Shantel Mackintosh
Denver,CO
Summary
Organized and dedicated Medical Front office /Scheduler with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Front Desk/Medical Biller
Rocky Mountain Family Medicine
01.2020 - Current
- Verified insurance coverage and obtained pre-authorizations.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Acted as a liaison between patients, insurance carriers, and the surgical team to secure necessary authorizations for timely procedures.
- Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
- Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
- Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
- Provided administrative support to medical staff, assisting with various clerical tasks as needed.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Medical Front Desk/ Surgery Scheduler
Podiatry of Colorado
01.2014 - 01.2020
- Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Checked patient insurance, demographic, and health history to keep information current.
- Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Prepared and processed patient referrals and transfer requests.
- Processed medical insurance claims and payments.
- Conducted patient intake interviews, recording and documenting relevant information.
Education
GED -
North High School
DenverSkills
- Insurance verification
- Claim processing
- CPT coding
- ICD-9 coding
- Patient scheduling
- Communication skills
- Attention to detail
- Team collaboration
Certification
- Certified Billing and Coding Specialist (CBCS) - National Healthcareer Association.
Timeline
Medical Front Desk/Medical Biller
Rocky Mountain Family Medicine
01.2020 - Current
Medical Front Desk/ Surgery Scheduler
Podiatry of Colorado
01.2014 - 01.2020
GED -
North High School
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