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clinical scheduling specialist resume example with 5+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Education
Expected in 05/2025 to to
Bachelor of Science: Health Administration
Johnson And Wales University - Providence, RI,
GPA:
  • Current 3.84 GPA
Expected in 06/2018 to to
Associate of Arts: Business Administration And Management
Cornell University - Ithaca, NY
GPA:

Served as Secretary of Student Council
Graduated summa cum laude, GPA: 3.92

Received the Native American Education Scholarship in 2017

Work History
01/2021 to Current
Intake Coordinator/Clinical Care Manager The Whitlock Group Audubon, PA,
  • Streamline the appointment scheduling process by implementing an electronic scheduling system, resulting in a reduction in scheduling errors and improved efficiency by 42%.
  • Developed and implemented a streamlined referral management process, reducing wait times and ensuring seamless coordination between primary care providers and mental health specialists, aiming for a percentage increase in timely referrals.
  • Validated preauthorization requirements, member benefits, eligibility, and documents information in the appropriate system. Identifies errors promptly and determines what corrective steps may be taken to resolve errors.
  • Assess and optimize the utilization of mental health resources, such as appointment availability, therapist caseloads, and treatment room utilization.
  • Responded to patient inquiries, addressing concerns, and providing necessary information regarding appointments, procedures, and follow-up care.
01/2023 to 06/2023
Clinical Scheduling Specialist Integrating The Self LCAT, PLLC City, STATE,
  • Implement streamlined workflows and optimize processes to reduce wait times and paperwork, resulting in a 20% increase in the number of patients processed per day.
  • Stay updated on relevant regulations and ensure adherence to compliance standards, resulting in a 30% decrease in compliance issues and potential penalties.
  • Coordinated with healthcare professionals to schedule appointments, ensuring optimal utilization of resources and minimizing patient wait times.
  • Conducted comprehensive assessments to determine patient eligibility for services, collaborating with interdisciplinary teams to provide appropriate care.
  • Verified insurance coverage and obtained authorizations, reducing denials and optimizing reimbursement.
  • Demonstrated exceptional communication skills in explaining treatment plans, obtaining informed consent, and addressing patient inquiries.
  • Maintained HIPAA compliance by safeguarding patient confidentiality and ensuring secure handling of sensitive information.
  • Strong troubleshooting skills with the ability to independently diagnose and resolve computer issues.
01/2018 to 01/2021
Medical Claims Specialist Carerite Centers City, STATE,
  • Prepared and submitted medical claims to insurance companies for reimbursement.
  • Enhanced claim accuracy through meticulous review and verification of data significantly reducing errors and potential rejections for improvement of claim accuracy by 25%.
  • Followed up on unpaid or denied claims, ensuring timely resubmission and resolution.
  • Assisted patients with insurance inquiries, explaining coverage details, and facilitating payment arrangements.
  • Collaborated with healthcare providers to address coding issues, obtain missing information, and ensure proper documentation.
  • Maintained patient billing records and updated information as necessary.
  • Assisted in managing accounts receivable, posting payments, and reconciling billing discrepancies.
Skills
  • Computer: Google Workspace, Microsoft Office Suite, Epic, CRM, Salesforce, CCMS , Zoom, VSee , SimplePractice, TigerConnect
  • Skills: Project Management, Patient Care, Customer Service, Problem Identification and Resolution, Collaboration, Confidentiality, Case Management
  • Languages: English, French, Hebrew, ASL

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Resume Overview

School Attended

  • Johnson And Wales University
  • Cornell University

Job Titles Held:

  • Intake Coordinator/Clinical Care Manager
  • Clinical Scheduling Specialist
  • Medical Claims Specialist

Degrees

  • Bachelor of Science
  • Associate of Arts

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