Diligent and detail-oriented administrative professional with 20 years of experience in customer service, operations management, and administrative support. Proven track record in managing diverse staff and client populations, with expertise in recruiting, training, and supervising employees. Proficient in a range of administrative tasks, including accounts receivable, and budgeting. Possesses a Bachelor's in Business Administration and is certified as a Notary Public.
Payment Posting
• Assist with batch audit: checking for accuracy, payment correctness, correct insurance paycodes, correct patient, correct contractual adjustments, correct primary and secondary insurance payments, and correct credit balance resolutions
• Receive insurance information from CashPro ACH
• Retrieve EOB's from websites (Availity, Waystar, Aetna, Anthem, and etc).
• Post payment to patient accounts: payments from insurance carriers, third parties, and patients
• Post payments and allowances from schedules that accompany bulk payments from major carriers, as well as post payments from electronic funds transfers
• Entry each payments on cash log sheet daily from each batch balance
• Print daily transactions journal report and compare to the amount on the cash log
• Create daily cash calculation form
• Create daily refund request forms with refund for patients and insurance companies
• Assist with end of month reports
• Enter cataract lenses information in the system
• Scan charts to send to Medtech
• Update system with cataract lenses implant information
Insurance Verification
• Print future schedule and insurance verification forms
• Research insurance sites for benefits (Availity, Tricare, Navinet, GEHA, UHC, Cigna, Novitas) or use ENCIRCLE program
• Calculate fees to determine facility fees
• Contact patients to confirm date of service fees
• Explain to patients the calculation of fees, benefits, and services
• Determine if prior authorization needed and obtained from doctor's office or insurance carrier
• Print listing of names and fees for the next day and distribute insurance verification form in patient's chart
Scheduling
• Review booking request in One Medical software
• Reassure that the date is available for the procedure, if not, contact doctor's office or cancel in the system
• Input and update patient's demographic information
• input procedure codes, correct definition for procedure, and physician
• Contact doctor's office if any discrepancies on the schedule, procedure, and/or patient Front Desk
• Check in patients
• Collect payments, scan insurance and ID cards, and update demographics information
• Organize appointment charts
• Explain documents to patients and obtain signatures
• Other duties as assigned
• Supported the Director of Operations, Director of Nursing, physicians and staff members for 3 locations
• Interviewed potential candidates
• Created and updated SOPs
• Assisted with HR responsibilities
• Conducted monthly meetings
• Created tools to better serve the centers and maximize services
• Assisted with creating, reviewing, and finalizing contracts
• Assisted with drug testing, DOT and medical physicals
• Supported the higher management in drafting the disciplinary laws and regulations
• Provided guidance and training to staff members to utilize resources to their highest capacity
• Created weekly and monthly reports
• Assisted and coordinated different events for centers
• Ordered and maintained supplies pars
• Replenished petty cash
• Oversaw opening and end of day process
• Assisted with capital budget
• Assisted with Admission process
• Monitored and corrected weekly payroll, time check, vacation, and time off for 50 employees
• Performed employee performance evaluation
• Coordinated set up for new employees with IT
• Issued appointment or increment letters, employment certificate, salary slips and accept leave applications
• Responded to the complaints, grievances, demands, enquiries and suggestions of employees and patients
• Assisted the management in implementing the budgetary restrictions effectively
• Corresponded with external associates by emails and letters on festive occasions
• Assisted with billing, coding, and insurance guidelines of claims and resubmission
• Supervised 6-9 employees