RAM Landscaping & Family Farms LLC －
Answer telephones and give information o callers, take messages. Collect and deposit money into appropriate accounts, disburse funds from cash accounts to pay bill or invoices, keep records of collections and disbursement, and ensure accounts are balanced. Create, maintain, and enter information into database. Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, such as contracts, LOA's or other materials necessary for the company to run smoothly. Prepare and mail checks. Prepare invoices, reports, memos, letters, finacial statements and other documents, using word processing, spreadsheets, database, and Quickbooks.
Front Office Assistant
Oct 2010－Jul 2012
Employment Plus Healthcare －
Primary point of contact for patients; perform all check in/out duties, obtain per-certifications, schedule procedures and surgeries, confirm all appointments, phone prescriptions, and orders, provide referrals, and acquire and maintain patient information. Escort patients to room, take and record height, weight, vitals and any missing patient history, and assisted MD or PA as directed. Verify completion of patient paperwork, enter/update patient and insurance/third party payer data, and collect co-pays and/or patient due balances. Manage release and invoicing of all medical records.
Sr. Referral Assistant
Feb 2008－Jul 2010
WellPoint/Express Scripts －
Liaised between physician and the Specialty Pharmacy Utilization Management Team to obtain clinical data to determine patient insurance co-pay/third party payer eligibility. Ensured patient eligibility and safety by performing clinical prescription reviews to ensure the met specific manufacturer criteria. Received new prescriptions from physicians, obtained transfer prescriptions from other pharmacies and entered into database. Contacted patients and/or their families to schedule Delivery of medication. Mentored associates, facilitated team meetings, and helped streamline and train office processes.
Prior Authorization Representative
Aug 2007－Feb 2008
Briljent Staffing －
Set up prior authorizations for Indiana Medicaid at a Pharmacy Benefit Management (PBM) call center. Provided exceptional customer service, met volume deadlines and time tables, and interacted effectively with a wide range of diverse individuals.
Medical Assistant-Front & Back Office
Nov 1993－Sep 1997
Kourany Medical Center －
Performed a combination of medical and administrative duties under direction of physician to assist in examination and treatment of patients, took vital signs and recorded information in patients chart. Prepared treatment rooms and patient for examination. Assisted in minor surgeries, suture removals and performed phlebotomy, injections, and labs as needed. Scheduled appointments, received money for co-pay or payment due, kept x-ray and other medical records with patient file, and answered a multi-line phone system. Obtained prior authorizations from insurance companies and carried out third party insurance billing.