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

Experienced administrative professional with 15+ years in provider credentialing services, surgical scheduling and front office administration. Able to work productively with facilities, provider groups and individual professionals.

Superior organizational skills with 15+ years of experience in both Medical and Dental fields ready to provide strong administrative and scheduling support.

Skilled at managing diverse needs in challenging and fast-paced environments.

Friendly and energetic professional with remarkable communication and prioritization skills.

Experienced Credentialing Excellent relationship-building, problem-solving and communication skills.

Skills
  • Provider enrollment
  • Insurance credentialing processes
  • Provider Relations
  • Contract Negotiation
  • Obtaining authorizations
  • Verifying insurance
  • Following up with patients
  • Problem resolution
  • Multi-Line Telephone Systems
  • Documentation and reporting
  • Office administration
  • Scheduling
  • CPT Coding
  • Medical Records Management
  • Dental Procedures
  • Insurance Knowledge
  • Team Building
  • Pre-Employment Screening
  • Training and mentoring
Education
San Antonio College San Antonio, TX Expected in : Nursing - GPA :
Providence High School San Antonio, TX, Expected in Diploma : - GPA :
Certifications

CPR certified

Work History
Medical Modalities - Credentialing Specialist/Oral Surgery Coordinator
Johnson City, TN, 07/2015 - Current
  • Enrolled providers and Medicaid, Medicare and private insurance plans.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Conducted primary source verifications such as background checks and board certifications.
  • Coordinated testing, labs and other diagnostic data for proper clearance prior to surgery.
  • Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts.
  • Coordinated front office duties, including customer service, patient scheduling and billing.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Maintained office supplies inventory by checking stock and ordering new supplies as needed.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Expertly managed planning, scheduling and coordination of inpatient and outpatient procedures.
Dignity Health - Patient Care Coordinator
Scotts Valley, CA, 02/2014 - 07/2015
  • Encouraged patients to schedule recommended tests and procedures.
  • Worked closely with patients to deliver excellent and direct individualized patient care.
  • Worked with patients to schedule tests and procedures.
  • Completed and filed financial documentation for accounting purposes.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Promptly answered multi-line phone system and greeted callers enthusiastically.
  • Managed office logistics by scheduling appointments, maintaining files and collecting payments.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Adhered to strict HIPAA guidelines at all times to protect patient privacy.
  • Responded to correspondence from insurance companies to verify patient's coverage.
Tomy Starck MD - Cornea Surgery Coordinator
City, STATE, 05/2012 - 08/2012
  • Operated ophthalmic equipment for patient eye examinations and prepared patients for examinations and surgeries.
  • Explained pre- and post-operative procedures to patients and carefully reviewed surgical plans.
  • Triaged phone calls from patients and outside contacts and handled in order of importance.
  • Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Taught patients about medications, procedures and care plan instructions.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Performed clerical duties, such as word processing, data entry, answering phones and filing.
Peter Hollimon MD - Surgery Coordinator
City, STATE, 11/2006 - 02/2012
  • Expertly managed all surgery services, including planning, scheduling and coordination, determination of procedures and procurement of supplies and equipment.
  • Checked patients in and out and collected payments.
  • Verified insurance coverage and obtained pre-authorizations.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
  • Coordinated front office duties, including customer service, patient scheduling and billing.
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
  • Supported providers in outpatient medical office through coordinating all administrative operations.
  • Coordinated with facilities to set up surgeries for a general surgeon.

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Resume Overview

School Attended

  • San Antonio College
  • Providence High School

Job Titles Held:

  • Credentialing Specialist/Oral Surgery Coordinator
  • Patient Care Coordinator
  • Cornea Surgery Coordinator
  • Surgery Coordinator

Degrees

  • Diploma

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