ALICIA C PAJOTTE
Apopka,FL
Summary
To obtain a challenging position with the opportunity for advancement along with commitment to service excellence.
Overview
4
4
years of post-secondary education
17
17
years of professional experience
Work History
Ancillary Scheduling/Registration/Patient Charge Specialist
Orlando Health Heart Institute
Orlando, FL
12.2024 - Current
- Pre-registration, registration and scheduling multiple patient appointments.
- Efficiently and accurately gather and input patient/guarantor and financial information in hospital system.
- Contacted payers/providers to verify benefits and obtain necessary documents for authorizations, ensuring compliance with insurance requirements.
- Recorded patient charges into hospital billing system to ensure accurate financial documentation.
- Manages multiple additions and cancellations of patient appointments.
- Reviewed daily schedule and communicated changes to staff, facilitating smooth patient flow and appointment management.
- Act as a liaison to clinical and business staff to ensure effective and efficient patient management.
- Acted as a liaison between provider and patient, enhancing communication and understanding of care processes.
- Communicate accurately all pertinent information for all procedures including arrival time, location and duration to patients.
- Explain insurance benefits, copay, deductibles and self-pay portions.
- Acts as a resource for training or mentoring new team members.
Float Medical Receptionist/Patient Care Coordinator
Optum, UnitedHealth Group
Altamonte Springs, Florida
10.2020 - 07.2024
- Checked in patients to ensure accurate registration and information collection. and collected pertinent health and insurance information on Allscripts EMR systems for creating and maintaining patient medical records while maintaining patient confidentiality and HIPAA guidelines.
- Managed incoming phone calls to ensure efficient communication within the clinic, documented messages per protocol, and directed to appropriate clinical staff to ensure effective communication.
- Coordinated clinic schedule and patient appointments across multiple providers and medical staff for streamlined operations.
- Conducted inventory checks of office supplies to maintain adequate stock levels.
- Assisted in organizing training sessions for new staff to promote effective onboarding. for new staff to enhance the onboarding experience. and onboarding new staff.
- Greeted patients at the front desk to create a welcoming environment. and visitors warmly to foster a welcoming clinic atmosphere. and visitors with professionalism and empathy to create a positive clinic environment.
- Facilitated training sessions for new staff to enhance their onboarding experience.
- Inventoried office supplies and received deliveries.
Staff Patient Care Coordinator
OPTUM
Altamonte Springs, FL
10.2020 - 07.2024
- Managed the coordination and processing of all incoming and outgoing patient referrals.
- Utilized Allscripts, Availity, RMS, EPRG, and insurance portals to obtain necessary authorizations for patient treatments.
- Executed all administrative functions related to referral activities while consistently meeting deadlines.
- Received consultant reports, authorization requests, and insurance determinations, and routed them to the appropriate medical personnel according to company policy.
- Coordinated pre-admission testing with clinical personnel, varying specialists, and patients.
- Knowledgeable with CPT and ICD-10 codes with a high level of proficiency relating to medical terminology and a strong healthcare background.
PBX Operator
Good Samaritan Medical Center
West Palm Beach, FL
11.2014 - 09.2019
- Operated telephone switchboard, efficiently relaying incoming, outgoing, and internal calls to ensure effective communication.
- Responded to emergency medical codes, following established protocols to ensure timely and effective assistance.
- Monitored alarms and security systems to maintain safety and promptly identify potential threats.
- Supported team members by completing various tasks to facilitate project progress. to improve workflow. by completing diverse tasks to enhance overall productivity.
Administrative Assistant
Palm Beach Eye Center
Lake Worth, FL
10.2017 - 01.2019
- Checked in patients, collected health and insurance information, and maintained accurate patient medical records.
- Managed incoming calls, documented messages per protocol, and directed messages to appropriate clinical staff.
- Checked in patients and collected pertinent health and insurance information for creating and maintaining patient medical records.
