Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality. Advanced abilities in Meditech and Microsoft Office
Goal-oriented and welcoming with proven history of modernizing traditional offices to maximize patient satisfaction. Dedicated to organization and collaboration with over 24 years in patient/customer service industry. Hardworking Medical authorization specialist/ patient care representative brings top-notch abilities in reception and clerical work. Equipped to handle fast-paced office operations with continuous flow of patients and assignments. Meticulous in completing assignments and always ready to help team members. Astute professional highly skilled at handling patient issues and questions. Astute medical administrative professional trained in appointments, front desk management and recordkeeping. Helps staff maintain office operations at optimal levels with great organizational and multitasking abilities. Skilled at typing correspondence and managing files.
Skills
Medical Recordkeeping
Administrative Tasks
Customer Service
Problem Solving
Critical Thinking
Taking Client Histories
Medical Report Preparation
Equipment Troubleshooting and Maintenance
Data Entry Software
Appointment Scheduling
Time Management
Detail-Oriented
Organization and Time Management
Supply Ordering
Verbal and Written Communication
Office Management
Medical Coding
Documentation Review
Medical Records Verification
Referral Verification
Outpatient Procedures
Collaboration and Teamwork
Adaptable and Flexible
Staff Leadership
Office Coordination
Payment Scheduling and Collection
Scheduling Tests and Procedures
Patient Referral
Data Management
Calendar and Appointment Management
Cash Handling
Regulatory Documentation
Mail Distribution
Employee Scheduling
Order Purchasing
Insurance Authorizations
CPT Coding
Insurance Forms
Database Administration
Computer Proficiency
Inventory Management
Data Entry
Patient Eligibility Requirements
Relationship Building
Patient Health Information Access
Payment Plan Options
Work History
Central Scheduling Specialist, 05/2009 to Current Glendale Dining Services – West Newton, MA,
Processed forms required for insurance approvals and scheduled procedures.
Used electronic systems to enter provider orders and retrieve test results.
Communicated information to patients regarding requirements for appointments and test preparation.
Scheduled patients for tests and consultations.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Registered and verified patient records before triage with most up-to-date information.
Placed new supply orders, managed inventory and restocked clerical spaces.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Managed office bookkeeping with insurance billing and patient payments.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Received, recorded and addressed incoming and outgoing communication via telephone and email.
Organized patient files and streamlined operations to improve efficiency.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Carried out front office duties utilizing data entry skills in framework of medical database.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
Supported providers in outpatient medical office through coordinating all administrative operations.
Received and routed laboratory results to correct clinical staff members.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Obtained payments from patients and scanned identification and insurance cards.
Insurance Authorization Specialist, 11/2007 to Current Good Shepherd Rehab – Bryn Mawr, PA,
Collected all premiums on or before effective date of coverage.
Calculated premiums and established payment methods for sales.
Finalized sales and collected necessary deposits.
Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.
Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
Remained impartial in order to advise clients based on circumstances.
Met with customers to provide information about available products and policies.
Conducted annual reviews of existing policies to update information.
Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
Collected, analyzed and validated all agency commissions.
Created plans and communicated deadlines to ensure projects were completed on time.
Patient Care Representative, 05/2013 to 05/2017 Virginia Hospital Center – Arlington, VA,
Reviewed each step of patient care and made proactive adjustments to avert issues.
Screened patients for financial assistance and aided in preparing required funding documents.
Worked with patients and families to develop future plans and discuss care actions.
Scheduled approximately 200+ patients per week and made reminder calls.
Liaised between hospital departments to facilitate effective communication.
Updated documentation and reports detailing patient activities, care actions and hospital determinations.
Provided subject matter expertise in case management and related procedures.
Monitored ongoing care and proactively corrected problems.
Maintained confidentiality of patient data and condition at all times to safeguard health information.
Greeted and directed patients to examination rooms and verified insurance coverage and collected co-payments.
Maximized preventive care utilization to reduce hospital burden and help eliminate readmissions.
Handled prescription refill requests.
Resolved problems with communication and billing to foster seamless services.
Responded to patient queries and concerns concerning insurance coverages and deductibles.
Upheld confidentiality requirements and regulatory compliance guidelines.
Manager, 04/1998 to 05/2008 California Pizza Kitchen – San Antonio, TX,
Controlled costs and optimized spending via restructuring of budgets for labor, capital assets, inventory purchasing and technology upgrades.
Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
Compiled data highlighting key metrics to report information, determine trends and identify methods for improving store results.
Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
Improved operational planning and business frameworks to enhance resource utilization and reduce waste.
Established and updated work schedules to account for changing staff levels and expected workloads.
Cross-trained existing employees to maximize team agility and performance.
Achieved or exceeded financial goals on regular basis by controlling expenses, optimizing schedules and regulating inventory usage.
Accomplished multiple tasks within established timeframes.
Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
Onboarded new employees, including training, mentoring and new hire documentation.
Recorded inventory sales into organization's weekly income report.
Applied customer feedback to develop process improvements and support long-term business needs.
Conducted monthly inventories of raw materials and components on work floor.
Evaluated report data to proactively adjust and enhance operations.
Directed staff and managed annual capital budget.
Prepared and recommended long-range plans for development of department personnel.
Delivered feedback to decision-makers regarding employee performance and training needs.
Assessed supplier quality to maintain tight cost controls and maximize business operational performance.
Executed regular process updates to reduce discrepancies and enhance scheduling across production calendars and programs.
Developed and maintained relationships with customers and suppliers through account development.
Evaluated employees' strengths and assigned tasks based upon experience and training.
Reviewed performance data to monitor and measure productivity, goal progress and activity levels.
Propelled continuous improvements and strategically capitalized on current market trends.
Education
High School Diploma: , Expected in 05/1997 Sidney High School - Sidney, OH GPA:
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