Bianca Washington-Pierce
Summerville
Summary
With 14 years of experience as an energetic and dedicated administrative support professional, I bring a wealth of versatile office management skills and a high level of proficiency in Microsoft Office programs. A strong planner and problem solver, adept at adapting to change and seamlessly handling internal and external communications. Working independently, consistently exceed expectations by delivering exceptional results. Ability to multitask and meet tight deadlines without compromising quality enhances professional value.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Credit Processor
Medical University Of South Carolina
06.2019 - Current
- Diligently follows the workflows established to properly research, analyze and resolve undistributed and credit transactions within the EPIC system.
- Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc.).
- Use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. to verify insurance, patient, and guarantor information.
- Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly.
- Note accounts with actions taken.
- The ability to be accountable, adaptable and flexible to changes to processes, assigned tasks and meet set deadlines.
Medical Records Specialist
Medical university of South Carolina
09.2018 - 06.2019
- Maintains the integrity of the HIS medical record; responsible for transporting and retrieving records, maintaining the paper filing system and the computerized chart tracking system, and assisting with the preparation of documents for scanning into the document imaging system.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Maintained patient records in compliance with security regulations.
- Maintained patient confidence by keeping patient records information confidential.
- Managed electronic medical records for over 2000 patients.
Care Coordinator
Coastal Pediatric Associates
09.2016 - 09.2018
- Completed prior authorization / pre-certification requests for medications, both in state and out of sate procedures and services
- Assured timely completion of all prior authorization requests with a goal of no longer than 72 hours turn-around time
- Assisted with medical necessity documentation to expedite approvals of medications and procedures
- Collaborated with providers/payers/pharmacist/patients to assure appropriateness of medications/ procedures needing prior authorization and to reduce barriers to patient receiving quality patient care
- Partnered and collaborated with other departments cross functionally regarding prior- authorization and/or clinical care services
- Received incoming requests for information and responded to requests by opening mail, assisting walk-ins and telephone inquiries, and retrieving facsimile inquiries in a timely manner
- Date stamped all requests and highlighted pertinent data to facilitate processing
- Validated requests and authorizations for release of medical information according to established procedures and HIPAA guidelines
- Completed release of information requests including retrieving patient’s medical charts and returning charts, copying/scanning medical records accurately and correctly, according to requests, established procedures, and established standards of quality and productivity; and electronically transmitted medical record to processing operations
- Performed quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
- Scheduled appointments with specialists on behalf of clients.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Supported healthcare team members by providing detailed patient information for seamless transitions between providers.
- Reduced wait times for specialist appointments by diligently following up on pending referrals.
Communication specialist
Coastal Pediatric Associates
06.2016 - 09.2016
- Received inbound calls from current and potential patients with medical related concerns, schedules appointments for primary care physicians in a call center environment utilizing an automated scheduling system
- Answered questions empathically about any service related to the practice, and addressed the customer’s concerns, followed the verification process for each account to ensure confidentiality, performed basic account maintenance activities
- Interacts with other members of the health care team to achieve desired outcomes.
Medical Office Assistant
Coastal Pediatric Associates
11.2015 - 06.2016
- Greeted all patients promptly upon arrival and complete the check in/check out process, direct all patients to appropriate location of waiting rooms per office policy, respect the privacy of patients by maintaining patient confidentiality at all time, received accurate information on all patients and update all demographic fields required, obtained correct insurance information by verifying eligibility, employer information, and loading insurance card, collected any current or outstanding copays and balances due at time of service and post payments in internal HER per office procedure, offering a payment plan when needed
- Interacts with other members of the health care team to achieve desired outcomes.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Supported administrative tasks such as ordering supplies, inventory management, and filing medical documents for streamlined office workflow.
- Updated patient information and insurance details for accurate electronic medical records.
- Registered patients and completed associated paperwork for accurate records.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Obtained payments from patients and scanned identification and insurance cards.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Education
Bachelor of Arts - Mathematics
Southern New Hampshire University
Hooksett, NH11.2021
Certification - Medical Office Associate
Trident Technical College
Charleston, SC10.2014
Associate of Applied Science - Administration Office Technology
Trident Technical College
Charleston, SC05.2013
Skills
- Payment Processing
- Adaptability and Flexibility
- Analytical Skills
- Account Management
- Credit analysis
- Documentation Review
- Problem-Solving
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking Abilities
Volunteer Experience
Internship at Roper Hospital Vascular Center - 10/2014, Greeted, assisted, directed and scheduled patients and family members., Worked with all patients to schedule appointments that best accommodated their needs., Prepared Next Day schedules and Lab Orders., Assisted patients with the selection of a Primary Care Physician, while stressing the importance of continuity with the Primary Care Physician., Answered the telephones, received faxes and directed calls to the appropriate party., Coordinated care with other care team members to provide exceptional patient service., Responsible for collecting co-payments and deductibles at the time of service., HPP and eCW experience.
Certification
- Certified Revenue Cycle Representative, Healthcare Financial Management Association - 05/2024
- Certified Specialist Payment & Reimbursement, Healthcare Financial Management Association - 06/2024
- Certified Specialist Accounting and Finance, Healthcare Financial Management Association - 06/2024
- Certified Specialist Physician Practice Management, Healthcare Financial Management Association - 07/2024
Additional Information
Completed Medical University of South Carolina Revenue Cycle University Ambassador Program - 5/2024
Timeline
Credit Processor
Medical University Of South Carolina
06.2019 - Current
Medical Records Specialist
Medical university of South Carolina
09.2018 - 06.2019
Care Coordinator
Coastal Pediatric Associates
09.2016 - 09.2018
Communication specialist
Coastal Pediatric Associates
06.2016 - 09.2016
Medical Office Assistant
Coastal Pediatric Associates
11.2015 - 06.2016
Bachelor of Arts - Mathematics
Southern New Hampshire University
Certification - Medical Office Associate
Trident Technical College
Associate of Applied Science - Administration Office Technology
Trident Technical College
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