, , 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 CurrentScheduler IIDean 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 09/2016Patient Access Service Representative IIISamaritan 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 11/2011Lead Radiology SchedulerResurgens 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 10/2010Patient Care CoordinatorOne 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
SystemsUniversity of Phoenix Atlanta, , GA.GPA:
Expected in 2001Bachelor of Science | Computer Information SystemsFort 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)
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