Healthcare professional with exceptional organizational, analytical, and interpersonal skills. Driven by a passion for excellence, strive to elevate performance standards and enhance operational efficiency.
Overview
5
5
years of professional experience
Work History
Risk Adjustment Coordinator
Randstad
01.2023 - 04.2024
Entered data, generated reports, and produced tracking documents.
Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
Review claim submissions to obtain correct POS demographics.
Scheduling Deposition, Medical Record Reviews
Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding.
Follow processes and work independently to meet or exceed Key Performance Indicators
Patient Service Representative
CareNow Urgent Care
05.2022 - 12.2022
Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
Assisted patients in filling out check-in and payment paperwork.
Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
Central Support Operations Coordinator
Navihealth
09.2019 - 01.2022
Help to close prior authorizations through data entry of PT, OT, and ST minutes into patient profile
Notify case managers to request further information if needed.
Handle inbound customer calls and outbound telephone communication in a professional manner.
Schedule peer to peer appointments according to MD's instructions
Maintain a low call time of 5 minutes or less per call.
Possess strong attention to detail and problem-solving skills with a high level of accuracy.
Process inbound and outbound faxes and emails.
Complete administrative documentation for member records including transitioning, creating authorization shells, as well as attaching medical records.