Precertification Specialist resume example with 16 years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
Summary
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in customer service and inner-office operations.
Skills
Knowledgeable in Schedule Maximizer, Order Facilitator, Athena
Telephone etiquette
Relationship building
Troubleshooting
Computer skills
Critical thinking
Conflict resolution
Organizational skills
Communication
Experience
Precertification Specialist, 03/2019 - Current South Shore Health – Weymouth, MA,
Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
Explained eligibility details and affordability options to patients with kindness and respect.
Called applicants to set up appointments and explain benefits processes.
Offered administrative task assistance and performed database updates, email communication and document processing.
Compiled data from source documents prior to data entry.
Created and maintained accurate and confidential patient files according to regulatory mandates.
Answered 30 average daily phone calls to schedule appointments and address patient inquiries.
Managed incoming telephone calls, took messages and directed callers to personnel.
Called patients to schedule MRI/Injection appointments, consistently double-checking information and availability.
Coordinated office schedules for new patients, diagnostic assessments and procedures.
Communicated with patients to gather intake data and verify chart information.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Precertification Specialist, 10/2014 - 03/2019 South Shore Health – Norwell, MA,
Input communication with applicants into computer system to facilitate future clarification and knowledgeable support.
Explained eligibility details and affordability options to patients with kindness and respect.
Called applicants to set up appointments and explain benefits processes.
Compiled data from source documents prior to data entry.
Created and maintained accurate and confidential patient files according to regulatory mandates.
Kept office spaces well-stocked with administrative and medical supplies.
Answered 40 average daily phone calls to schedule appointments and address patient inquiries.
Managed incoming telephone calls, took messages and directed callers to personnel.
Called patients to schedule Nuclear Medicine, Cath appointments, consistently double-checking information and availability.
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Coordinated office schedules for new patients, diagnostic assessments and procedures.
Communicated with patients to gather intake data and verify chart information.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Central Scheduling Specialist, 10/2012 - 10/2014 Elmhurst Memorial Healthcare – Naperville, IL,
Checked physician orders and schedule availability to make accurate appointments for tests and surgical procedures.
Set and managed patient appointment schedules using Schedule Maximizer.
Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
Created and maintained accurate and confidential patient files according to regulatory mandates.
Called patients to schedule appointments, consistently double-checking information and availability.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Communicated with patients to gather intake data and verify chart information.
Answered 60 average daily phone calls to schedule appointments and address patient inquiries.
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