Dynamic Medical Insurance Representative with extensive experience at PFS Group, adept in claims processing and HIPAA compliance. Proven ability to resolve patient inquiries and verify eligibility efficiently. Strong customer service skills complemented by proficiency in multiple billing systems, ensuring accurate and timely processing of claims.
· Worked as an admitting clerk in the emergency room (patient access)
· Registered new and established patients using M-Systems
· Verified patient insurance eligibility information and collected co-payments
· Responsible for all monies collected from patient office visits in clinic
· Filed, answered phones, created charts for new patients, and updated charts for established patients
· Assign psych patients to certain groups for group therapy
· Orders breakfast and lunch for psych patients
· Responsible for typing patient face sheets for new and established patients
· Determines whether a patient can be admitted into PHP based on insurance information
· Keeps records of all patient information including face sheets, sign-in sheets, personal care home information, and drivers’ logs
· Scheduled new and established patients to include soliciting new patients
· Checked insurance benefits for new and established patients daily
· Registered patients using B + and M Systems software
· Initiated discharge and B+ billing procedures, ensuring timely and accurate records
Recorded coding and billing procedures for hypertension with Medicaid and Medicare providers
· Provided customer service while performing product assistance, transactions, and proper sanitation
· Calculated total purchases and processed cash and credit payments in a high-volume environment.
· Greeted customers and ascertained customers’ needs.
· Exceeded daily credit card application goals.
· Resolved customer issues quickly and efficiently through comprehensive customer service
· Resolved up to 60 product/ policy issues and marketed the benefits of new technology daily
· Resolved customer issues with professional guidance.
· Asked open-ended questions to assess customer needs.
· Trained 10 new employees with appropriate policies and procedures.
· Selected to ensure daily employee responsibilities meet standards.
· Exceed standard of organization and time management.
Record accurate room activities to include items cleaned and goods