• United States
• 1 - 100 Employee

• Medical Receptionist/Administrative Assistant

  • Jul 2021 - Present

  • Facilitates daily administrative functions, including customer service, patient scheduling, and inventory management. • Collects patient copayments and recorded payment transactions; obtain third-party payer authorization for services. • Provides and communicates account receivables to insurance companies and patients. • Supplies financial counseling to patients. • Completes daily Billing Department functions, including medical coding, charge entry, payment posting, and reimbursement management. • Utilizes EMR software to manage patient records and files; reinforces and upholds patient confidentiality as required by HIPAA and clinic. Show less



THE CHILDSMILES GROUP

• United States
• Medical Practices
• 1 - 100 Employee

• Patient Care Coordinator/Virtual Administrative Specialist

  • Aug 2018 - May 2022

  • Coordinated dental care for pediatric patients in a public school setting. • Displayed high efficiency in dental procedure preparation. • Collected and compiled insurance/demographic information for input into the PracticeWeb system accounting for 1500+ patients. • Verified insurance coverage, handled billing, and scheduled appointments. • Maintained and updated medical records and billing information (CPTs, ICDs). • Coordinated dental care for pediatric patients in a public school setting. • Displayed high efficiency in dental procedure preparation. • Collected and compiled insurance/demographic information for input into the PracticeWeb system accounting for 1500+ patients. • Verified insurance coverage, handled billing, and scheduled appointments. • Maintained and updated medical records and billing information (CPTs, ICDs).



PGBA

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Provider Enrollment Analyst

  • Oct 2020 - Jul 2021

  • Determined the acceptability of provider enrollment applications. • Provided in-depth reviews and verification of provider data. • Verified provider data by use of information databases and various organizations/agencies to ensure authenticity. • Set up and tested the validity of EFT accounts. • Determined the acceptability of provider enrollment applications. • Provided in-depth reviews and verification of provider data. • Verified provider data by use of information databases and various organizations/agencies to ensure authenticity. • Set up and tested the validity of EFT accounts.



SC Department of Health and Human Services

• United States
• Government Administration
• 300 - 400 Employee

• Humans Services Specialist II

  • Dec 2018 - Oct 2020

  • Performed follow-up activities in an efficient and effective manner utilizing all processes, procedures, policies, and system updates to ensure all changes are completed accurately with satisfactory documentation. • Demonstrated proficiency utilizing all processes, policies, procedures, and system updates. • Maintained documentation including clearly documented notes labeled accordingly and kept in the appropriate system of record. • Ensured the following of the in-take procedures in processing Medicaid applications. Show less



TriCare

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

• CCSR III-Professional and Mental Health Analyst

  • Nov 1998 - May 2018

  • Processed medical, mental health, and durable medical equipment insurance claims. • Provided customer service to healthcare providers & military families via phone calls and other pertinent correspondence methods. • Trained new employees on the claims processing procedures. • Answered manager calls of irate providers and beneficiaries. • Obtained the necessary authorizations and referrals for patients & military families. • Prepared an explanation of benefits for patients, provider’s remittance advice, third-party liability forms and disclosure forms and beneficiary forms. Show less