«If you're calling the billing
department of your medical provider and your insurance company, it's unlikely it will go to collections.»
Not exact matches
«Our results show the need for an increased awareness among health care
providers that even though we consider babies born at 37 or 38 weeks almost term, they are still, to a large extent, physiologically immature,» says Shaon Sengupta, MD, corresponding author and formerly a UB
medical resident in the
Department of Pediatrics and Women and Children's Hospital
of Buffalo.
One company, Far (m) ed New York LLC, announced it was submitting an application to the state
Department of Health to become an official
provider of medical marijuana under the state's program, which is due to come online in January.
Group II — insurance coverage, i.e.,
medical, auto, life, renter's insurance (not payroll deducted); payment to child care
providers — made to a business providing such services; school tuition; retail stores —
department, furniture, appliance stores, specialty stores; rent to own — i.e., furniture, appliances; payment
of that part
of medical bills not covered by insurance; Internet / cell phone services; a documented 12 month history
of saving by regular deposits (at least quarterly / non-payroll deducted / no NSF checks reflected), resulting in an increasing balance to the account; automobile leases, or a personal loan from an individual with repayment terms in writing and supported by cancelled checks to document the payments.
Prior to joining the firm, he defended hospitals and healthcare
providers in
medical malpractice litigation and Florida
Department of Health investigations.
The court also noted that the
medical providers at hospital emergency
departments were obligated to provide care to patients regardless
of their ability to pay.
Practice Highlights His practice includes representing physicians and
medical clinics in negotiating employment contracts, partnership contracts, joint venture contracts and establishment
of medical corporations; representation
of physicians and
medical clinics in the purchase and sale
of medical practices; representation
of physicians, dentists, pharmacists,
medical clinics, surgical centers, hospitals, clinical laboratories and nursing homes before the Illinois
Department of Professional Regulation, Illinois
Department of Public Aid, Illinois
Department of Public Health and Federal
Department of Health and Human Services in administrative license and recoupment hearings; representation
of brokers and salesman before the Office
of Banks and Real Estate; representation
of physicians and other health care
providers at internal hospital hearings involving termination or discipline
of hospital privileges; representation
of physicians in hearings before managed care
providers to terminate the physician as a
provider; representation
of health care
providers in criminal proceedings in federal or state court on charges related to Medicare and Medicaid vendor fraud and false claims; general and civil litigation related to
medical care
providers; and domestic relations.
First, we allow health plans and covered health care
providers that are a component
of the State
Department to use and disclose protected health information without authorization when making
medical suitability determinations for security clearance purposes.
Final determination
of medical expense eligibility will be made by the claims
department AFTER the claim has been submitted (either by the
provider directly or by the insured).
In case your health insurance doesn't provide coverage that you may want to have, the State
Department website has a list
of companies that provide
medical evacuations and services and another list
of travel insurance
providers.
Tags for this Online Resume: Leadership Abilities, Healthcare Insurance Denials, Registration Requirements, Proficient in Microsoft 2007 - 2010, Excellent Communication Skills, Electronic Database Proficiency, Healthcare Billing and Payments, Ability to Organize and Prioritize, Ability to Audit
Medical Records, Focus is on Customer Service and their Experience, Certified Electronic
Medical Records and A / R Implementation Specialist and Trainer,
Provider Credentialing thru CAQH and / or paper, Medicaid Regulatory Requirements, Medicare Regulatory Requirements, Health Insurance Regulatory Requirements, HIPAA Rules, HIPAA Standards, HIPAA Implementation Guides, Bill Collection and Cash Handling Experience, Coordinate Registration
Department, Coordinate
Medical Business Office, Transcriptionist, Ability to Troubleshoot Office Equipment including PC's, Fair and objective, Utilizing Ques for Denials will lead to better financial outcokmes, Keeping abreast
of regulatory changes will enhance the effectiveness
of team goals, Leader in utilizing Microsoft Products - Obtained Employer Certifications, There is a difference in Great Communication Skills vs. Mediocre, Database Management is ongoing, Utilizing the best technologies available on the market will decrease days outstanding and will show employees that the company is willing to be a trendsetter, Prioritizing a day on the way to work can fall apart as soon as you get to work.
This is especially true
of healthcare positions, which often require effective communication and collaboration with various
medical departments, administrative and primary staff, healthcare
providers, and patients.
• Promoted to Team Lead within the
Department of Dermatology for one
of the county's leading academic
medical centers, patient - care
providers and research institutions.
GENERAL SUMMARY
OF DUTIES: The certified medical assistant performs under the direction of a physician, Midlevel Provider, an R.N. or L.P.N. and within the framework of the office policies and procedures for the clinical departmen
OF DUTIES: The certified
medical assistant performs under the direction
of a physician, Midlevel Provider, an R.N. or L.P.N. and within the framework of the office policies and procedures for the clinical departmen
of a physician, Midlevel
Provider, an R.N. or L.P.N. and within the framework
of the office policies and procedures for the clinical departmen
of the office policies and procedures for the clinical
department.
