Raisa
Raisa Nse-Edjang
15839 Lomita Springs Dr., San Antonio, 78247
Phone: ------------ - Email: ------------
SUMMARY
Adept in providing excellent administrative and clerical support in high volume work environment. Efficient in managing appointment scheduling, patient records, verifying medical insurance, benefits and copay's, medical billing, collecting third-party claims and financial information. I am a strong planner and problem solver who readily adapt to change; work independently and exceed expectations. Skilled in multi-tasking, detailed oriented, paying attention to detail and meeting tight deadlines without compromising quality.
EMPLOYMENT
Data Entry Administrator Jun 2016 – Dec 2018 San Antonio, TX
CGI Federal Inc.
• Ensured timely and accurate entry of patient demographics into company’s systems by transferring patient's demographic information from physician's legacy systems into CMS system called CAS (Clinical Audit Systems)
• Verified insurance eligibility, copay's and coverage for all new patients and monitored existing patients' insurance coverage for potential changes.
Medical Receptionist Jun 2014 – Oct 2015 San Antonio, TX
Forest Park Medical
Greet clinic visitors and operate multi-line telephone system, scheduling appointments, billing issues and insurance questions.
• Scan medical records, create claims and enter demographic information through EMR software. Managed
patient records using EMR software, maintaining patient confidentiality in compliance with HIPAA.
• Submitted insurance claims using the correct ICD-10, CPT and HCPCS codes on HCFA 1500 forms.
• Compiled and tracked patient collections (co-pays and outstanding balances) using Excel.
Achievement Highlights:
• Recognized for outstanding organization, accuracy and efficiency in verifying insurance benefits, updating
patient data in charts and routing documents to appropriate.
• Obtained timely insurance referrals for patients requiring follow-up with specialists by calling insurance companies and using tools such as Availity, Emdeon and TMHP.
• Provided excellent customer service to all patients by knowledgeably answering questions; proactively solving problems; and creating a welcoming environment.
EDUCATION
San Antonio College San Antonio, TX
Bachelors of Science in Chemistry Graduated: 05/2013
Madison High School San Antonio, TX
High School Diploma Graduated: 06/2006
SKILLS
Excellent Communication Skills
Knowledge of Medical Terminology
Knowledge of Office Technology
Critical thinking and problem solving
Raisa Nse-Edjang
15839 Lomita Springs Dr., San Antonio, 78247
Phone: ------------ - Email: ------------
SUMMARY
Adept in providing excellent administrative and clerical support in high volume work environment. Efficient in managing appointment scheduling, patient records, verifying medical insurance, benefits and copay's, medical billing, collecting third-party claims and financial information. I am a strong planner and problem solver who readily adapt to change; work independently and exceed expectations. Skilled in multi-tasking, detailed oriented, paying attention to detail and meeting tight deadlines without compromising quality.
EMPLOYMENT
Data Entry Administrator Jun 2016 – Dec 2018 San Antonio, TX
CGI Federal Inc.
• Ensured timely and accurate entry of patient demographics into company’s systems by transferring patient's demographic information from physician's legacy systems into CMS system called CAS (Clinical Audit Systems)
• Verified insurance eligibility, copay's and coverage for all new patients and monitored existing patients' insurance coverage for potential changes.
Medical Receptionist Jun 2014 – Oct 2015 San Antonio, TX
Forest Park Medical
Greet clinic visitors and operate multi-line telephone system, scheduling appointments, billing issues and insurance questions.
• Scan medical records, create claims and enter demographic information through EMR software. Managed
patient records using EMR software, maintaining patient confidentiality in compliance with HIPAA.
• Submitted insurance claims using the correct ICD-10, CPT and HCPCS codes on HCFA 1500 forms.
• Compiled and tracked patient collections (co-pays and outstanding balances) using Excel.
Achievement Highlights:
• Recognized for outstanding organization, accuracy and efficiency in verifying insurance benefits, updating
patient data in charts and routing documents to appropriate.
• Obtained timely insurance referrals for patients requiring follow-up with specialists by calling insurance companies and using tools such as Availity, Emdeon and TMHP.
• Provided excellent customer service to all patients by knowledgeably answering questions; proactively solving problems; and creating a welcoming environment.
EDUCATION
San Antonio College San Antonio, TX
Bachelors of Science in Chemistry Graduated: 05/2013
Madison High School San Antonio, TX
High School Diploma Graduated: 06/2006
SKILLS
Excellent Communication Skills
Knowledge of Medical Terminology
Knowledge of Office Technology
Critical thinking and problem solving