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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Experienced administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with an upbeat attitude . Highly adaptable with proven track record of meeting and exceeding employers' needs while providing the best patient experience.

Core Competencies
  • Medical Office Administration
  • Advanced knowledge of scheduling surgeries, and procedures
  • Skilled Imaging and ancillary testing coordinator
  • EHR systems expertise
  • CPR/First Aid Certified
  • Medical Terminology
  • Payer Specific Guidelines
  • Cultural awareness
  • Sales expertise
  • Complaint resolution
  • Service standard compliance
  • Customer service and support
Work History
Scheduling Coordinator, 11/2018 to Current
Guardian Elder CareRichfield, PA,
  • Manage master calendar and schedule appointments for 13 providers based on optimal patient loads and clinician availability.
  • Expertly facilitate oncology and hematology services, including planning, scheduling ,determination of treatments and procurement of time, resources ,staffing and equipment.
  • Ensure seamless patient treatment and care by coordinating with medical professionals in hematology, oncology and other medical specialties .
  • Support patient's physical and emotional comfort by taking care in , responding to questions and physical concerns while using effective calming strategies.
  • Respond to promptly to provider and facility requests ensuring excellent patient care.
  • Provide skilled administrative work to support all office staff and providers.
  • Document patient medical information, case histories and insurance details ensuring seamless patient care and billing.
  • Schedule all needed testing and referrals based on physicians orders.
  • Expertly schedule advanced imaging, procedures, and referrals using knowledge of insurance requirements, medical terminology, and ICD and CPT coding.
  • Assist management with process improvement by tracking data and offering ways to more efficiently manage practice needs.
  • Collaborate with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
  • Collect and report pertinent data and calculations to aid clinical and administrative staff in interpreting medical results. Workflow, and patient volume .
Training Specialist, 10/2017 to 10/2018
Department Of Homeland SecurityKingsville, TX,
  • Scheduled AHA and ARC CPR training classes for corporate customers.
  • Coordinated instructors and training sites nationwide to fulfill training requests.
  • Monitored systems and schedules to ensure all classes were staffed , scheduled and handled appropriately.
  • Maintained and updated instructor records to comply with company policies.
  • Assisted management with national conference calls and presentations.
  • Scouted instructors obtaining information relevant for interview process.
  • Reviewed and verified instructor invoices prior to payment approval .
  • Tracked verified ,entered and fulfilled training purchase orders.
  • Educated customers and diligently addressed all concerns to ensure satisfaction.
  • Communicate with vendors, contractors, professional services personnel to receive orders, direct activities and communicate management instruction.
  • Verified and tracked needed safety, first aide, and CPR certifications for clients to ensure compliance .
  • Assisted with team building initiatives and overall support for maintenance of organizational culture and employee morale.
  • Conducted research to prepare materials, presentations and agendas for all executive level meetings.
  • Provided excellent customer service via phone and Zen Desk to clients and medical professionals.
Prior Authorization Specialist /Surgery Coordinator , 04/2007 to 09/2017
Mount Carmel Vascular Services EastCity, STATE,
  • Created comprehensive scheduling and prior authorization program for structural heart TAVR program.
  • Collaborated with multiple service lines, clinical staff , case management, surgical access services, and medical device vendors to improve compliance, reimbursement, clinical outcomes, and patient satisfaction.
  • Obtained prior authorization of all testing, procedures, surgeries , and admissions for seven vascular surgeons .
  • Managed inbound and outbound referral data base
  • Analyzed physicians' requests to support medical services.
  • Skilled resolution of prior authorization appeals
  • Communicated plan of care with providers ,clinical staff, and patients.
  • Provided thorough patient financial counseling with attention to excellent customer service.
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Scheduled surgeries , procedures and testing for 3 vascular surgeons.
  • Provided patient and family instructions for all surgeries and procedures.
  • Coordinated surgeon, operating room, and clinic schedules.
  • Communicated with surgeons, clinical staff, vendors, and multiple hospital departments to ensure best outcomes.
  • Scheduled office visits, radiology testing ,pre-operative testing and medical clearance.
  • Provided skilled front office back up as needed .
  • Maximized reimbursement for hospital and surgeon charges
Education
Associate of Applied Science: Healthcare Information Management, Expected in 02/2022
DeVry University - Columbus, OH,
GPA:
Medical Billing and Coding Certificate: Medical Billing Coding: , Expected in 11/2020
DeVry University - Columbus, OH
GPA:

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Resume Overview

School Attended

  • DeVry University
  • DeVry University

Job Titles Held:

  • Scheduling Coordinator
  • Training Specialist
  • Prior Authorization Specialist /Surgery Coordinator

Degrees

  • Associate of Applied Science
  • Medical Billing and Coding Certificate: Medical Billing Coding

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