Elisabet Frain

Elisabet Frain Highlights: • • • 8 years of Medical Assistant experience and face to face customer service Bachelor’s degree in Health Care Management. Experience working different EMR including: Epic systems, Eclinicalwork and Elation. Work Experience: • • • • • • • Mount Sinai Health Doctors (remote) June 2022 to Present Part-time Injection specialist Start and complete patient's prior authorization for gel injections. Enter injections information, Lot number, expiration date etc. Communicate with insurance carriers to determine the order of liability for claims payment and ensure coordination of benefits in accordance with contractual agreements and regulatory guidelines. Verify insurance benefits, including deductibles, copayments, coinsurance, and coverage limitations, to determine patient responsibility and billing requirements. ADP Health and wellness center June 2022 to October 2023 Ensure all related reports, labs and information is filled out and available in patients’ medical records prior to their appointment. Keeps supplies ready by inventorying stock; placing orders; verifying receipt. Maintain all logs and required checks (i.e., refrigerator temperatures, emergency medications, expired medications, oxygen, cold sterilization fluid change, etc.) • Mount Sinai Doctors Surgery coordinator/ Lead medical assistant (in person) April 2019 to June 2022  Schedule surgical procedures for orthopedic patients, ensuring optimal utilization of operating rooms, equipment, and staff resources.   Coordinate pre-operative consultations, diagnostic tests, and medical clearances required prior to surgery.  Stay current with changes in coding regulations, reimbursement policies, and industry standards related to orthopedic billing and coding.  Prepare and submit electronic or paper claims to insurance carriers, government payers, and other third-party payers in accordance with established billing procedures and deadlines.  Monitor claim status and follow up on outstanding claims, denials, or rejections, identifying and resolving issues that may impact reimbursement.  Work proactively to address claim discrepancies, appeals, and resubmissions to maximize revenue collection and minimize payment delays.    Oversee and train new and existing staff along with the clinic manager.   Perform other administrative tasks and clinical care as assigned by the Clinic Manager. Collaborate with surgeons and anesthesia providers to create surgical schedules that meet patient needs and maximize efficiency. Review charts, lab test results, and encounter forms for completeness and to assess follow-up as needed. Assist with clinic scheduling problem solving, patient wait times, and other areas of concern to increase efficient and quality services. Coordinate the inventory, ordering and supply stock maintenance of medical supplies.