Organized and dependable motivated candidate knowledgeable about working with facilities; patients and medical staff to set up minor procedures and complicated surgeries; pain cases and radiology. Detail orientated team player with good problem solving, relationship building and communication skills. Fluent in english and spanish. Seeking entry-level opportunities to expand skills while facilitating company growth.
Skills
Strong Customer Service
Managed Patient Information
Data Entry
Front/ Back Office Clerk
Phone Operator
Customer Communication
Registration
Scheduler In and Out Patients
Scheduler for Radiology and Pain cases
Translator for spanish speaking patients
Check in and Check out patients
Creating New Patient Accounts
HIPAA Compliance
Educating Patients Up Coming Surgery or Procedure
Facility Correspondence
Payment Plan Options
Copay Collecting
Experience
06/2010 to 09/2022
Surgery SchedulerAlliance Community Hospital – Bolivar, OH,
Worked with operating facilities to schedule procedures on behalf of 28 orthopedic surgeons.
Scheduled follow-up appointments as designated by physician.
Located scheduling barriers and implemented appropriate solutions.
Collaborated and established strong working relationships with physicians, supervisors and colleagues.
Coordinated work processes and routed paperwork to appropriate physicians and staff members.
Booked surgeries according to physician volume and maintained prompt turnaround times.
Conveyed information to patients about arrival times and preoperative procedures.
Checked physician orders and schedule availability to make accurate appointments for tests and surgical procedures.
Used accurate procedure codes for billing purposes and to help operating teams be correctly prepared for each operation.
Communicated with patients with compassion while keeping medical information private.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Answered telephones and directed calls to appropriate medical or administrative staff.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Arranged hospital admissions for patients as required.
Transmitted medical records and other correspondence by mail, e-mail, or fax.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Routed laboratory or diagnostic results to appropriate staff.
Transltor for spanish speaking patients.
03/2007 to 06/2010
Buisness OfficePacific Dental Services – Arcadia, CA,
Inventoried room, front office and housekeeping supplies and made orders to restock.
Handled payment processing and provided customers with receipts and proper bills and change.
Conducted transactions, confirming patient information and processing according to standard protocol.
Pleasantly welcomed visitors, answered phone calls and maintained front reception desk.
Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
Handled incoming calls and directed callers to appropriate department or employee.
Responded to customer issues to provide immediate resolution and improve retention.
Translator for spanish speaking patients.
01/2002 to 12/2006
Medical Coding and Billing SpecialistBronson Battle Creek – Battle Creek, MI,
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Quickly responded to staff and client inquiries regarding CPT codes.
Submitted and accurately processed insurance claims with related medical code verifications and assessments.
Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
Investigated rejected and denied claims, correcting applicable coding.
Submitted clean claims to insurance companies electronically to secure payments.
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Handled daily high volume calls to schedule patients for eye appointments.
worked in Credentialing Physicians to various insurance companies.
01/2001 to 01/2003
Referral CoordinatorValley Spine Center – City, STATE,
Scheduled patients according to availability, urgency and insurance authorization guidelines.
Verified documents and associated records to catch and resolve discrepancies.
Developed productive working relationships with numerous insurance company representatives.
Reviewed demographic, clinical and insurance information before sending to referred specialists.
Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
Answered questions and resolved concerns raised by both patients and specialists.
Consulted with staff on resolution of complex service issues.
Assessed and identified service delivery challenges and opportunities within local area.
Established and maintained relationships to meet community needs and avoid service duplication.
Provided direct service and support by handling referrals for advocacy issues or resolving complaints.
Maintained confidentiality of patient data and condition to safeguard health information.
worked with patients to deliver excellent and direct individualized patient care.
Upheld confidentiality requirements and regulatory compliance guidelines.
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