Summary
Overview
Work History
Education
Skills
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Timeline
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Amy Grimshaw

Salt Lake City,UT

Summary

Managed insurance billing and scheduling processes to optimize patient care and enhance operational efficiency.

Overview

27
27
years of professional experience

Work History

Population Health Specialist

Granger Medical
Salt Lake City, UT
05.2024 - 06.2026
  • Analyze patient data to coordinate care needed for preventive care.
  • Worked using Excel spreadsheets maintaining and analyze patient data.
  • Coordinated with providers and staff to get patients care.
  • Helped providers with ICD 10 codes and CPT codes to document for insurance.
  • Did prior authentication for echocardiograms.
  • Helped schedule appointments for echocardiograms and other appointments needed for patients.
  • Gathered and documented insurance HCC and ACA forms of patient diagnosis that needed review by providers.
  • Performed Diabetic Eye Exams using Retinavue Camera on patients when needed.
  • Met and coordinated with other Population Health teammates on monthly focuses.
  • Gathered patient medical records and office visit notes to add to patients chart for documentation.
  • Billed Home Health Certificates by inputting ICD 10 codes and CPT codes as well as making sure all documents prepared needed for billing.
  • Billed and managed holter monitor program for company.

Patient Service Representative

Granger Medical
Salt Lake City, UT
02.2023 - 05.2024
  • Greeted patients upon arrival and directed them to the appropriate area, ensuring efficient patient flow
  • Provided customer service by answering patient questions and addressing concerns, improving patient satisfaction
  • Verified insurance information, collected payments, and scheduled appointments, streamlining front desk operations
  • Assisted with the completion of medical forms and records, reducing patient wait times
  • Answered incoming calls in a professional manner, maintaining high communication standards
  • Ensured all necessary paperwork was completed prior to patient visits, minimizing appointment delays
  • Informed patients about payment options, billing policies, and procedures, increasing billing transparency
  • Sorted and distributed incoming mail daily, supporting office organization
  • Inputted patient demographic data into electronic health record system, maintaining accurate records
  • Scanned documents into electronic health record system as needed, ensuring up-to-date patient files
  • Performed administrative duties such as filing, faxing, and photocopying to support office efficiency
  • Reviewed patient accounts for accuracy on a regular basis, reducing billing errors
  • Assisted with scheduling follow-up appointments according to provider availability, optimizing provider schedules
  • Scanned completed forms, identification, and insurance cards, maintaining organized patient document folders
  • Scheduled patient appointments and procedures, supporting timely patient care
  • Answered patient questions and fielded complaints to resolve issues, enhancing patient experience

Surgery Scheduler

Surgical Care Affiliates Inc.
Salt Lake City, UT
11.2022 - 01.2023
  • Created and managed surgical schedules for multiple surgeons, optimizing operating room utilization
  • Coordinated with patients, staff, and physicians to ensure accurate scheduling of surgeries, reducing scheduling conflicts
  • Monitored and updated patient records in the electronic medical record system, maintaining data integrity
  • Ensured that all required documents were obtained prior to scheduled procedures, minimizing delays
  • Processed payments from patients for surgical services rendered, supporting revenue cycle management
  • Verified accuracy of billing information prior to submitting claims, reducing claim denials
  • Adhered to HIPAA guidelines when handling confidential information, ensuring patient privacy
  • Performed data entry into various computer systems related to surgery scheduling, maintaining accurate records
  • Coordinated work processes and routed paperwork to appropriate physicians and staff members, streamlining workflow
  • Managed patient check-in and check-out procedures and processed payments, enhancing patient experience
  • Answered telephone and directed calls to appropriate medical or administrative staff, ensuring prompt communication

Customer Service Specialist

University of Utah Healthcare
08.2022 - 09.2022
  • Scheduled various kinds of eye appointments for John Moran Eye Center facilities, ensuring efficient patient flow
  • Created and sent messages to appropriate providers' teams at facility, facilitating timely communication
  • Helped start triage calls to be warm transferred to Moran Triage team, improving patient care coordination
  • Registered new patients' information in Epic, maintaining accurate patient records
  • Entered and verified patient insurance information, reducing claim errors

