Driven healthcare professional with 20 years hands-on experience in a fast-paced hospital environment as a preoperative testing coordinator. Dependable and responsible with a strong focus on patient satisfaction.
Extensive experience managing appointments, scheduling surgeries, analyzing results and assisting patients in their health care process. Assisting surgeons and associated medical staff with support in a stressful medical environment. Handling and analyzing medical charts and procedures, assisting surgeons with patient pre operative care and reports, processing insurance claims.
Transitioned into medical information management working for a very large insurance company as a coder and was quickly promoted to a position in medical claims management.
Experience in a veterinary hospital, involved in all areas of office management for my husband who owns his own practice, specializing in small animals and equine medicine. Duties included surgery prep, assisting clients with billing, medications, ordering supplies, drugs and equipment. In the field with the doctor while assisting with equine clients, ordering and delivering supplements for the show horse community. Up to date on the needs of both small animal and equine with regard to animal health.
Education and Training
Bachelor of Science : Biological Science, 2002University at Albany － Albany, NY, USA
Coursework in Organic Chemistry, Biochemistry, Business Management, Comparative Anatomy in Chordates
Certification : Medical Coding, 2013Bryant & Stratton － Albany, NY, USA
Studied Medical Coding
I have achieved two separate certifications in this field of study with two nationally recognized organizations, AHIMA as well as AAPC.
Personal and professional integrity
Claims analysis and review specialist
Effectively influences others
Negotiating cost with medical providers and their attorneys
Critical thinking proficiency
In-depth claims knowledge
Relationship and team building
Proven patience and self-discipline
Certified Medical Coder
Medical Claims Representative December 2015 to CurrentProgressive Insurance Company － Albany, NY
Managing medical claims for customers while providing excellent customer service and meeting their needs while they are in the process of recovering from minor to very sever medical injuries resulting in motor vehicle accidents.
Maintaining a good rapport with attorneys and physicians alike to establish a medical plan for the patient while keeping a financial strategy in place.
Trained in fraud and the ability to recognize and investigate it.
Maintain complete confidentiality in accordance with organization and legal requirements on both state and federal levels.
Evaluating patient care and procedural changes for effectiveness.
Successfully assisting customers with 100% satisfaction
Interacting directly with customers, attorneys and physicians to expedite claims resolution.
Keep abreast of rapidly evolving technology and techniques to reach customers and drive satisfaction.
Positive customer interactions, resulting in 5/5 positive ratings in all surveys to date.
Approached by management to assist peers with time management as well as teaching a course to encourage further development.
Medical Coder September 2012 to December 2015Progressive Insurance Company － Albany, NY
Maintained accuracy while evaluating patient charts and coding them according to the guidelines determined by the State of New York.
Established a healthy balance between speed and quality of work produced.
Became a "go -to" person for team mates and supervisors with medical questions regarding medical procedures, prescription drugs, durable medical equipment and interpretation of medical terminology.
Soon was promoted to medical claims representative, where my desire was to have more responsibility and diversity of task.
Owner/Jewelry Designer April 2009 to September 2012Bijoux Designs － Gloversville , NY
Owned my own jewelry design business which required advertising, marketing, accounting and business planning.
Invited to participate in a charity event to provide merchandise and designs to auction off. Proceeds from this charity were submitted for Chiari I Malformation education and awareness.
Merchandise and designs were also stocked for sale at a popular boutique in downtown Saratoga.
Preoperative Testing Coordinator July 1994 to September 2007Nathan Littauer Hospital － Gloversville, NY
Administered, directed and coordinated the activities of operating room procedures while providing support for day-to-day operations of the department in accordance with set policies and guidelines.
Established and maintained positive relationships with patients, families, other area health care providers, physicians and community at large. Practiced strict confidentiality and safeguarded all patient information.
Monitored infection control procedures to ensure facility-wide health and kept abreast of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes and guidelines.