Complete initial financial intake/registration application for outpatient/inpatient for Community Mental Health Center providing services to adults with mental health and addictions
Checks in patients for appointments, enter demographic information, copy insurance cards, ID and other pertinent information pertaining to appt
Schedule appointments for patients.
Patient Registration Specialist
Eskenazi Health
02.2015 - 12.2015
Prepare and submit referrals and prior insurance authorizations
Receive incoming calls from patients and pharmacies in regard to medication refills/medication information
Schedule future visits, same-day sick appts, create and document notes by creating patient cases in electronic chart for doctors/nurses/staff review to determine the severity of appointment, required, medication refills, doctors’ notes, etc
Receive pharmacy requests for medication, refills, clarifications etc
Confirm diagnosis
Verify insurance coverage prior to appts
Acts a liaison/contact person for Account Executives for specialty clinics.
Patient Scheduler
IU Health Physicians
12.2014 - 01.2015
Complete initial financial intake application for outpatient/inpatient for Community Mental Health Center providing services to adults and children with mental health and addictions
Checks in patients for appointments, enter demographic information, copy insurance cards, ID and other pertinent information pertaining to appointment.
Take and post co-payments and/or deductibles
Verify, confirm and enter commercial insurance benefits information from Medicaid and Medicare days prior to assigned appointments
Inform and explain insurance benefits such as co pays, deductibles and/or out-of–pocket expenses and/or self-pay options with clients during intake process
Referrals for possible suitable state medical coverage
Knowledgeable in billing and ICD/CPT codes
Experience in pre-cert and prior authorization with insurance company and physicians
Provide customer service, enter data on a daily basis, on-going communication with clients, therapists and doctors regarding accounts ledgers, insurance verification or any need to know information
Verify and confirm appointments, client’s summary notes any add-ons and additional notes for the next business day
Reconciles cash, checks, credit card payments by Point of Service Daily Payment Summary at the end of each business day and prepare deposit ticket for courier pick up.
Pre-register for new patients, verifying Medicaid eligibility
Call center duties.
Education
Business Administration in Health Services -
Ivy Tech Community College
E. Chicago, IN
General Studies -
E. Chicago Central High School
E. Chicago, IN
01.1988
Skills
Billing and Coding experience
Call Center experience
Basic computer skill such as: Microsoft Word, Microsoft spread sheets, internet
Experienced with various healthcare electronic documentation programs
Experience to operate machinery such as: copier, printer, scanner, fax machine
Motivated to explore new opportunities, hardworking, and highly efficient
Detail-oriented with strong communication skills
Flexible, dependable and works well with others
References
Available upon request
Projects
Reimbursement Specialist for LabCorp for medication prior authorizations, investigation of appeals and denials. Quality Process Improvement – observed and assisted RN’s with trouble shooting issues for improvement of specific tasks, flowsheets, navigation and guides to build programs that are user-friendly and efficient to reduce time-consuming documentation.