Patient Access Coordinator

Radiology ST. Marks Hospital
08.2021 - 08.2022
  • Scheduled various radiology procedures for a variety of medical offices that use ST Marks for their patients, optimizing appointment availability
  • Worked to get authorizations with patients' insurance companies, expediting approval processes
  • Took inbound calls and made outbound calls for scheduling patients, ensuring timely access to care
  • Registered patients in Epic, making sure insurance, demographic, and other important information was accurate, reducing registration errors
  • Transcribed radiology orders in system and verified CPT and ICD-10 codes, ensuring billing accuracy
  • Helped train new coordinators on transcribing orders and obtaining authorizations, improving team performance

Patient Service Representative Granger

PSR, Medical
07.2020 - 08.2021
  • Checked patients in for appointments with provider, ensuring smooth patient intake
  • Verified insurance and updated patient demographic information, maintaining accurate records
  • Assisted patients/providers by answering calls and taking detailed messages to send to Medical Assistants for needs such as medication refills, referrals, and other medical needs, improving response times
  • Helped trainer with new employees and trained them about specific clinic procedures and policies, supporting onboarding
  • Coordinated with other PSRs on money intake and prepared daily deposit reports, ensuring financial accuracy
  • Input and monitored client secure information, maintaining confidentiality
  • Scheduled and rescheduled appointments for 12 doctors, optimizing provider schedules

Receptionist/billing Coordinator

Reaveley Engineering + Associates
02.2019 - 05.2020
  • Managed quality communication and customer support for engineers and their clients, enhancing client satisfaction
  • Coordinated food services for weekly meetings, supporting team collaboration
  • Maintained up-to-date information and coordinated renewal on multiple business licenses, ensuring compliance
  • Helped with travel services for engineers for projects in and out of state, facilitating project logistics
  • Typed, created, and organized documents such as spreadsheets, company information, and client information, improving office organization
  • Created and managed monthly invoices to clients, supporting timely billing
  • Used software to create and manage over 400 projects a year for billing, project management, and client information, streamlining operations
  • Helped marketing team with projects and organizing client information, supporting business development

Office Manager

Carmen B. Pingree Autism Center of Learning
08.2017 - 01.2019
  • Fostered and maintained a dynamic front office work environment, promoting team productivity
  • Managed and maintained Pingree Center budget, ensuring fiscal responsibility
  • Oversaw State Free/Reduced School lunch program, supporting student nutrition
  • Procured, maintained, and organized all office supplies, ensuring operational readiness
  • Regulated staff and schedule to support student transportation, optimizing logistics
  • Supervised and monitored student tuition payments, maintaining accurate financial records
  • Coordinated and oversaw hiring process in coordination with HR, streamlining recruitment
  • Trained new staff with transportation and emergency expectations, improving onboarding
  • Collected and maintained staff files, ensuring compliance with regulations
  • Input and monitored client secure information, maintaining confidentiality
  • Created and coordinated front office schedules, optimizing staff coverage
  • Communicated with and onboarded new clients, enhancing client experience
  • Conducted and disbursed scholarship funds, supporting student access

Lead Teacher

Carmen B. Pingree Autism Center of Learning
12.2016 - 08.2017
  • Created and administered learning activities for classroom of 14 children, fostering academic growth
  • Fostered an independent problem-solving culture amongst students and classroom aides, encouraging self-reliance
  • Developed strong connections and relationships with parents, enhancing family engagement
  • Communicated daily with parents through email, student journals, and anecdotal notes, ensuring an open learning environment
  • Crafted weekly newsletter to ensure all parents understand expectations, improving communication
  • Organized and oversaw school field trips, enriching student experiences
  • Structured and systematized the preschool center library, improving resource accessibility
  • Shaped and implemented organizational structure for school files, enhancing record-keeping
  • Assisted operation of the schoolwide morale committee, supporting staff engagement
  • Nanny for the Ellen and Chris Rossi Family, providing individualized care

