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.
- 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
CPR certified
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.
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.
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.
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.
By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy
Disclaimer
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
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
By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy
Similar Resume
lead oral surgery assistant/surgery coordinator
Key Dental Group And Southern Facial Aesthetics
Madison, Mississippi
lead oral surgery assistant/surgery coordinator
Key Dental Group And Southern Facial Aesthetics
Madison, Mississippi
oral surgery tech
NW Oral And Facial Surgery
Camas, Washington