• Apt at using shorthand, stenotype machine and audio based transcribers to take down verbatim • In - depth knowledge
of common
medical terminology and profound ability to use the same effectively in order to communicate case details • Strong organizational skills, proven ability to collect and compile all
medical data needed for patient case formulation and filing • Particularly effective in simplifying
medical jargons and expanding
medical abbreviations to produce easily comprehendible data for case compilation and processing • Efficient in identifying errors in given text and correcting the same • Excellent collaboration and coordination skills, proven ability to collect data regarding patient case from all relevant
departments and assemble the same in the patients»
medical record file • Expert in transcribing clinical dictations and getting the same analyzed and verified by concerned
medical practitioner • Excellent time management skills with track record
of delivering timely case reports for case follow up and educational purposes • Attentive listener with proven ability to follow instructions to book, thus ensuring error free delivery
of assignments • Computer literate with strong PC operation skills and profound knowledge
of various data recording software • Profound ability to categorize different types
of content according to the area
of specialization to facilitate data identification and retrieval • Strong language skills, full command on generating transcribed content free
of grammatical, spelling or punctuation errors • Highly capable
of producing accurate data in printed form based on dictations and audio recording by surgeons and healthcare
providers • Well versed in verifying given text against an audio verbatim to ensure its accuracy and correctness • Fully knowledgeable
of data confidentiality protocols applicable to transcribed data • Proficient in interpreting and rectifying data discrepancies in
medical content • Excellent knowledge
of basic physiology and anatomy • Strong expertise in comprehending complex procedures carried out in the operating room • Effective listening skills with strong attention to detail and high level
of accuracy
• Organized and processed paperwork, reports and all kinds
of claims documentation • Entered, recorded and reviewed claims into claims information management system • Performed verification checks on the customer / claimant loss - claims following company's standard policies and procedures • Attended to clients, claimants, field appraisers and management queries, regarding claims using the claims MIS • Forwarded appropriate claims for new losses verifying data for accuracy • Performed billing and payment processes • Processed routine claims transactions related to reserves and issued required checks or receipts • Resolved all kinds
of issues / problems regarding claims and payments • Regularly run and generated claims reports for management • Gave formal presentations regarding all claims activities to the senior management at the bimonthly • Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the
providers, the claimants, and the clients • Provided company with necessary clerical support like handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc. • Prepared, updated and organized customer and client's files • Managed all types
of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications, and forms • Provided effective CSR to
providers, field appraisers, agents, insurance agencies, clients and customers • Matched incoming emails, mails, and faxes with the claims records • Arranged and set up
medical appointments for health claims • Kept
department's office supplies stocked • Maintained confidential claims information including correspondence with sensitive information • Accelerated claims correspondences as well as updated claims diaries • Worked in a team on several pilot claim projects • Reviewed and kept the record
of closed files
HCC Coding Skills • Qualified to determine if
medical records are in support
of individual patient risk adjustment score accuracy • Proficient in educating
providers and their practice staff in Medicare coding guidelines • Well - versed in collaborating with other
departments and develop plans and materials to support education and system changes • Proven ability to work with sensitive data and effectively relay potential issues and concerns to supervisors
• Highly experienced in facilitating communication between patients, family members and
medical staff to ensure positive outcomes • Demonstrated expertise in interviewing patients or caregivers to identify issues related to care and
medical services • Proficient in determining the right type
of health care services for each patient and referring them to appropriate healthcare resources • Qualified to communicate with referring
providers» offices and clerical
departments to exchange necessary information and determine schedules • Adept at verifying insurance benefits and obtaining pre-certifications along with determining co-pays and deductibles • Well - versed in gathering and posting patient demographic, billing and clinical information and accurately entering it into hospital registration systems • Able to effectively assist patients during onsite registration and arrival processes for scheduled and unscheduled visits • Proven record
of efficiently completing patient access processes for both inpatient and outpatient
departments • Track record
of effectively communicating payment options and personally connecting patients to financial counselors • First - hand experience in prioritizing the order
of care to ensure that critical patients are seen first
Required Education / Experience: - Graduation from an accredited
Medical Assistant program Required Credentials: - Current Medical Assistant — Certified designation by Washington Department of Health (DOH)- Current Basic Life Support for Healthcare Providers (BLS)- One of the following certifications is required within 6 months of employment (this requirement applies to those who were grandfathered into the Medical Assistant - Certified certification from the Healthcare Assistant certification: Current Certified medical assistant examination through the American Association of Medical Assistants (AAMA) ** Preferred **, Registered medical assistant certification examination through American Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
Medical Assistant program Required Credentials: - Current
Medical Assistant — Certified designation by Washington Department of Health (DOH)- Current Basic Life Support for Healthcare Providers (BLS)- One of the following certifications is required within 6 months of employment (this requirement applies to those who were grandfathered into the Medical Assistant - Certified certification from the Healthcare Assistant certification: Current Certified medical assistant examination through the American Association of Medical Assistants (AAMA) ** Preferred **, Registered medical assistant certification examination through American Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
Medical Assistant — Certified designation by Washington
Department of Health (DOH)- Current Basic Life Support for Healthcare
Providers (BLS)- One
of the following certifications is required within 6 months
of employment (this requirement applies to those who were grandfathered into the
Medical Assistant - Certified certification from the Healthcare Assistant certification: Current Certified medical assistant examination through the American Association of Medical Assistants (AAMA) ** Preferred **, Registered medical assistant certification examination through American Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
Medical Assistant - Certified certification from the Healthcare Assistant certification: Current Certified
medical assistant examination through the American Association of Medical Assistants (AAMA) ** Preferred **, Registered medical assistant certification examination through American Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
medical assistant examination through the American Association
of Medical Assistants (AAMA) ** Preferred **, Registered medical assistant certification examination through American Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
Medical Assistants (AAMA) ** Preferred **, Registered
medical assistant certification examination through American Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
medical assistant certification examination through American
Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
Medical Technologists (AMT), Clinical
medical assistant certification examination through the National Health Career Association (NHA) or National certified medical assistant examination through the National Center for Competency Testing
medical assistant certification examination through the National Health Career Association (NHA) or National certified
medical assistant examination through the National Center for Competency Testing
medical assistant examination through the National Center for Competency Testing (NCCT).
