· Prepare the schedule for the current day for usage by both the Doctor and Medical Assistant.
· Fielding upwards of 50 phone calls per day on 4 lines from patients, other medical offices and various drug company representatives.
· Carrying out the duties of a receptionist that include, but are not limited to: Handling patients and representatives face to face, setting up appointments, resolving communication issues between medical practitioners and patients, send out certified mail when necessary for legal and medical documents, check that patients are prepped for upcoming procedures for which medical clearance or testing from other medical offices is necessary, make sure COVID-19 office policies are carried out.
· Fulfill medical biller responsibilities which include but are not limited to: Handling both patients and lawyers in regards to medical records and patient financial responsibilities, negotiate with patients when financial responsibility is completely out of the patients pocket, running daily financial totals and making sure all information adds up, review explanation of benefits form various insurance carriers and prepare necessary appeals and medical records for denied claims.
· Attend weekly meetings with the Doctor and Medical Assistant to make sure that all information needed is communicated effectively.
· Interview new hires as well as train new medical assistants and other staff members.
· Track all patients with history of skin cancers to make sure that they have scheduled appointments throughout the year for screening. Making sure this list is constantly updated at the end of each month.
· Upload all documents and patient information into pertinent EMR systems that are accessible to staff members and available to patients when requested.
· Creating financial and medical contracts and forms that are HIPPA compliant and easily understandable for patients.
· Carrying out duties of Medical Assistant when short staffed.
Frank P. Cammisa Jr. M.D. PC
Sep 2018 – Nov 2019
Medical Biller for Physicians Assistant
· Retreive patient records using both SRS and Epic; Analyze patients medical records to translate medical terminology into appropriate and accurate data in compliance with CMS and state specific guidelines.
· Consult with medical specialists for clarification to avoid any misinterpretations.
· Review EOBs from various insurance carriers and complete necessary appeals needed for denials received.
· Create insurance or patient aging reports using BrickMed
· Supervise and Manage all other physician’s assistant billers; train and advise staff with any financial, coding and billing issues.
· Handle negotiations with patients when provider is provider is out of network with insurance.
· Handle both patient and lawyer inquiries in regards to financial responsibilities.
Manhattan Radiation Oncology PLLC
Jul 2016 – Sep 2018
Medical Biller
· Carrying out duties as a medical biller that include but are not limited to: getting authorization from insurances for patient treatments, billing medical claims to insurances, filing appeals for claims, opening and solving cases against insurances each week (whether it is directly with the insurance or at state level), meeting with patients to set up payment plans, clearing accounts receivable at the end of the year. Attending meetings in person and over the phone for training and communicating purposes.
· Duties also included working as a receptionist and handling patients face to face, setting up appointments, handling 3 phone lines, solving communication issues that came up for doctors, patients, outside medical providers, and different agencies. Translated for patients whom had difficulty with speaking English
· Additionally, working as a coordinator taking the patients vitals and asking health questions to make sure that charts are updated.