Activities Coordinator

Jewish Community Center Early Childhood Center
11.2015 - 08.2016
  • Regularly traveled with family to provide support and childcare services, ensuring consistent care
  • Promoted language and literacy development through games and storytelling, enhancing early childhood education
  • Developed and maintained positive behavior management system with children in coordination with parents, supporting positive outcomes
  • Safely transported children to and from extra-curricular activities and medical appointments, ensuring child safety
  • Designed and arranged enriching activities to foster age-appropriate development, supporting holistic growth

Physician Services Patient Service Representative

Sutter
03.2015 - 11.2015
  • Verified insurance and updated patient demographic information, ensuring accurate records
  • Scheduled and rescheduled appointments for 16 doctors, optimizing provider schedules
  • Scheduled appointments and referrals from other medical offices, improving care coordination
  • Monitored work queues to ensure information was complete in EPIC HIS system, reducing errors
  • Assisted patients in sending and receiving messages to their doctors, enhancing communication
  • Aided patients in ordering and tracking of their medications, supporting medication adherence
  • Supported patients to coordinate their needs with various Care Centers, improving patient outcomes

Lead/assistant Teacher

Salt Lake City, UT
10.1999 - 02.2015
  • Planned activities to develop social, emotional, cognitive, language, and physical development for a variety of ages, supporting holistic growth
  • Helped children learn to work in a group setting and solve problems with each other, fostering teamwork
  • Developed relationships with children through interactions and conversation, building trust
  • Interacted daily with child's parents to assist in their child's development, enhancing parent engagement
  • Assisted children to work on day-to-day tasks to become independent and confident, promoting self-sufficiency
  • Organized and conducted field trips with large groups of children, enriching learning experiences
  • Planned and executed a consistent schedule, providing structure
  • Prepared and conducted Parent Teacher conferences semi-annually to discuss child's growth and development, supporting communication
  • Worked as the Chairperson of the morale committee, overseeing and participating in planning activities geared towards teacher appreciation

