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Scheduling Team Lead Resume Example

Resume Score: 80%

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SCHEDULING TEAM LEAD
Professional Summary

Experienced Medical Office Administrator, well-versed in clerical, medical billing and records management functions. Friendly and reliable team player with strong critical thinking skills and problem solving abilities. Seeking a new professional challenge in a fast paced environment.

Skills
  • Staff management
  • Training and development
  • Patient education and counseling
  • Insurance Eligibility/Pre- Cert Specialist
  • Strong Customer Service Skills
  • Data entry
  • Patient scheduling
  • Care coordination
  • Call center operations
  • Bilingual Oral and Written (Spanish)
  • EMR/EHR
  • AR Reporting
  • Microsoft Products Efficient
  • Navinet, CareCore, NJMMIS, One Source
Work History
Scheduling Team Lead Sierra Health Group - Bloomfield , NJ 04/2019 - Current
  • Handled heavy call volume for scheduling of procedures and exams at Hospital Outpatient Facility
  • Communicated with Hospital, Provider, Patients and Insurance companies for proper billing and financial purposes
  • Knowledge of CPT codes and ICD10
  • Handled Pre-Certifications/Authorizations and Insurance Eligibility
  • Served as bilingual interpreter for patients
  • Supervised team of 6 employees to ensure procedures and exams were scheduled in a timely and proficient manner
  • Coordinated front office duties, including customer service, patient scheduling and billing
  • Conducted field visits and met corporate customers for business development
  • Determined and recommended methods to address improvement opportunities
  • Inspected inbound and outbound products for compliance with established industry standards, company policies and procedures
  • Improved quality processes for increased efficiency and effectiveness
Billing RepresentativeMTBC Health Solutions - Mahwah, NJ04/2018 - 03/2019
  • Answered phone calls in a timely manner for patient payments, payment plans, billing questions
  • Obtain medical records for resubmission of claims
  • Verified patient demographic information for efficient billing and collections
  • Handled Electronic and Paper Filing of Health Insurance Claims
  • Accurately posted and sent out all medical claims
  • Pre-certified medical and radiology procedures, surgeries and echocardiograms
  • Determined prior authorizations for medication and outpatient procedures
  • Evaluated patients' financial status and established appropriate payment plans
  • Precisely evaluated and verified benefits and eligibility
  • Printed and reviewed monthly patient aging report and solicited overdue payments
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
  • Processed payment via telephone and in person with focus on accuracy and efficiency
Patient Care Coordinator Care Station Medical Group - Linden , NJ01/2013 - 02/2016
  • Encouraged patients to schedule recommended tests and procedures
  • Scheduled presentation appointments for pharmaceutical representations and physicians
  • Educated patients by explaining preparation instructions for upcoming procedures and tests
  • Built strong referral network by developing strategic relationships with general practitioners and internist
  • Met with patients and families to discuss care and plan of action for future
  • Measured effectiveness with team and implemented recommendations for long term improvements
  • Reviewed medical charts and served as liaison between patient, doctor and hospital
  • Maximized preventative care utilization to reduce hospital burden and help eliminate readmissions
  • Worked closely with Optimus Healthcare ACO to make sure our patients did not have any gaps in their medical care
  • Provided translation and transportation for patients to and from our facility
  • Drafted meetings, agendas, supplied advanced materials and executed follow up for meetings and conferences
  • Created weekly and monthly reports and presentations
Office ManagerCenter For Asthma And Allergy - Hoboken , NJ 08/1999 - 01/2009
  • Handled front desk duties such as check in and check out procedures for patients
  • Handled heavy call volume assisting patients, insurance companies and other providers
  • Handled medical billing and AR follow up. Electronic and Paper Filing
  • Knowledge of CPT Codes and ICD9 & ICD10 codes
  • Handled all referrals, pre certifications, insurance eligibility
  • Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills
  • Built relationships with physicians to create steady referral pipeline
  • Created and implemented organizational policies and procedures
  • Ensured compliance with OSHA and HIPAA regulations
  • Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties
  • Developed close working relationships with front office and back office staff
  • Developed and maintained electronic record management systems to analyze and process data
  • Developed policies and procedures for effective practice management
Education
Associate of Science: Medical Office Administration/ Medical Billing The Cittone Institute - Edison, NJ06/1997
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Sierra Health Group
  • MTBC Health Solutions
  • Care Station Medical Group
  • Center For Asthma And Allergy

School Attended

  • The Cittone Institute

Job Titles Held:

  • Scheduling Team Lead
  • Billing Representative
  • Patient Care Coordinator
  • Office Manager

Degrees

  • Associate of Science : Medical Office Administration/ Medical Billing

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