Medical Assistant **
Department / Cost Center: ** 885 - East Ridge Family Medicine ** Job Description: ** Maintain patient flow, supports
providers, assists and promotes the delivery
of primary and...
• Gather individual's
medical information and communicate individual needs to our Nurses and Health Services Manager • Attend and effectively and appropriately participate in medication reviews,
medical chart audits, clinics and appointments • Monitor individuals, review records, and provide
medical support at various locations within the Residential and Therapeutic Services
department to assure an individual's needs are appropriately addressed • Communicate and consult with appropriate internal / external
providers regarding
medical needs and concerns; ensure appropriate information (med audits, health reviews, consult forms, etc.) is disseminated in a timely manner • Consult with the Nurses and Health Services Manager regarding coordination
of medical, laboratory and dental care; follow up as required • In conjunction with approved staff, review Medication Administration Records and Physician Orders monthly to assure accuracy • Complete, review, and sign off on
medical and health related documentation; complete paperwork and provide documentation for individuals» in services meetings • Provide educational in - services to agency staff in requested
medical areas • Enter data and generate data base reports; track and distribute requested records and other information
Administrative Assistant — Duties & Responsibilities Provide administrative support services across a variety
of highly technical fields Represent company brand with poise, integrity, and positivity Coordinate reappointment and re-credentialing process for allied healthcare
providers Oversee applications, primary source verification, and outstanding information retrieval Perform legal research and writing on a variety
of medical compliance topics utilizing LexisNexis Direct the layout, print, and distribution process for forty
medical publications Strictly adhere to all
department budgets and project timelines Manage calendars, travel arrangements, and complete itineraries for senior leadership Handle accounts receivable, accounts payable, QuickBooks, billing, and reimbursements Responsible for tracking and replenishing office supplies and information technology hardware Create presentations, charts, and reports regarding organizational structure, workflow, and efficiency Direct logistical aspects
of company events including venue, registration, A / V, and refreshments Implement new electronic recordkeeping software to streamline processes and enhance security Study internal literature to become an expert on products and services Develop and strengthen relationships with outside vendors, partners, customers, and community leaders Train new team members ensuring they understand the brand and adhere to company policies and procedures Encourage high customer retention by maintaining friendly, supportive contact with existing clients Skilled in Microsoft products, Visio, Lotus Notes, GroupWise, C++, HTML, Oracle, VBA, and VB.NET
Professional Experience Qualis Health (Boise, ID), Director
of Idaho Medicare Operations 2007 — Present Qualis Health (Boise, ID), Project Manager 2003 — 2007 Cascade
Medical Center (Cascade, ID), Director
of Operations & Healthcare Services 2001 — 2003 Shepard's Home, Inc. (McCall, ID), Executive Director 1999 — 2001 Independent Consultant (CA & ID) 1992 — 1999 CIGNA (San Diego, CA), Director
of Provider Relations & Director
of UM / QA 1985 — 1991 Sharp Memorial Hospital (San Diego, CA), Managing Director Utilization Review 1984 — 1985 State
of California,
Department of Mental Health (Sacramento, CA) Health Care Services Nurse; Mental Health Specialist II 1980 — 1984 Greater Sacramento PSRO (Sacramento, CA), Registered Nurse 1977 — 1980 Sacramento Community Hospital (Sacramento, CA), Registered Nurse 1976 — 1977 St. Benedict's Hospital (Jerome, ID), Registered Nurse 1969 — 1975
Professor
of Psychiatry, Licensed Psychologist
Provider, Center for Mental Health Services Research;
Department of Psychiatry, University
of Massachusetts
Medical School
The complex, located along Interstate 494 at State Road 55, consists
of three buildings with 200,000 sq. ft. Allina Health, the largest healthcare
provider in the Twin Cities, leases a majority
of the building with services that include Same Day Surgery Center, Imaging Center, Breast Center, Urgent Care, Emergency
Department, Allina
Medical Clinic, Sister Kenny, Minneapolis Heart Institute, Allina Pharmacy and Allina
Medical Labs.