1. JEANETTE LUKE
1 0 4 H I G H L A N D A V E Y O N K E R S N Y 1 0 7 0 5
P H O N E ( 9 1 4 ) 2 5 8 - 3 3 8 8 E - M A I L L U K E J J E N N Y @ G M A I L . C O M
OBJECTIVE: Acquire a professional position within the medical field that is meaningful and challenging, contributing to my
daily knowledge and growth as a health professional.
EDUCATION: Mount Sinai -Medical Terminology/Medical Coding Program
Medical Terminology; Anatomy & Physiology; ICD-10 and CPT-4 Certificates
09/214-8/15
SUNY Educational Opportunity Center
Medical Assistant Certificate
09/09-12/09
EXPERIENCE:
12/13-Present MOUNT SINAI HOSPITAL New York, NY
Financial Coordinator-Radiation Oncology
• Obtain and verify patients’ insurance benefit information from insurance companies or private payers
regarding coverage for services
• Obtain all necessary payer authorizations and acquires all required referrals for services to be provided
• Negotiates modifies rates with carriers
• Communicate and inform patients of any potential patient out-of-pocket liability, and works out payment
plans as necessary. May provides resources to bridge the gap between insurance coverage and patients’
liability if necessary
• Assist patients with questions or problems regarding insurance coverage and other financial matters
• Assist in the resolution of any patient billing issues
• Confirm patients’ coverage information previously obtained from insurance companies or private payers to
ensure accuracy and that there has been no change in coverage since initial confirmation
• Maintain and complete all insurance assessment forms and agreements and ensures they are accurate for
claims processing
• Perform other related duties
Financial Specialist-Radiation Oncology
• Ensured claim edits and accounts receivables are resolved in an efficient and timely manner
• Monitored claims for payment by insurance companies, co-payments and self pays, resubmit claims for
payment with appropriate updates and documentation
• Responded to patient and third party inquiries, research and resolve problems, correct errors, review
correspondence and rejection data from insurance carriers, post rejections and balances in appropriate
financial classification
• Transferred secondary balances to appropriate financial class and provided documentation for processing
the claims, review Credit Letter Sent (CLS) and transmitted balance to appropriate financial class and
dunning level
• Prepared and submitted referring physician updates and other major dictionary or master file request
Patient Coordinator-FPA
• Customer service for thirteen divisions utilized a multi-lined phone system in the centralized call center
• Maintained a call center quota of 80 to 100 incoming calls daily, additional Zoc Doc online appointments
• Obtained knowledge of department specialties and diagnoses to better assist new patients for consultations
• Verified and updated patient’s demographics , insurance information, as well as new registration
Billing Coordinator-FPA
• Kept a daily insurance verification quota of 60 patient accounts
• Utilized web or phone call to confirm all insurance policies
• Documented benefit information such as co pays, deductibles, coinsurances and referrals
• Contacted patients who have coordination of benefit issues, eliminating further billing issues
• Add or updated insurance financial class to each patients visit
5/10-Present OPEN DOOR MEDICAL CENTER Port Chester, NY
Patient Service Representative-Per Diem
• Greet patients, verify and update patient’s demographics and insurance
• Perform cashiering duties, collecting co pays, posting payment and creating claims
• Make, cancel , reschedule, and confirm appointments as needed
• Answer telephone calls, provide assistance to patient, hospitals, pharmacies and doctors office
SKILLS:
• Bilingual English and Spanish
• Knowledge of Microsoft office
2. JEANETTE LUKE
1 0 4 H I G H L A N D A V E Y O N K E R S N Y 1 0 7 0 5
P H O N E ( 9 1 4 ) 2 5 8 - 3 3 8 8 E - M A I L L U K E J J E N N Y @ G M A I L . C O M
• Experienced with ECW, IDX, Mosaiq, proficient with EPIC and Cerner computer software systems
• Can type 30 WPM