Detail-Oriented Nuclear Medicine Medical Assistant experienced in direct patient care and medical claims processing. Enhanced patient care and clinic efficiency through expertise in patient education, medical terminology, and HIPAA compliance. Committed to optimizing workflows and improving patient satisfaction.
Overview
1
1
Certification
14
14
years of professional experience
Work History
Nuclear Medicine Medical Assistant
MedStar Shah Medical Group
Waldorf, MD
10.2024 - Current
Scheduled and coordinated patient appointments, optimizing clinic workflow and reducing wait times.
Performed routine clinical tasks, including vital sign measurement and medical history documentation.
Supported healthcare providers during examinations and procedures, enhancing patient care delivery.
Educated patients on treatment plans and medication instructions, promoting adherence to prescribed therapies.
Assisted in patient intake processes, ensuring accurate information collection and documentation.
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
taking vitals, performing EKGs, starting IVs, pulling charts and records on patients, scheduling appointments, billing stress tests, prepared paperwork and documentation for the next day
Insurance Follow-Up Representative
Conifier Health Solutions
Remote Position
03.2023 - 09.2024
Conducted thorough follow-ups on outstanding insurance claims to ensure timely resolution.
Collaborated with healthcare providers to clarify information required for claim approvals.
Analyzed patient accounts for discrepancies, improving accuracy in billing processes.
Utilized electronic health record systems to track and manage insurance inquiries efficiently.
Processing medical claims, reviewing denials and credit balances. verifying insurance, adjustments, billing claims. resolving account balances, using UB04 and 1500 claims, worked multiple insurances, used EPIC, ACE, excel spreadsheets
Medical Claims Specialist
Resource One Medical Staffing
Columbia, SC
07.2020 - 03.2022
Processed and reviewed medical claims for accuracy and compliance with regulations.
Coordinated with healthcare providers to resolve claim discrepancies and ensure timely payments.
Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
Improved claim processing efficiency by streamlining workflows and implementing best practices.
Analyzed claim data to identify trends and recommend improvements in processing workflows.
Educated team members on best practices for claims submission and documentation requirements.
Processing medical claims, reviewing denials, using UB04 and 1500 claim forms, working credit balances, adjustments, billing claims, appealing claims and resolving accounts, using different insurance systems like HQ5, NewCare, WayStar, Sunport, Epic, excel spreadsheets
Medical Claims Specialist
Virtual Business Office
Columbia, SC
01.2017 - 05.2019
Implemented process enhancements that reduced claim turnaround time and improved customer satisfaction.
Conducted audits of processed claims to ensure adherence to company policies and industry standards.
Collaborated with cross-functional teams to streamline operations and enhance overall efficiency in claims management.
Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
Assisted in developing training materials to enhance staff knowledge of coding guidelines and billing processes.
Negotiated payment plans for patients facing financial hardships, minimizing revenue loss while maintaining empathetic customer service.
Optimized workflow processes by identifying bottlenecks within the system, implementing necessary changes for increased efficiency.
Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims.
Expedited claim resolution times with proactive communication between patients, providers, and insurance companies.
Processing medical claims, reviewing denials, using UB04 and 1500 claim forms, work credit balances, adjustments, billing claims, appealing claims and resolving accounts, Collector 1, Top to Bottom and Collector 2 training completed
Nuclear Medicine Assistant
Shah Associates
Waldorf, MD
07.2012 - 07.2015
Managed scheduling and coordination of daily operations to ensure efficiency.
Developed and maintained filing systems for streamlined document retrieval.
Assisted in project management through tracking timelines and deliverables.
Collaborated with team members to enhance communication and workflow processes.
Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
Boosted customer satisfaction by promptly addressing inquiries and resolving issues professionally.
Taking vitals, performing EKG's, starting IV's, pulling charts and records for patients, scheduling appointments, triaging patients for other providers.