Tynisha Ellison

Work History

Work History
Aug 2008 - Oct 2008

PATIENT SEVICE SPECIALIST

MEDICAL FACULTY ASSOCIATES

• Greet and direct patients for appointments, tests, referrals and information utilizing effective customer relations skills • Schedule basic patient appointments, tests and procedures using a computerized scheduling system.• Performs pre-registration activities to gather demographic information, determines medical insurance coverage, identifies patients with delinquent accounts, review appointments and registers patients into a computerized system.• Obtains documents and verifies patient demographic, financial and insurance information using a computerized scheduling system. • Scans copies of insurance cards, photo ID when necessary• Performs patient’s appointment maintenance activities, as necessary, to assure patient appointment history is accurate.• Collect payment due at time of appointment as well as payments for unpaid balances, prepares receipts for all monies collected, provides copies for reception area, billing office and the patient. Assure that self-pay patients and POS sign financial waivers at each visit.• Works with physicians and nursing staff to facilitate the patient encounter and departmentally assigned responsibilities. • Works collaboratively with members and staff across service lines.• Demonstrates an awareness and sensitivity towards patient/family rights.• Complies with departmental standards regarding training, professional development, communication, management of workload, and safety/emergency situations.• Cross trained to provide back up in other administrative areas within he department

Mar 2008 - May 2008

PROVIDER INQUIRY ASSOCIATE

Answer, respond and resolve incoming calls from providers regarding:

Claim status

Recipient eligibility

Prior authorization

Remittance vouchers and other related questions

Meet departmental performance standards which include, but not limited to accuracy and courtesy

Help create a work environment that is conducive to job satisfaction and productivity Log all contact with provider community into OmniTrak

Other duties as assigned

Mar 2007 - Oct 2007

PROVIDER SERVICE REP II

·Answers calls for customers regarding claims questions

·Billing information for added dependents

·Updated demographics information

·Located Participating Providers in there geographical areas.

·Answer provider inquires for co-payments, deductibles, coinsurance amounts

·Answers coverage questions for in and out of network providers.

·Verifies members calling for benefits when seeing specialists and out of network providers

·Research claim status inquiries for providers and members

·Answers questions pertaining to medical visits for covered and non-covered services

·Enter Referral from Providers for dates of service for payment.

Aug 2006 - Feb 2007

GENERAL CLERK IV

LIONEL HENDERSON AND COMPANY

·Pulls incoming cables from the Lotus Notus/CableExpress application and distributes the cables to personnel

·Updates the Final Accounting cables to closed the accounts

·Deobligates monies that are unused within a timeframe

·Files cables to the correct chart for the patients

·Assigns label for new Medical Evacuation clients that need to be evacuated to obtain funding

·Authorize Travel Vouchers for patients to receive money from the Budget and Finance Department

·Sends cables to Post where the patient is located to obtain information regarding their medical evacuation to close the accounts

·Authorizes travel advances to patients coming in for medical evacuations to get money to stay while on medical evacuation

Oct 2004 - Aug 2006

PATIENT SERVICE COORDINATOR

MEDSTAR PHYSICIAN PARTNERS

• Greet and direct patients for appointments, tests, referrals and information utilizing effective customer relations skills • Schedule basic patient appointments, tests and procedures using a computerized scheduling system.• Performs pre-registration activities to gather demographic information, determines medical insurance coverage, identifies patients with delinquent accounts, review appointments and registers patients into a computerized system.• Obtains documents and verifies patient demographic, financial and insurance information using a computerized scheduling system. • Scans copies of insurance cards, photo ID when necessary• Performs patient’s appointment maintenance activities, as necessary, to assure patient appointment history is accurate.• Collect payment due at time of appointment as well as payments for unpaid balances, prepares receipts for all monies collected, provides copies for reception area, billing office and the patient. Assure that self-pay patients and POS sign financial waivers at each visit.• Works with physicians and nursing staff to facilitate the patient encounter and departmentally assigned responsibilities. • Works collaboratively with members and staff across service lines.• Demonstrates an awareness and sensitivity towards patient/family rights.• Complies with departmental standards regarding training, professional development, communication, management of workload, and safety/emergency situations.• Cross trained to provide back up in other administrative areas within he department

Dec 1998 - Jan 2006

PHARMACY TECH

CVS/PHARMACY

Ordered medication

·Filled prescriptions per request

·Verified the authorization of prescription request

·Trained staff on HIPPA polices

·Cashiered for varied prescription transactions

·Obtained insurance information for prescriptions to be filled

·Obtained authorizations for refills for prescriptions

·Filed prescriptions using the alpha bins

·Entered demographic information for prescriptions

Education

Education
Nov 2002 - May 2003

CERTIFICATE

SANZ SCHOOL

MEDICAL  BILLING AND CODING SPECIALIST

Sep 1998 - Jun 2000

DIPLOMA

SPINGARN SENIOR HIGH SCHOOL

Skills

Skills

MEDICAL RECEPTIONIST

I HAVE WORKED WITH INTERNAL MEDICINE DOCTORS AND ALLERGIST.  I CAN ADAPT QUICKLY AND EFFICIENTLY. I HAVE EXPERIENCE IN SCHEDULING, VERIFICATION OF INSURANCE, COLLECTING CO-PAYS, DEMOGRAPHIC INFORMATION AND EXCELLENT CUSTOMER SERVICE.

Summary

Dedicated, prompt, and teamwork detailed-oriented Administrative Health Assistant, Patient Service Coordinator, and Appointment Scheduler with pharmaceutical experience and knowledge of HIPPA, seeking a challenging full-time permanent position as an Administrative Assistant, General Clerk, Admissions Rep, or Receptionist with advancement opportunities.

Interest

FINDING A CAREER NOT JUST A JOB. I'M LOOKING FOR A CAREER I CAN GROW AND SHOWCASE MY SKILLS AND ABILITIES TO LEARN NEW SKILLS.

Secret

LIONEL HENDERSON