Experienced Surgery Coordinator, Certified Medical Assistant, and Medical Coder with a strong background in healthcare. Skilled in effectively meeting patient needs through clear communication and proactive interaction with medical services. Demonstrated track record of excellence at personal, team, and institutional levels. Capable of managing multiple tasks and prioritizing work independently. Committed to supporting team achievements through diligence, precision, and exceptional organizational abilities. Dedicated to ongoing professional development and advancement in the healthcare industry.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Coder II
University Medical Billing
08.2023 - Current
Medical Secretary/Surgery Coordinator
University of Utah School Of Medicine
11.2021 - Current
Manage master calendar and schedule appointments for providers based on optimal patient loads and clinician availability.
Verify insurance coverage and obtain prior authorizations for surgery for adult and pediatric patients.
Submit appeals for denied surgical procedures.
Prioritize calls through screening process and transfer calls and recorded messages for appropriate personnel.
Facilitate new patient prescriptions, refills, and prescription pre-authorizations.
Document patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
Register new patients in electronic medical records prior to appointment scheduling.
Coordinate customer service, patient scheduling and billing.
Keep information confidential and follow HIPAA guidelines to maintain patient trust.
Schedule patient appointments in respective doctors' calendars and follow up with reminder phone calls.
Register and verify patient records before triage with most up-to-date information.
Complete administrative patient intakes with case histories, insurance information and mandated forms.
Input all patient data regarding claims and prior authorizations into system accurately.
Research denied claims and contact insurance companies to resolve these issues.
Prepare and distribute denial letters, detailing reasons for denial and possible appeal measures.
Field telephone inquiries on authorization details from plan members and medical staff.
Manage office bookkeeping with insurance billing and patient payments.
Provide estimates for self pay surgical procedures.
Review patient charts to better understand health histories, diagnoses, and treatments.
Patient Coordinator
University of Utah Health Care/ Endoscopy & GI
12.2019 - 11.2021
Assessed patient questions and ensures the appropriate coordination of the patient experience.
Directed the scheduling of patient appointments with providers and ancillary services.
Educated patients about available resources and what to expect during their visit.
Coordinated referrals from physicians and self-referred patients.
Gathered needed medical information such as records, slides, films, and ancillary tests to assist in the coordination of patient needs.
Ensured insurance coverage, resolves any issues with coverage, and escalates complicated issues to appropriate financial counselor.
Assisted clinical staff in patient procedures in accordance with the incumbent's licensure, as required by the specific department.
Acted as a liaison with other care groups such as social work, financial counseling and nutrition to facilitate the patient intake process.
Assisted in the coordination of seminars and community outreach activities.
Assisted in the procurement of the appropriate patient supplies and equipment.
Managed and kept track of sample medications.
Created and implemented new processes in the GI Clinic.
Acted as a point of contact for the GI medical assistants and providers.
Attended regular education meetings and trainings to educate fellow staff members.
Reviewed and manage provider schedules.
Worked closely with providers and nurses to ensure we are providing effective care.
Managed hospital admissions and patient flows while organizing patient care.
Established rapport and relationships with patients and external partners to cross-train and support medical staff.
Communicated with patients, caregivers and families members to relay diagnoses and treatment options.
Delivered excellent patient experiences and direct care.
Encouraged patients to schedule recommended tests and procedures.
Maintained confidentiality of patient data and condition to safeguard health information.
Explained upcoming treatment preparation, instructions and other facts to patients.
BERT Team Member.
Head of Quality Council Meetings.
Preceptor Training.
Provided complete patient assessments and communicate with patients to understand medical histories.
Verified eligibility and compliance with authorization requirements for service providers.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Researched denied claims and contacted insurance companies to resolve these issues.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Established rapport and relationships with patients and external partners to cross-train and support medical staff.
Certified Medical Assistant & Endoscopy Scope Washer
University of Utah Health Care/ Endoscopy & GI
03.2014 - 12.2019
EPIC and Schedgistation Training.
Maintained employment as a level III medical assistant.
Medical Assistant Preceptor.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
Directed patients to exam rooms, fielded questions and prepared for physician examinations.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Collected and documented patient medical information such as blood pressure and weight.
Taught patients about medications, procedures and care plan instructions.
Sanitized, restocked and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms and allergies.
Sanitized and reprocessed endoscopy scopes.
Obtained prior authorizations for medications and imaging.
Submitted appeals for denied medications and procedures.
Medical Assistant
University of Utah Health Care
08.2013 - 03.2014
Proficient in EMR and Epic.
Schedgistration training.
Perform allergy testing and injections.
Perform PFT testing.
Triage patient calls and MyChart e-mails.
Directed patients to exam rooms, fielded questions and prepared for physician examinations.
Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
Sanitized, restocked and organized exam rooms and medical equipment.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Obtained prior authorizations for medications and imaging.
Submitted appeals for denied medications and procedures.
Education
Medical Billing And Coding -
Career Step
04.2023
Medical Assistant Certificate -
Salt Lake Community College
06.2013
High School Diploma -
Taylorsville High School
Taylorsville, UT
06.2010
Skills
Proficient in EMR using Epic and iCentra
Schedgistration training
Organized and Efficient
Knowledgeable with CPT & ICD-10 Codes
Proficient in Obtaining Prior Authorizations for Surgical and Imaging Procedures for both Pediatric and Adult Patients
Trained in using Availity
Calm and Effective Under Pressure
Administrative and Office Support
Quality Standards and Protocols
Caring and Empathetic
Registration and Scheduling
Communicating to Patients and Families
Gathering Information from Patients
Microsoft Office
Medical History Documentation
Schedule Coordination
Medical Terminology
Reliability and Dedication
Insurance Authorizations
Patient Registration
Appointment Scheduling
Medication Administration
Flexibility and Adaptability
Explaining Policy and Procedures
Documenting and Recording Information
Time Management and Prioritization
Willingness to Learn
Procedural coding
Diagnostic coding
Inpatient records coding
Coding error resolution
ICD-10 coding
Microsoft Excel
Certified professional coder (CPC)
Certification
Certified Professional Coder Apprentice, AAPC
Certified Medical Assistant, AAMA
Timeline
Medical Coder II
University Medical Billing
08.2023 - Current
Medical Secretary/Surgery Coordinator
University of Utah School Of Medicine
11.2021 - Current
Patient Coordinator
University of Utah Health Care/ Endoscopy & GI
12.2019 - 11.2021
Certified Medical Assistant & Endoscopy Scope Washer