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Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Attentive Surgery Scheduler familiar with medical billing and coding, currently scheduling in EPIC software. Capable of organizing paperwork, and working with speciality surgeons in high paced areas. Effective at setting up as many as 100+ weekly procedures for about 30 surgeons in a busy operating room. Well-versed in checking coverage, obtaining authorizations and documenting correct ICD-10 and CPT codes. Talented Billing representative proficient in daily accounts receivable operations, collections and reporting.

Skills
  • EHR systems expertise
  • Obtaining authorizations
  • Verifying insurance
  • Correspondence writing
  • Managing deadlines
  • CPT code specialist 
  • ICD-10 specialist 
  • Microsoft, Soarian competency
  • Records maintenance 
  • Pre- and post-surgical care
  • Strategic planning capability
  • Scheduling
  • Healthcare billing
  • Type 55 wpm
  • Multi-line telephone
  • Complex customer service experience
  • Excellent communication with great team coordination expertise. 
Education
Bryman Colege Hayward, CA Expected in 2002 Technical Degree : Medical Billing - GPA :
Merritt College Oakland, CA Expected in Associate of Science : - GPA :

Currently completing studies for Associate of Science

Work History
Minnesota Eye Consultants - Surgery Scheduler
Bloomington, MN, 01/2018 - Current
  • Coordinate with surgeons to set up surgeries and receive case order for next day surgery; coordinating with 30 surgeons for all specialities.
  • Established staff schedules and assignments based on facility needs and equipment availability.
  • Implemented necessary changes based on evaluation of staffing requirements and floor assignments.
  • Usage of EPIC software to schedule and manage patient appointments.
  • Maintained all confidential personnel files.
  • Routinely collaborated with department managers to correct problems and improve services.
  • Managed various general office duties such as answering multiple telephone lines, encountering and helping representatives with vendors, also assisted in-office personnel with needs.
Cuyuna Regional Medical Center - Prior Authorization Specialist
Baxter, MN, 02/2015 - 01/2018
  • Inputted all patient data regarding claims and prior authorizations into the system accurately.
  • Reviewed insurance coverage for patients to determine which party was liable for payment. 
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Closely collaborated with management team to make necessary improvements and satisfy surgeons needs.
  • Continually maintained and improved the company's reputation and positive image in the markets served.
  • Trained new staff on authorization process and also demonstrated new work processes. 
  • Identified process improvements in the day-to-day functioning of the department.
  • Maintained good communication between department heads, medical staff and other necessary parties for anticipated scheduled surgeries. 
  • Ensured HIPAA compliance.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
Community Health System - Admitting Clerk
Ponca City, OK, 12/2010 - 02/2015
  • Registered patients for labs, surgeries and radiology.
  • Arranged forms and charts for each patient.
  • Verified patient details and insurance coverage and collected co-pays.
  • Strategically planned methods to achieve operational goals and targets.
  • Coordinated with nursing staff to process and direct patients to the appropriate departments 
  • Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each patient. 
  • Ensured HIPAA compliance.
  • Managed various general office duties such as answering multiple telephone lines and completing all necessary forms. 
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
  • Routinely collaborated with department managers to correct problems and improve services.
  • Documented patient information obtained from interviews.
  • Reviewed documentation for compliance with requirements and accuracy of information.
  • Assisted as an ER registrar to help work flow.
  • Received and completed death certificates for expired patients. 
  • Scheduled direct admissions. 
Minnesota Eye Consultants - Surgery Scheduler
Minnetonka, MN, 09/2005 - 05/2010
  • Coordinate all scheduling for surgical procedures with surgical centers for approved patients.
  • Verify insurance eligibility for office visits and treatment.
  • Oversee authorization from workers compensation and private insurance claims.
  • Execute follow up with adjusters on medical requests.
  • Document and process referrals for patients directed to outside clinics and physicians.
  • Checking in patients, collect co-pays, process all medical documentation, applications, forms and reports. 
  • Train new interns and employees. 
  • Reviewed medical histories and current information to provide accurate information to surgeons.
  • Verified insurance coverage and obtained pre-authorizations.

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Resume Overview

School Attended

  • Bryman Colege
  • Merritt College

Job Titles Held:

  • Surgery Scheduler
  • Prior Authorization Specialist
  • Admitting Clerk
  • Surgery Scheduler

Degrees

  • Technical Degree
  • Associate of Science

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