Education

Associate of Science -

Olympus High School
Salt Lake City, UT
06.2000

Skills

    • Spearheaded project initiatives, ensuring timely and successful completion
    • Directed administrative operations to optimize overall efficiency
    • Assisted in planning events to foster team collaboration Coordinated schedules and resources for group activities Aided team members in reaching project goals
    • Directed comprehensive budget management processes to uphold financial accuracy and accountability
    • Assisted with efficient execution of medical billing tasks Supported healthcare providers by delivering precise billing information Aided communication efforts between patients and insurance companies
    • Assisted teams in resolving technical issues to facilitate operations Provided help with software installations and updates to improve functionality Supported IT systems maintenance to promote efficient daily operations
    • Executed thorough reviews of documentation to guarantee accuracy and compliance standards
    • Exhibited analytical thinking to assess complex problems and devise effective solutions
    • Employed medical terminology to improve communication and ensure documentation accuracy
    • Assisted teams in meeting project schedules and budget constraints Supported successful project completion through teamwork and communication Aided in achieving project goals by organizing team activities
    • Exhibited proficiency in swiftly mastering new skills and knowledge
    • Implemented strategic initiatives to propel organizational growth
    • Assisted in organizing patient scheduling systems Supported appointment coordination for patients Facilitated effective utilization of scheduling software
    • Implemented communication strategies to foster enhanced team collaboration
    • Leveraged Deltek software to optimize project management processes and drive operational efficiency
    • Assisted teams in meeting project deadlines Supported project timelines to achieve objectives Coordinated schedules for efficient project completion
    • Led collaborative initiatives among team members to enhance project outcomes
    • Administered insurance verification processes to uphold accurate patient billing standards
    • Supported teams in organizing and executing project tasks efficiently Maintained project timelines by organizing tasks and deliverables Enhanced team communication to streamline project processes
    • Directed health information management processes to guarantee data accuracy and regulatory compliance
    • Formulated and implemented innovative concepts and strategies to elevate creative projects
    • Spearheaded collaborative initiatives among team members to drive project success
    • Assisted customers with questions and solved problems quickly Supported colleagues in providing excellent service Promoted interdepartmental communication to improve customer satisfaction
    • Assisted team members in developing clear communication strategies Supported team collaboration to improve project success Aided in resolving conflicts to foster positive work relationships
    • Assisted teams in preparing presentations Supported colleagues in developing compelling slide decks Helped design visual content effectively
    • Assisted in daily office tasks to support team efficiency Helped organize and schedule meetings to promote effective communication Managed office supplies and coordinated equipment upkeep for uninterrupted operations
    • Aided teams in effectively organizing project tasks and timelines Supported project execution by coordinating schedules and resources Assisted in achieving project objectives by keeping documentation organized
    • Assisted users with features and functions of Microsoft Word Supported team members in formatting and editing documents Guided users in effective utilization of templates and tools
    • Implemented comprehensive strategies to optimize operational efficiency
    • Enforced HIPAA regulations to safeguard patient privacy and confidentiality
    • Assisted teams in processing insurance prior authorizations Supported efforts to secure necessary insurance approvals Facilitated communication between healthcare providers and insurance companies
    • Assisted with staff training sessions to develop team skills Supported employees in gaining new knowledge through various training programs Facilitated training activities to improve staff performance
    • Assisted with data entry and management of spreadsheets in Excel Supported team members in utilizing Excel functions to boost productivity Maintained orderly records and enhanced data accuracy through Excel
    • Assisted teams in developing spreadsheets for effective data organization Supported colleagues in leveraging Excel for efficient project tracking Contributed to the creation of templates for data analysis to enhance workflow
    • Supported healthcare teams by facilitating the classification of medical codes in line with ICD-10 standards Assisted in crafting coding guidelines to ensure accuracy in medical billing Collaborated with medical staff to apply ICD-10 codes efficiently Guided the classification of medical codes, adhering to ICD-10 standards, to enhance billing accuracy Played a key role in developing coding guidelines for precise billing Led efforts with healthcare teams to implement ICD-10 codes effectively Improved billing accuracy by successfully applying ICD-10 standards in medical code classification Enhanced coding guidelines to streamline billing processes Achieved effective use of ICD-10 codes through collaboration with healthcare professionals
    • Performed comprehensive word processing tasks to elevate document quality
    • Assisted in managing electronic medical record systems for healthcare facilities Supported teams in enhancing EMR workflows and user experience Facilitated training sessions for staff on proficient EMR system usage
    • Spearheaded eClinicalWorks 11 software implementation and optimization initiatives
    • Exhibited outstanding organizational skills to enhance project workflow efficiency
    • Executed comprehensive word processing tasks to enhance document quality
    • Word

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Timeline

Population Health Specialist

Granger Medical
05.2024 - 06.2026

Patient Service Representative

Granger Medical
02.2023 - 05.2024

Surgery Scheduler

Surgical Care Affiliates Inc.
11.2022 - 01.2023

Customer Service Specialist

University of Utah Healthcare
08.2022 - 09.2022

Patient Access Coordinator

Radiology ST. Marks Hospital
08.2021 - 08.2022

Patient Service Representative Granger

PSR, Medical
07.2020 - 08.2021

Receptionist/billing Coordinator

Reaveley Engineering + Associates
02.2019 - 05.2020

Office Manager

Carmen B. Pingree Autism Center of Learning
08.2017 - 01.2019

Lead Teacher

Carmen B. Pingree Autism Center of Learning
12.2016 - 08.2017

Activities Coordinator

Jewish Community Center Early Childhood Center
11.2015 - 08.2016

Physician Services Patient Service Representative

Sutter
03.2015 - 11.2015

Lead/assistant Teacher

10.1999 - 02.2015

Associate of Science -

Olympus High School
Amy Grimshaw