MEDICAL OFFICE REVENUE CYCLE SPECIALIST
Dedicated Health Care Professional Who Is Service-Focused, Results-Driven & Experienced
Seeking a service-focused position related to front-end revenue cycle and/or clerical. Proven success in billing, coding & front desk operations in outpatient clinic environments, dedicated to providing a patient-focused experience.
Phone: 313-282-2674 Address: 24579 Orangelawn Redford,Mi.48239 Email: [email protected]
Use of multiple EMR
platforms.
Insurance Verification.
Expertise
Patient registration in multi- specialty, high volume clinics.
Charge entry.
Executing standards of Patient Centered Medical Home (PCMH).
Insurance coding: ICD10, CPT
HEDIS quality follow-up & patient outreach.
Professional Experience
Resubmissions/AR follow-up. Patient scheduling.
Proficient in all Microsoft Suite programs, including Excel. Knowledge of commercial & government payer requirements
ASCENSION TELEHEALTH-Southfield, MIRevenue specialist/Biller2017-Present Revenue Cycle Specialist/Biller Telehealth
Responsible for maintaining insurance authorizations, billing claims, and tracking the status of claims revenue. Key Contributions:
Trained multiple clinics billing cycle of Telehealth Assisted in EMR clinical documentation
WAYNE STATE UNIVERSITY PHYSICIAN GROUP Troy, MI Medical Office Assistant 2015-2017 Front desk operations, coding & billing in multiple clinics
Responsible for registering patients while maintaining a high level of customer service. Scheduling of patient appointments. Collecting accurate demographics & insurance information. Obtaining patient referrals to specialty care & insurance authorizations. Completion of initial charge entry & coding. Communication with clinicians regarding coding & follow-up to charges submitted. Key Contributions:
Facilitated office operations in adherence to PCMH standards of care.
Assisted in development of office processed for front end operations.
Developed expertise in initial coding & charge entry in multiple specialties.
ST. JOHN PROVIDENCE CANCER CENTER Southfield, MI Medical Practice Business Assistant
Business Office Assistant in an Oncology Center.
2010-2015
Responsible for multiple revenue cycle functions. Primary daily tasks included: maintaining insurance authorizations, completing verification of insurance benefits, release of patient records. Responsible for administrative duties such as: scheduling appointments, maintaining medical records, answering phones. Key Contributions:
Gained expertise in back-office billing functions.
Gained expertise in both government & commercial insurance payer requirements for service.
Assisted in the on-site training of new employees.
Loyal employee with >15 years of service to the Organization.
MICHIGAN EAR INSTITUTE- ST. JOHN HEALTH SYSTEM Farmington, MI Medical Practice Business Assistant/Coder 2003-2010
Dual role as Business Assistant/Insurance Coder in an Audiology Practice.
Successfully managed dual role as a front office associate and a coder. Advanced in role to take on additional responsibility & tasks. Duties included: registering patients, billing intake, scheduling appointments, insurance verification, generalized receptionist duties. Key contributions:
Responsible for specialized coding.
Took on additional tasks to expand billing knowledge base.
ST JOHN PROVIDENCE HOSPITAL- SOUTHFIELD, MI FILE CLERK 2000-2003
Organize & Maintain clinic records in a Radiology office.
Responsible for obtaining patient results and coordinating physician-to-physician communication in an efficient fashion. Maintaining organized patient health information & preparation of patient charts prior to physician care. Key contributions:
Ensured that physicians received diagnostic testing results.
Gained advanced working knowledge in protection of Patient Health Information (PHI).
Education and Awards
DAVENPORT UNIVERSITY Livonia, MI MEDICAL BILLING DIPLOMA DAVID MACKENZIE HIGH SCHOOL Detroit, MI HIGH SCHOOL DIPLOMA
Awards and recognitions: Completed Medical Billing Diploma training with a 3.0 GPA,
Advanced training: In-depth on implementation of Patient Centered Medical Home (PCMH), advanced training in resolution of patient grievances, HIPPA training.