To obtain a career in a Medical office that's is fulfilling and will utilize my skills and knowledge with experience and exceptional people skills. Versed in comprehension of Medical Insurance with Authorizations and Intake home health referrals. Desires a challenging role in Medical Administration.
Overview
16
16
years of professional experience
Work History
Medical Office and Intake Manager
Healing Touch Home Health Care
01.2020 - Current
Streamlined appointment scheduling processes to enhance patient flow and reduce wait times.
Managed billing and coding procedures, ensuring compliance with healthcare regulations.
Led staff training programs to enhance operational efficiency and service quality.
Developed policies and procedures for office operations, fostering a compliant work environment.
Coordinated communication between healthcare providers and patients, improving satisfaction rates.
Built and managed processes for tracking and monitoring department performance.
Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
Identified opportunities to streamline processes and improve office operations and efficiency.
Organized and updated databases, records and other information resources.
Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Negotiated with suppliers to secure cost-effective purchasing agreements for office supplies and medical equipment.
Maintained high level of patient care by conducting regular audits of medical record accuracy.
Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
Coordinated regular staff meetings to address challenges, discuss solutions, and share best practices within the team.
Oversaw intake processes, ensuring compliance with regulatory standards and organizational policies.
Monitored intake metrics to analyze performance trends and drive strategic decision-making.
Led initiatives to enhance data management systems, improving accuracy and accessibility of client information.
Conducted regular audits of intake processes, identifying gaps and implementing corrective actions for continuous improvement.
Developed training materials for new staff, ensuring consistency in knowledge and understanding of the intake process.
Coordinated 15- 20 patient intake processes daily, ensuring accuracy and efficiency in data collection.
Authorization Coordinator and Insurance Specialist
Advanced Home Health Inc.
12.2018 - 2020
* Provide excellent customer service to internal and external customers
Through prompt response and courteous communication within 24 hours
Of the request.
*Verify all insurance benefits and eligibility as necessary to ensure
* Assist patients with questions or concerns regarding their authorization,
Followllow up is timely.
* Obtain authorization on all necessary visits prior to utilization.
* Ensure all tasking is worked daily and completely to ensure appropriate
* Interface with staff to ensure all necessary documentation is valid and
* Respond to and resolve difficult/sensitive inquiries and complaints;
* Immediately alert scheduling and team regarding any denial of services.
* Document accurately and timely in the EHR system all authorizations or
Assist team members as needed.
* Other duties as assigned.
* Maintain departmental goals and productivity parameters as set forth by the
Supervisor
Insurance Specialist
Rx HealthCare Services
08.2013 - 12.2018
Determined which party would be liable for payment on medical services by thoroughly reviewing patient insurance coverage.
Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Used HAS and DeVero MR system to input claim, prior authorization and other important medical data into the system.
Ensured efficacy of treatments through monitoring of treatment regimens.
Cooperated with other health related agencies and organizations in community activities.
Acted as patient advocate and implemented total patient care as part of a nursing team covering 8-10 high acuity patients per shift.
Organized and coded all documents related to due diligence for acquisitions.
Contacted insurance companies to obtain the necessary preauthorizations needed for upcoming tests and procedures.
Evaluated accuracy and compliance of all documentation and reports.
Ensured HIPAA compliance.
Jumped in to fill gaps for on call rotation when necessary.
Assigned staff to meet patient care needs and address productivity standards, while adjusting for census, skill mix and sick calls.
Processed monthly reports for department performance.
Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
Expertly planned, coordinated, organized and directed all operations of the agency.
Communicated extensively with patients to provide assistance, support and instructions.
Tracked all pending authorizations to resolve discrepancies and avoid revenue loss.
Communicated effectively with staff, including members of operations, finance and clinical departments.
Medical Administration
Accentcare Home Health of California, Inc
07.2009 - 08.2013
Tracking and Monitoring time sensitive Physicians orders in a timely manor, answering multi-lined phones, scheduling patient care , face to face encounters, data entry, payroll data entry, typing patient plan of care.
Created databases and spreadsheets to improve inventory management and reporting accuracy.
Received and screened a high volume of internal and external communications, including email and mail.
Identified and enforced best practices to ensure operational efficiency and client satisfaction.
Communicated intake information to the doctor in an organized and concise manner.
Education
Completed Coursework in Front And Back Office. - Medical Administration
Maric College
Sacramento, CA
10.2005
Skills
Health insurance processing Training and development
Excel spreadsheets File and data retrieval systems