Alisha Scott
Selma
Summary
Experienced Medical customer service expert with solid background in healthcare administration. Years experience in areas of scheduling, medical assisting, referral coordination, MRT and medical office compliance. Possess strong knowledge of medical terminology and scheduling software, alongside ability to handle patient coordination tasks efficiently. Known for professionalism and compassion when interacting with patients. Previous roles have demonstrated significant improvement in streamlining appointment management processes, ensuring smooth operations within busy healthcare environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Scheduler/Medical Assistant
Montgomery Pulmonary Consultants
10.2024 - Current
- Welcomes and acknowledges each patient punctually as they arrive at the office.
- Collects Co-pays and account balances.
- Makes copies of insurance cards, verifies insurance and makes necessary updates to insurance information in the EMR system.
- Scans in all required patient documentation and closely analyzes to ensure that all insurance and patient demographic information is correct.
- Completes check in process before each patient is triaged for appointment with Physician and completes check out process directly after.
- Completes referrals to other offices and/or hospitals and obtains all needed prior Authorizations.
- Schedules all follow up appointments and procedures.
- Prepares charts for physicians’ clinics.
- Gathers needed records to go into each chart for upcoming appointments.
- Reschedules patients due to change in the physicians’ schedule, their vacation, or change in location.
- Responsible for assisting patients into the exam rooms, gathering vital signs and completing chest x-rays and/ or breathing tests PRN.
- Receives and processes medical records requests both within facility and by external sources. Assists with Completion of ROI forms as needed.
- Analyzes authorization requests to ensure compliance with policies and procedures.
- Collaborates with healthcare providers to resolve complex authorization issues and works closely with insurance companies to obtain needed referrals / authorizations efficiently.
- Streamlined authorization processes, reducing turnaround times for patient approvals.
Customer Service Representative
MOHELA (Missouri Higher Education Loan Authority)
03.2023 - 10.2024
- Provided quality customer service and accurate information to callers.
- Answered incoming calls and responded to customer questions and requests.
- Made outbound calls to follow up with customers to clarify information or provide account updates.
- Addressed and resolved basic account questions by researching account details and making account edits per customer requests.
- Compiled and prepared information necessary to process adjustments to existing loans, new loans, or consolidation of loans.
- Revised and updated account information such as demographics, enrollment status, repayment plans, and deferments/forbearances in accordance with the customer’s request and company policies and procedures.
Scheduler
Vaughan Regional Medical Center-Selma, AL
04.2020 - 02.2023
- First point of contact with patients needing over the phone assistance.
- Handled a high volume of incoming calls.
- Scheduled patient visits and procedures for multiple hospitals and outpatient centers which involved coordinating and adhering to many departments and their clinical protocols.
- Responded to questions and concerns and directed them to the appropriate location or department.
- Provided on-going communication with clinical staff.
- Collected and entered all necessary demographic, clinical, billing and insurance information from patients or responsible parties.
- Provided patient education by explaining preps and patient instructions for the scheduled procedure following scheduling protocols.
- Informed patients of possible co-pays and deductibles that were to be paid at the time of service.
- Ensured each order was received from referring office prior to the patient's scheduled appointment date.
- Reviewed each order for all required information and entered correct icd-10 codes into system.
Patient Account Representative (Registration clerk)
Health Services, Inc- Montgomery, AL
09.2017 - 03.2020
- Provided excellent customer service to each patient registered patients in a timely manner.
- Verified the patients’ eligibility with third party payers on each visit and screened self-paying patients to determine eligibility for insurance programs.
- Collected minimum fees upfront and provided patient with receipt.
- Collected proper documentation and necessary forms.
- Answered telephone calls promptly and in courteous manner and followed proper steps to resolve patient inquiries.
- Scheduled appointments in EPM, printed appointment schedule for clinical staff and called patients in advance for appointment notification.
- Calculated charges for medications received from the pharmacy based on sliding fee discounts. Identify Pfizer medications and collect professional fees.
Education
Associates of Science - Healthcare Management
Ultimate Medical Academy
Clearwater, FL05.2017
Diploma - General Studies
Southside High School
Selma, AL05.2014
Skills
- Proficiencies: MS OFFICE; MS EXCEL; MS WORD; MS POWERPOINT
- Written and verbal communications (letters, emails, presentations, face-to-face communications)
- Decision making skills
- Customer Service
- Electronic Medical Records
- EMR / EHR
- Practice Management Software
- Greenway Prime SUITE
- Healthcare Computer Information Systems
- Medical Practice Management Systems
- HIPAA Compliance
- Anatomy & Physiology
- Basic Pharmacology
- Insurance Billing Procedures
- Insurance Verification
- Interpersonal Professional Communications
- Medical Office Procedures
- Appointment Scheduling
- Charting
- Filing
- Processing Co-Payments
- Practice Structure
- Leadership
- Medical Terminology
Certification
- CCMA - Certified Clinical Medical Assistant
Timeline
Medical Scheduler/Medical Assistant
Montgomery Pulmonary Consultants
10.2024 - Current
Customer Service Representative
MOHELA (Missouri Higher Education Loan Authority)
03.2023 - 10.2024
Scheduler
Vaughan Regional Medical Center-Selma, AL
04.2020 - 02.2023
Patient Account Representative (Registration clerk)
Health Services, Inc- Montgomery, AL
09.2017 - 03.2020
Associates of Science - Healthcare Management
Ultimate Medical Academy
Diploma - General Studies
Southside High School