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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.
- 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
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- Payer Specific Guidelines
- Cultural awareness
- Sales expertise
- Complaint resolution
- Service standard compliance
- Customer service and support
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Scheduling Coordinator, 11/2018 to Current
Guardian Elder Care – Richfield, 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 Security – Kingsville, 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 East – City, 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
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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