Sandi T

Enrolled new providers with multiple insurance companies and followed up on enrollment status. Reported provider changes to insurers as needed and supported billing with denied claims related to enrollment.

Managed a contact center team of 9 staff members. Oversaw staffing coverage and trained new employees, reporting to the COO.

Led patient access center coverage by managing overnight voicemail retrieval and appointment cancellation reports. Supported referrals, travel letters for Medicaid patients, daily payment batch operations, escalated calls, and rescheduling as needed.

Answered calls from six states for multiple clinics, scheduling appointments, verifying insurance, and entering patient demographics. Served as a patient access center team lead, handling escalated calls and related reporting and referral tasks.

Promoted to office manager in September 2018 at The Doctor Is In. Continued supporting patient care and office operations through the end of the role in August 2019.

Checked patients in and out and answered multi-line phone systems. Verified insurance, posted payments, handled medical records, and supported office operations.

Handled medical claims for a multi-physician group prior to submission to insurance carriers. Worked with ICD-9 and CPT for daily billing activities and insurance plan knowledge.

Coded E&M services for multiple physicians for Kaiser Permanente, Massachusetts General, and Indian Health Services. Researched and corrected edits across specialties to help ensure claims were processed correctly using ICD-9 and CPT.

Provided medical coding and billing services for multiple physician offices, nursing homes, and hospitals. Coded procedures and diagnoses using ICD-9 and CPT, supported customer billing, and resolved coding and billing errors.

Entered patient personal and insurance information and prepared billing for radiology services including MRIs, X-rays, and CT scans. Posted insurance checks and patient payments and supported account resolution through insurance billing.

Arranged facility tours and completed required admission paperwork with families and residents. Processed Medicaid billing and private billing.

Handled front desk responsibilities including answering phones, scheduling patient appointments, and assisting with scheduling surgeries. Verified patient insurance and obtained pre-certifications and supported the doctor as needed.

Checked outpatients and inpatients into the hospital and verified insurances and pre-certified hospital stays. Cross-trained as an emergency department registrar.