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 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
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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