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

Well-organized, excellent communication, planning and problem-solving abilities developed over 12 years of related experience with demonstrated knowledge of healthcare procedures and administrative operations in fast-paced environments. Forward-thinking and friendly with distinguished ability to multitask, modernize offices and streamline procedures. Fantastic attention to detail and commitment to optimizing patient experiences through individualized care.

Skills
  • Microsoft Office Suite (Word, PowerPoint, Access, Excel), Peachtree Accounting, SAP, SurgiNet, PeopleSoft, Powerchart, Radnet, Centricity, Eworks and Cerner Millennium.
  • Call center
  • ICD-9, ICD-10, CPT coding
  • Customer service
  • Financial Counseling
  • Insurance Benefits
  • Medical terminology
  • Supervising
  • Medical Transportation Coordination
Experience
09/2016 to Current Scheduler II Dean Health | Baraboo, WI,
  • Speech therapy case coordinator, working in Rehab services providing all modalities, physical therapy, occupational therapy and speech therapy scheduling and care to rehabilitation patients.
  • Providing all patient needs and verifing insurance and FET prior to patient visit following Northside compliance using the Northside provided systems of verification, Cerner and RevRunner.
  • Worked in urology office providing outstanding customer service to patients and to practice physicians.
  • Daily tasks include chart management, scheduling patients for new patient office visits, follow ups, all medical procedures, radiology and surgery, supervising four schedulers and providing support through the work day, delegating daily duties in their presence or absence.
  • Works closely with patient and physician to assist with post care that may include treatments, tests and various consults or appointments.
  • Obtaining pre-certification/authorization from insurance companies regarding office visits and procedures for all physician and office.
  • File and process claims thru Centricity and EPIC systems.
  • Very Knowledgeable of ICD-9, ICD-10 and CPT coding and medical terminology.
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
03/2012 to 09/2016 Patient Access Service Representative III Samaritan Health System | Watertown, NY,
  • Lead representative responsible for ensuring the delivery of outstanding customer service and detailed system knowledge to support hospital and clinic operations, while scheduling in-patient and outpatient Radiology, Breast Health, Surgery, and Cardiology patients while obtaining complete and accurate patient demographic information.
  • Obtaining pre-certification/authorization from insurance companies and physicians’ offices. Identifying patient benefits eligibility. Identifying insurance and/or patient responsibility.
  • Collecting identified co-pay/deductible and/or providing financial counseling when appropriate completing the pre-registration process.
  • Revenue Cycle.
  • Knowledgeable of ICD-9, ICD-10 and CPT coding and medical terminology.
  • Direct scheduler in department for ancillary services scheduling for Heart Failure center, Breast Health, Pulmonary Rehab, Pulmonary Function Tests, Cardiac Rehab, and Heart Center for Women.
  • Helped to implement the go live event for the launch of Cerner Millennium in scheduling departments Radiology, Surgery, Breast Health and Cardiology.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
10/2010 to 11/2011 Lead Radiology Scheduler Resurgens Orthopedics | City, STATE,
  • Accepts incoming patient phone calls and uses software to schedule patients in an office and call center environment.
  • Triages patient needs for timeliness of appointments based upon pre-determined criteria.
  • Determines which physician to place patient with based upon pre-determined criteria.
  • Obtain insurance authorization.
  • Retrieves internet appointment requests and phone message requests and places outbound calls to patients for scheduling of appointments.
  • Gathers insurance information and patient personal data and verify insurance info is accurate and up to date.
  • Screens for contraindications for radiology studies via a questionnaire.
  • Communicates and collaborates with providers and provider staffs to ensure patient scheduling needs are met.
07/2009 to 10/2010 Patient Care Coordinator One Call Medical, Inc | City, STATE,
  • Outpatient phone scheduling responding to inbound and outbound scheduling requests for all office appointments, post hospital follow-up appointments and radiology diagnostic testing as appropriate in a call center environment.
  • Responds to faxed direct and verbal referral requests within 48 hours.
  • Knowledgeable of ICD 9 and CPT coding and medical terminology.
  • Assists all doctors, insurance adjusters, diagnostic providers, and patients with workers compensation and personal injury claims with the highest level of customer service.
  • Communicated with patients to ensure quality of care and develop care plans. Arrange transportation for patient if needed.
Education and Training
Expected in 2007 | Business Management & Computer Information Systems University of Phoenix Atlanta, , GA. GPA:
Expected in 2001 Bachelor of Science | Computer Information Systems Fort Valley State University, Fort Valley, GA. GPA:
Activities and Honors
Certifications
  • CHAA Certification (2012-current) - Certified Healthcare Access Associate thru National Association of Healthcare Access Management (NAHAM)
  • CPAR Certification (2013-current) - Certified Patient Account Representative thru Healthcare Financial Management Association (HFMA)
  • CFC Certification (2013-current) - Certified Financial Counselor thru Healthcare Financial Management Association (HFMA)
  • CPC Certification ( In Progress) Certified Professional Coder thru American Academy of Professional Coders (AAPC

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Resume Overview

School Attended

  • University of Phoenix Atlanta
  • Fort Valley State University

Job Titles Held:

  • Scheduler II
  • Patient Access Service Representative III
  • Lead Radiology Scheduler
  • Patient Care Coordinator

Degrees

  • Bachelor of Science

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