Scheduling Team Lead Resume Example Sierra Health Group

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

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

Scheduling Team Lead Resume Example

Resume Score: 80%

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