Women's Job List

Medical Office Resume


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Billing Specialist III (REMOTE) /-present

Review and submit secondary/tertiary claims by paper or electronically thru Nextgen clearinghouse

Track/review claim denials, correct all claim errors and resubmit within timely filing

Communicate with secondary payers regarding inaccurate reimbursement or EOBs

Post insurance payments and adjustments to patient accounts according to payers contracted rate

Responsible for patient assistance program enrollment (Eylea U, Genentech, Good Days, and Allergan Eye) for patients with financial hardships or uninsured

Communicating with patients and payers to resolve coordination of benefit issues

Communicating and assisting the Retina physicians team with resolving patient assistance issues and drug replacement

Maintain a thorough understanding of payer policies, review payer correspondence, and participate in webinars.

Answer any questions from physicians, patients, A/R staff, and insurance companies.

Responsible for managing monthly aging reports for secondary payers to attain A/R production

Responsible for correcting secondary payer errors in Nextgen clearinghouse

Manage secondary A/R daily task log reconciling account inaccuracies


Lash Group/ Amerisource Bergen

Benefits Verification Specialist (REMOTE) /-/

Verification of IN/OUT of network benefits for Regeneron’s Eylea U and utilizing several payer portals.

Verification of benefits for new and established patients

Understanding of insurance payer deductibles, out of pocket, co-Insurance.

Knowledge of referral and authorization requirements

Responsible for updating insurance information into patients account as well as verifying and updating patient demographics in required systems

Acts as liaison between patient, physician office, and insurance company to assist concerning financial responsibilities


Office Coordinator/Nursing School Liaison

Serenity Nursing Services &Nurse Aide Academy /-/
Created and modified documents such as reports, memos, and letters using word processing, spreadsheet, database and/or other presentation software (Microsoft Office)

Managed the agency referral process.

Processed referrals over the phone, via fax or email and process.

Pre-screened referrals from clinical perspective to determine level of services for clients.

Assist Nursing Coordinator with auditing client medical record according to government program guideline

Ensured all approved authorizations were processed and assigned to a government program (VA, CAP, CAP-C, Medicare) and home health aide within required timeframes.

Processed new hires, separations, and job changes

Managed employee vacation, sick time and pay adjustments.

Timely and accurately keying payroll information

Posting of client ancillary charges into SEMBRE Care (home health billing software program)

Coordinated and scheduled annual nurse visits with clients

Reviewed all claims for completeness, reasonableness of charges, appropriateness of ICD-/CPT billing codes, and payer information before electronic submission

Pursued timely collection of each claim using thorough follow-up efforts appropriate to each payer, also follow up on insurance claim denials, and exceptions or exclusions.

Conducted billing utilizing most efficient resources to secure timely payment of open claims or invoices.

Regularly met with billing manager to discuss and resolve reimbursement issues or billing obstacles.

Adhered to a strict code of ethics and complied with all Serenity Nurse Aide Academy policies and procedures, NC State and Federal laws and accrediting body regulations.

Consulted with students regarding problems or concerns and assisted students in obtaining support to meet these specific needs.

Advised students including career choices, curriculum options, personal assistance, and academic support.

Maintained student records on advising activities; updated student information and pulled inactive student files.


Home Health Aide-Charlotte, NC

Amore Home Care /-/

Provided various personal care giving services in accordance with established plan of direct care.

Provided for the personal needs and comfort of the client in his/her own home

Assisted clients with activities of daily living including bathing, dressing, grooming, and toileting etc

Prepared client meals and special diets

Performed light housekeeping

Provided transportation assistance to and from appointments

Provided compassionate companionship to clients


Medical Secretary-Charlotte, NC

West Med Practice Partners /-/

Responsible for inbound phones calls for three specialty sites (Internal Medicine, OBGYN, Pediatrics)

Appropriately scheduled patient appointments based on physician guidelines
Accurately documented patients medical request via EHR for physician to review

Responsible for handling all calls efficiently to attain daily call production goals

Coordinated work efforts with other team players to achieve an efficient workflow and time adherence within the office

Maintained strong knowledge of all site protocols and physician schedules/changes to ensure appropriate information is provided to patients

Performed other office duties as assigned by the manager


Insurance Verification Specialist / Surgery Scheduler-Charlotte, NC

Surgical Specialists of Charlotte //-/

Responsible for scheduling inpatient and outpatient surgical procedures

Reviewed surgical orders to ensure that the surgical facility and anesthesia screening requirements were current and accurate

Verified eligibility, initiated pre-authorizations, and collected surgery deposits

Communicated with the patient and coordinated all visits that were required during the preoperative period, postoperative period, and provided patients with procedural instructions given by the physician

Tracked patient lab results and surgical clearance statements prior to surgery for physician to review

Communicated/documented any change in the patients medical condition as reported by the patient to the physician

Provided clinical support as needed

Maintained monthly scheduled surgery report




Bachelor of Health Sciences -Health Information Management /- Present

Southern New Hampshire University


Associate of Health Sciences - Medical Office and Billing Specialist /-/

Ultimate Medical Academy - Clearwater - Clearwater, FL


Medical Reimbursement /-/

Central Piedmont Community College - Charlotte, NC


Certified Nursing Assistant Program /-/

Central Piedmont Community College - Charlotte, NC


High School Diploma /-/

West Mecklenburg High School- Charlotte, NC