scheduling specialist resume example with 20+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Skills
Positive Attitude
Computer Skills
Clear Communication
Overcoming Objections
Scheduling and Calendar Management
Telephone Etiquette
Incoming Call Reception
Customer Service
Attention to Detail
Multi-Line Phone Systems
Positive Attitude and Energetic
Visitor and Customer Relations
Appointment Scheduling
Customer Complaint Resolution
Administrative Support
Prioritization and Time Management
Computer Proficiency
Data Entry and Database Software
Microsoft Office
Calendar Management
Microsoft Office Suite
Call Answering and Routing
Multitasking and Prioritization
Customer Service-Oriented
Courteous and Professional
Documentation and Reporting
Reliable and Punctual
Verbal and Written Communication
Records Management
Professional Telephone Demeanor
Customer Relations Abilities
Schedule Management Expertise
Documentation Skills
Claims Handling
Office Supply Management
Word Processing
Spreadsheet Tracking
Office Equipment Maintenance
Punctual and Reliable
Problem-Solving
Conflict Resolution
Equipment Troubleshooting
Referral Coordination
Personal Initiative
Meeting Support
Relationship Building
Experience
Scheduling Specialist, 06/2021 - Current Adventist Health System – Bethesda, MD,
Provided exceptional customer service through effective telephone communication and follow-ups.
Overcame objections with persuasive approach, highlighting benefits and deflecting concerns.
Qualified customers' interest levels by building trust through conversation and utilizing provided scripts.
Created new accounts and updated existing [Type] accounts with most current details.
Used athena to document calls and schedule appointments.
Distributed to team members to support open communication and quality customer service.
Gave out knowledgeable details regarding business offerings and procedures.
Answered telephones and directed calls to appropriate staff members.
Scheduled and confirmed appointments.
Provided information regarding services and policies.
Medical Biller, 02/2019 - 06/2021 Ensign Group – Riverside, CA,
Submitted claims to insurance companies.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Reviewed legal claims for accuracy and issues.
Executed account updates and noted account information in company data systems.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Reviewed engine assigned codes and modifiers to update and verify accuracy.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Reconciled codes against services rendered.
Checked claims coding for accuracy with ICD-10 standards.
Coordinated communications between patients, billing personnel and insurance carriers.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Reviewed claims for coding accuracy.
Performed insurance verification, pre-certification and pre-authorization.
Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
Enforced compliance with organizational policies and federal requirements regarding confidentiality.
Applied HIPAA privacy and security regulations while handling patient information.
Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
Prior Authorization Specialist, 12/2014 - 11/2018 Oregon Medical Group – Springfield, OR,
Maintained files for referral and insurance information, entering referrals into system.
Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
Clarified patient inquiries and questions to update patient account information in computer system.
Explained eligibility details and affordability options to patients with kindness and respect.
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
Answered questions and responded to inquiries to deliver high level of service to patients.
Notified ordering providers of denied authorizations.
Used cerner to input claim, prior authorization and other important medical data into system.
Maintained positive working relationship with fellow staff and management.
Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Coordinated resolutions for issues and appealed denied authorizations.
Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Collaborated with internal departments to provide account status updates.
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