- Collected copayments and deductibles from patients following company and insurance guidelines.
- Expedited patient referrals for office visits by faxing necessary medical notes with CPT and ICD-10 codes.
- Contacted insurance companies to gather information on patient benefits and eligibility.
Referral Coordinator
Florida Vision Institute
Jupiter, FL
03.2014 - 10.2017
- Expedited patient referrals for office visits by faxing medical notes to ensure timely access to care.
- Communicated with insurance companies to verify benefits and eligibility for patient services.
- Knowledgeable with CPT and ICD-10 code with a high level of proficiency relating to medical terminology and strong healthcare background.
- Facilitated training and onboarding of new staff to enhance team integration and service delivery.
- Executed various administrative tasks to support daily operations.
Patient Service Representative
Palm Beach Cancer Institute
Palm Beach Gardens, FL
05.2012 - 03.2014
- Staffed reception desk, greeted patients, answered telephones, and routed incoming calls to appropriate departments for efficient service.
- Staffed reception desk, greeted patients, answered telephones, and re-routed incoming call from both internal and external customers.
- Scheduled follow-up appointments for patients, ensuring timely access to care and coordination between departments.
- Executed daily office closure procedures to ensure security and organization at the end of business hours. and other related duties to the work described herein.
Customer Service Representative
Health Care District of PBC
Palm Springs, FL
11.2009 - 05.2012
- Documented and managed member and provider inquiries, complaints, or grievances over the phone and in person.
- Processed department mail, researched cases, and performed other provider duties.
- Maintained knowledge of benefits plans for all District and Healthy Palm Beach lines of business.
- Assisted in processing department mail, researching for cases, and other provider duties as needed.
- Closed office daily following established procedures. and maintained compliance with operational protocols.
Front Desk Medical Receptionist
- Managed schedule of appointments for new and returning patients.
- Coordinated appointment scheduling for new and returning patients, ensuring optimal utilization of provider time.
- Actively viewed providers schedules to ensure proper patient flow.
- Entered patient information into computer including demographics and insurance.
- Assembled new patient charts and transferred data from KeyMed to EMA.
- Checked in patients and collected pertinent health and insurance information for creating and maintaining patient medical records.
- Managed all incoming calls, documented messages as per protocol, and directed to appropriate clinical staff.
- Executed daily closing procedures to finalize transactions. and other related duties to the work described herein.
- Trained and onboarded new and current staff.
Eligibility Specialist
- Reviewed and assisted clients with managing HCD applications.
- Executed HCD application data entry, ensuring accuracy in departmental records, charts, reports, and files.
- Reviewed HCD applications and provided guidance to clients for effective management.
- Facilitated training and development sessions for new employees to enhance onboarding experience.
- Executed additional tasks to support team operations.
Education
High School Diploma -
St Francois Girl's College
Belmont, Trinidad 09.1985 - 07.1989
Skills
- Patient registration
- Customer Service
- Proficient in MS Office 365
- Detail-oriented
- Time management
- Adaptability
- Interpersonal communication
- Patient scheduling
CUST
English (Fluent)
Timeline
Ancillary Scheduling/Registration/Patient Charge Specialist
Orlando Health Heart Institute
12.2024 - Current
Float Medical Receptionist/Patient Care Coordinator
Optum, UnitedHealth Group
10.2020 - 07.2024
Staff Patient Care Coordinator
OPTUM
10.2020 - 07.2024
Administrative Assistant
Palm Beach Eye Center
10.2017 - 01.2019
PBX Operator
Good Samaritan Medical Center
11.2014 - 09.2019
Referral Coordinator
Florida Vision Institute
03.2014 - 10.2017
Patient Service Representative
Palm Beach Cancer Institute
05.2012 - 03.2014
Customer Service Representative
Health Care District of PBC
11.2009 - 05.2012
High School Diploma -
St Francois Girl's College
09.1985 - 07.1989