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Central Support Operations Coordinator Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Highly organized medical professional well-versed in healthcare practices, compliance standards and administrative requirements. Excellent problem-solver and clear communicator with positive and upbeat personality. Qualified to deal with insurance documentation, update charts and manage business correspondence.

Skills
  • Customer Service Management
  • Focus and Follow-Through
  • Goal Setting
  • Calendar Management
  • Appointment Scheduling
  • Administrative Tasks
  • Data Entry Software
  • Verbal and Written Communication
  • CPR Certified
  • Critical Thinking
  • Preparing Treatment Rooms
  • Time Management
  • Medical Charting
  • Equipment Troubleshooting and Maintenance
  • Taking Client Histories
  • Administering Medications
  • Supply Ordering
  • Detail-Oriented
  • Problem Solving
  • Patient Interviews
  • Payment Scheduling and Collection
  • Payment Plan Options
  • Medical Records Verification
  • Patient Referral
  • Office Management
  • Prescription Refills
  • Collaboration and Teamwork
  • Flexible Schedule
  • HIPAA Compliance
  • EHR Software
  • Documentation Review
  • Insurance Forms
  • Outpatient Procedures
  • Computer Proficiency
  • Insurance Authorizations
  • Current Medical Assistant Certification
  • Patient Eligibility Requirements
  • Inventory Management
  • Order Purchasing
  • Relationship Building
  • Staff Leadership
  • Pharmacy Correspondence
  • Scheduling Tests and Procedures
  • Collecting Patient Specimens and Tests
Education
Nashville College of Medical Careers Madison, TN Expected in 03/2013 Diploma : Medical Assistant Diploma - GPA :
Portland High School Portland, TN, Expected in 05/2011 High School Diploma : - GPA :
Work History
Medline Industries, Inc. - Central Support Operations Coordinator
Uxbridge, MA, 04/2021 - Current
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Entered customer interaction details in coordinate to track requests, document problems and record solutions offered.
  • Delivered excellent customer service, resulting in consistent 100% customer satisfaction rating.
  • Processed 25-30 cases each work day and mailed documentation to supervisor weekly.
  • Met all customer call guidelines including service levels, handle time and productivity.
  • Faxed notification of appeals to skilled nursing facilities in a timely manner.
  • Verified HIPAA and eligibility for each patient.
Dana-Farber Cancer Institute - Insurance Verification Specialist
Londonderry, NH, 09/2019 - 12/2020
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Accurately inputted all patient and insurance information into company's computer system using EClinical Works
  • Reviewed 120-150 patient cases per week and verified insurance coverage information.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Posted payments to accounts and maintained records.
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Coordinated front office duties, including customer service, patient scheduling and billing.
  • Managed master calendar and scheduled appointments for 4 providers based on optimal patient loads and clinician availability.
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
  • Completed skilled administrative work to support all office staff and operational requirements.
  • Improved timely payment of bills by developing flexible payment plans for patients.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Kept detailed records of office inventories and placed orders for more supplies.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Collaborated with assistants and doctors to prepare and set up rooms with adequate supplies and equipment.
  • Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
Comprehensive Pain Specialists - Prior Authorization Specialist
City, STATE, 08/2015 - 03/2018
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Maintained compliance with patient privacy and security regulations
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Authorized surgical requests in accordance with applicable plan guidelines.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Reviewed insurance coverage for patients to determine which party was liable for payment.
  • Collected and processed patient liability statements prior to service.
  • Created and maintained spreadsheets detailing all medical procedures, including applicable denials and approvals.
  • Maintained files and controlled records to show correspondence activities.
  • Edited letters and written material for correspondence.
  • Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
  • Communicated with executives about consistent customer issues.
  • Typed acknowledgment letters to persons sending correspondence.

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Resume Strength

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Resume Overview

School Attended
  • Nashville College of Medical Careers
  • Portland High School
Job Titles Held:
  • Central Support Operations Coordinator
  • Insurance Verification Specialist
  • Prior Authorization Specialist
Degrees
  • Diploma
  • High School Diploma

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