Justina Robertson
La Plata
Summary
Medical Administrative Assistant with proven expertise in medical billing and patient coordination. Skilled in HIPAA compliance and effective communication, I enhance patient satisfaction and streamline operations. Recognized for resolving complex insurance issues and optimizing workflows, ensuring accurate records and timely claim submissions for improved revenue cycle management.
Highly organized and knowledgeable about healthcare processes and administrative requirements. Qualified to handle insurance documentation, update charts, and manage business correspondence.
Overview
11
11
years of professional experience
Work History
Medical Administrative Assistant
Aditus Health
05.2024 - Current
- Handles sensitive patient information with discretion, adhering to strict HIPAA guidelines and safeguarding privacy at all times.
- Provides exceptional customer service to patients, addressing concerns promptly and professionally to ensure satisfaction.
- Answers incoming calls, routes messages and resolves patient inquiries within target timeframes.
- Supports healthcare providers with the timely completion of necessary documentation, allowing them to focus on quality patient care.
- Generates reports and logs patient information for reliable records.
- Manages incoming phone calls efficiently, directing callers to appropriate personnel while providing courteous service at all times.
- Documents patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Demonstrates proficiency in various medical software programs, adeptly adapting to new technology as required for optimal job performance.
- Communicates with insurance providers to resolve denied claims and resubmitts.
- Post and adjust payments from insurance companies
- Communicates effectively and extensively with other departments to resolve claims issues
- Identify and resolve patient billing and payment issues.
- Assist patients with understanding their medical bills and provide clarification on complex insurance issues, promoting a positive customer experience.
- File and update patient information and medical records.
- Liaise between patients, insurance companies, and billing office.
Patient Coordinator
Vance Mental Health Services
10.2017 - 02.2024
- Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
- Provided excellent customer service to all patients, addressing concerns and answering questions promptly and professionally.
- Handled sensitive situations with empathy when dealing with distressed patients or those facing serious health challenges.
- Maintained up-to-date knowledge on insurance policies, medical terminology, and clinic protocols in order to provide accurate information and assistance to patients.
- Managed incoming calls from patients, directing them appropriately while maintaining confidentiality at all times.
- Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
- Coordinated referrals to specialists as needed, following up with patients to confirm appointments and provide necessary information.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Improved workflow processes by implementing new procedures that increased overall efficiency within the Patient Coordinator role.
- Maintained accurate electronic health records for improved patient care and compliance with privacy regulations.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Contributed to a positive atmosphere within the clinic by maintaining a professional demeanor and compassionate attitude towards all patients.
- Answered incoming calls, scheduled appointments and filed medical records.
- Responded to inquiries by directing calls to appropriate personnel.
- Facilitated communication between patients and various departments and staff.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Collected payments and applied to patient accounts.
Supervising Optician
Lenscrafters
02.2014 - 10.2017
- Calibrated seg heights, vertex, and pupillary distance and pantoscopic tilt to customize eyeglass orders and create perfect fit.
- Evaluated incoming prescriptions from optometrists for accuracy before dispensing eyewear to prevent potential errors or dissatisfaction.
- Filed claims with vision and medical insurance companies to garner payment for optical services.
- Provided exceptional customer service by attentively listening to patient concerns and addressing them promptly.
- Troubleshot issues with prescription eyewear, offering swift resolution to maintain customer satisfaction levels.
- Aided patients in selection of flattering eyeglass frames appropriate for prescription and style preferences.
- Verified and updated patient records promptly to guarantee accurate prescription information.
- Educated patients on proper use, care and maintenance of eyeglasses and contact lenses.
- Instructed patients on proper insertion, removal, and cleaning techniques for contact lenses.
- Operated lensometers to orient and mark uncut lenses for eyeglasses.
- Stayed current on industry advancements and emerging trends through continuous professional development opportunities, enhancing the overall quality of service provided to clients.
- Confirmed quality control standards were met for all eyewear and contact lenses.
- Managed inventory levels efficiently to guarantee adequate stock availability while minimizing excess supply expenses.
- Boosted revenue growth by cross-selling additional products and services, such as lens cleaning solutions or protective eyewear accessories.
- Collaborated with optometrists to verify prescriptions and ensure accuracy in lens dispensing, maintaining high-quality standards.
- Facilitated smooth transition to digital record-keeping, improving organization and accessibility of customer prescriptions and records.
- Addressed and resolved customer concerns promptly, maintaining positive reputation in community.
- Maintained thorough records of customer information, prepared detailed work payments, processed insurance claims, and collected balances from customers.
- Applied sales and service expertise to promote contacts, glasses, sunglasses and accessories to office customers.
Education
High School Diploma -
Henry E. Lackey High School
Indian Head, MD06-2001
Skills
- Medical terminology
- Medical billing
- Insurance verification
- Electronic health records
- Patient coordination
- Customer service
- Time management
- Data entry
- Problem solving
- Communication skills
- Attention to detail
- Confidentiality compliance
- Multichannel communication
- Workflow optimization
- HIPAA compliance
- Patient demographics
- Multi-line phone systems
- Medical records management
- File maintenance
- Verbal communication
- Active listening
- Calm under pressure
- Organizational skills
- Computer skills
- Multitasking Abilities
- Dependable and responsible
- Ability to type 35 words per minute
Timeline
Medical Administrative Assistant
Aditus Health
05.2024 - Current
Patient Coordinator
Vance Mental Health Services
10.2017 - 02.2024
Supervising Optician
Lenscrafters
02.2014 - 10.2017
High School Diploma -
Henry E. Lackey High School
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