
Administrative professional with strong background in optimizing front office functions and ensuring exceptional client experiences. Proven ability to manage appointments, coordinate office activities, and support team efficiency. Focused on collaborative teamwork and achieving operational excellence with responsive adaptability to changing needs.
• Scheduled patient appointments and coordinated intakes, including walk-in and follow-up visits, using electronic scheduling systems.
• Verified insurance eligibility and set up billing episodes in electronic health records (EHR), ensuring accurate patient financial contracts and payment plans.
• Collected and posted patient payments, reconciled daily deposits, and maintained accurate documentation for all transactions.
• Managed high-volume patient flow and provided exceptional customer service in a fast-paced outpatient environment.
• Triaged patient issues, assisted with de-escalation, and maintained confidentiality in compliance with HIPAA regulations.
• Performed general office duties such as document preparation, scanning, filing, and sending packages via FedEx and UPS.
• Assisted with inventory management, ordering clinic supplies, and supporting office operations as needed.
• Supported quality improvement initiatives and participated in ongoing job-focused education.
• Verified insurance coverage, processed referrals, and updated patient charts with insurance and demographic information.
• Scheduled appointments, checked in patients using AdvancedMD, and explained benefits, co-pays, and coinsurance to patients.
• Posted payments, reconciled end-of-day records, and scanned Superbills for billing, supporting accurate revenue cycle processes.
• Communicated with billers daily to resolve outstanding balances and submitted bill payments via credit card and check.
• Managed records requests, handled patient inquiries, and maintained compliance with HIPAA and office protocols.
• Assisted with rooming patients, cleaning rooms, and supporting medical assistants as needed.
• Ordered office and kitchen supplies, coordinated luncheons, and provided bilingual (Spanish) support.
• Scheduled appointments and imaging procedures using Athena, including surgical procedures at hospitals.
• Verified insurance coverage and obtained prior authorizations for procedures, utilizing Availity, UHC, Medicare, and Cigna.
• Scanned insurance cards, driver's licenses, and other documentation to maintain accurate patient records.
• Managed referrals, submitted records requests, and communicated with referring offices to ensure timely patient care.
• Provided PRN support as a medical assistant, including rooming patients, taking vitals, and updating medication lists.
• Answered phones, scheduled appointments, and managed crew calendars to ensure efficient operations.
• Coordinated collections and statements, demonstrating strong organizational skills and attention to detail.
• Problem-solved customer concerns and prioritized tasks in a fast-paced environment.
• Updated social media and assisted with advertising, providing bilingual support as needed.
• Managed front office operations, including patient check-in, check-out, and answering phones.
• Prepared charts for MRI, X-ray, and labs, and distributed documentation using Paragon and ECW systems.
• Verified insurance coverage (BCBS, UHC, Cigna, Medicare, Aetna), requested referrals, and performed authorizations for surgeries.
• Scheduled surgical procedures at hospitals, informed patients of procedure details, and maintained protocol compliance.
• Used IMS for billing and coding, attended monthly meetings, and ensured all documentation requiring physician signature was completed.
• Verified medical insurance coverage using E-Clinical, Next Gen, Availity, UHC, Cigna, and Medicare systems.
• Created and updated patient VOBs, processed pre-authorizations, and communicated benefits and coverage to patients.
• Scheduled office and home visits, assisted with collections, processed payments, and set up payment plans.
• Updated Excel spreadsheets daily, mailed reminder letters, and maintained accurate records for collections.
• Communicated with office staff via chat, Teams, and phone to resolve billing and insurance issues.