APRIL L. CLARK

APRIL L. CLARK is seeking a permanent position as a Medical Front Office Assistant or Medical Biller in the healthcare field.  She has skills and the education that can be used efficiently and effectively.  She is a quick learner and self- starter; work well with others and independently.

Skills:

• Knowledge of CPT and ICD-9 Codes
• Medisoft Software
• Kaleidacare Software
• Medical Terminology
• Patient Scheduling for in office and outpatient and inpatient procedures
• Medicaid, Medicare, Commercial Insurance billing, Collections, and Appeals
• CPR Certified
• HIPPA and OSHA Trained
• Collection of Co-pays and Deductibles
• Knowledge of Basic Office Equipment
• Microsoft Excel, Access, Word, Data Entry, and 10Key
• Medical Records
• Phlebotomy
• Patient Check in and Out

Experience:

• Assisted Billing Director and HR with Payroll using ADP
• Medicaid, Commercial, and Medicare billing
• Billed for 13 Servicing Therapists and Community Support Individuals
• Accounts receivable for 75% of Claims
• Submitted 300 to 500 claims daily
• Supported 9 Administration Staff with Insurance verification and Training
• Authorizations for Continuation of Services
• Provided customer services to clients and provided Financial Counseling
• Assisted CSI Manager with Case Management
• Assisted Medical Records Including Filing and Medical Records Requests
• Processed EOBs for claim denials and reprocessed denied claims
• Assisted QA department with Audit preparation for APS and Medicaid Audits
• Scheduled for the office including inpatient and outpatient surgical procedures
• Scheduled MRI, CT, and other radiological procedures
• Medicaid, Commercial and Medicare billing
• Accounts payable and receiving for all claims and office related billing accounts
• Insurance verification using web portals and internet
• Collection of co pays and deductibles
• Medical records requests and filing
• Referrals and precertifications
• Assisted private pay patients with past due and current balances.
• Assist back office staff when needed by assisting physician with exams
• Triaged patients, obtain history, collected blood, and urinalysis
• Patient check in and out
• Trained new hires
• Processed EOBs for claim denials and reprocessed denied claims
• Processed payroll using Paychex system
• Scheduled patients for the office including inpatient and outpatient procedures
• Insurance verification and collection of co pays
• Medical records and filing

Education/Certifications:

• Medical Office Assistant Certificate