AMY SPOTO
Chesterfield,Mo.
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
25
25
years of professional experience
Work History
Patient Care Coordinator
T&C Ear Nose And Throat
10.2022 - 06.2023
- Maintained confidentiality of patient data and condition to safeguard health information.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Pre-Certification Coordinator/Surgery Scheduling Coordinator
Mercy
10.2019 - 07.2022
- Patient relations Appointment scheduling
- Time management Insurance verification Medical records maintenance
- Public speaking, Protected patient data through strict compliance with HIPAA requirements
- Offered additional support and assistance to patients with limitations
- Updated [System] accounts with new patient and information data
- Scheduled patient appointments in EMR system
- Received, answered and responded to telephone calls
- Kept detailed logs of calls and actions with [Software]
- Enhanced call flow by smoothly directing inbound calls to correct personnel
- Answer phone calls on a queue status phone system
- Schedule appointments for multiple Otolaryngologist in a fast paced office
- Schedule appointments for our voice and swallowing department
- Schedule appointments for multiple audiologist in our office
- Work with staff in the hospital to get patients scheduled for test and procedures in a timely manor
- Follow up with medical staff to ensure that patients get return calls
- Daily workqueue list and call the patients with referral's to see one of our doctors in a timely manor.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Patient Care Representative
Mid-County Orthopedics
02.2005 - 01.2007
- Protected patient data through strict compliance with HIPAA requirements
- Gathered information from patients, processed registration paperwork, and collected payments
- Supported accounting by reconciling daily payment charges and maintaining accurate records
- Relayed messages and transferred records between staff and offices to facilitate effective patient care
- Assisted with billing by verifying patients' insurance coverage and following up on missing and incorrect information
- Helped patients by telephone and in-person to resolve various billing and scheduling issues
- Prepared for upcoming appointments by printing patient information and forms
- Updated [System] accounts with new patient and information data
- Was cross trained through out office to cover when needed
- Medical Records scanning
- Pre-certification for patients scheduled for upcoming procedures
- Scheduled appointments in EMR system for a fast paced orthopedic office with nineteen surgeons who traveled to different locations
- Offered additional support and assistance to patients with limitations
- Created positive environment by maintaining neat lobby areas and greeting each person promptly
- Checked patients in and out of appointments
- Collected patient copays and balances
- Received, answered and responded to telephone calls.
Optician
America's Best Contacts and Eyeglasses
05.1998 - 03.2000
- Educated patients on proper use, care and maintenance of eyeglasses and contact lenses.
- Suggested optional items such as lens coatings and lightweight lenses to improve patient experience with eyeglasses.
- Confirmed quality control standards were met for all eyewear and contact lenses.
- Maintained safe, clean and organized environment to increase patient comfort.
- Verified and updated patient records promptly to guarantee accurate prescription information.
- Set up attractive displays, shared current promotions, and offered excellent customer service to increase satisfaction.
- Contacted patients when eyeglasses or contact lenses arrived in store and assisted with final fitting.
- Maintained thorough records of customer information, prepared detailed work payments, processed insurance claims, and collected balances from customers.
- Adjusted and repaired new and previously purchased frames to satisfy customer demands.
- Educated clients about how to adapt to, wear, and care for eyeglasses.
- Filed claims with vision and medical insurance companies to garner payment for optical services.
- Calibrated seg heights, vertex, and pupillary distance and pantoscopic tilt to customize eyeglass orders and create perfect fit.
Education
General Studies/ Dental Assistant Program
STLCC
Kirkwood & Forest ParkHigh School Diploma -
Ursuline Academy
Kirkwood, Mo05.1997
Skills
- Chronic Disorders
- Referral Verification
- Administrative Support
- Obtaining Authorizations
- Coordinate Schedules
- Patient Chart Reviewing
- Electronic Patient Medical Record
- Account Updates
- Basic Medical Terminology
- Benefits Verifications
- Precertification Processing
Timeline
Patient Care Coordinator
T&C Ear Nose And Throat
10.2022 - 06.2023
Pre-Certification Coordinator/Surgery Scheduling Coordinator
Mercy
10.2019 - 07.2022
Patient Care Representative
Mid-County Orthopedics
02.2005 - 01.2007
Optician
America's Best Contacts and Eyeglasses
05.1998 - 03.2000
General Studies/ Dental Assistant Program
STLCC
High School Diploma -
Ursuline Academy