Ashley Smith
Bethany,OK
Summary
Personable Medical Assistant bringing eleven years of hands-on experience balancing problematic administrative and clinical duties to achieve patient satisfaction. Offering thorough understanding of medical registration process and procedures to streamline client processing. Compassionate and respectful collaborator recognized for delivering high-quality healthcare and excellent customer service. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adapt at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
Work History
Medical Assistant
Kidney Specialist of Central Oklahoma
Oklahoma City , OK
06.2023 - 01.2024
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Processed appeals in a timely manner as per policy guidelines.
- Maintained accurate records of all authorization activities in the database system.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Notified ordering providers of denied authorizations.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
- Prepared laboratory specimens for analysis and organized lab results for review by the physician.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
- Educated patients on healthcare topics such as nutrition and disease prevention methods.
- Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Responded to patient callbacks and phone-in prescription refill requests.
Medical Assistant
Integris Urology South
Oklahoma City, OK
05/26/2 - 12.2022
- Scheduled appointments for patients via phone and in person.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Educated patients about medications, procedures and physician's instructions.
- Organized charts, documents and supplies to maintain team productivity.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Followed principles of asepsis and infection control to meet patient safety guidelines.
- Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
- Labeled and completed lab requisitions using ICD and CPT coding.
- Checked patient insurance and collected pre-authorizations from providers.
- Worked with operating facilities to schedule procedures on behalf of 3 surgeons.
- Booked surgeries according to physician volume and maintained prompt turnaround times.
- Collaborated and established strong working relationships with physicians, supervisors and colleagues.
Medical Assistant
Urology Specialist of Central Oklahoma LLC
Oklahoma City, OK
11.2011 - 03.2022
- Pre charting
- Epic EMR 7 years
- Eclinical EMR 4 years
- Providing safe environment for patients
- Catheter care including self catheterizations and indwelling Foley catheters
- Daily medical calls and triage
- Surgery Scheduler and coding
- Pre certification
- CPT Coding
- Managing patient medication refills
- Ordering and managing office supplies
- Injections
- Prostate biopsy
- Cystoscopy
- Rezum prostate procedure
- Vasectomy preparation
- Sterile technique for all procedures
- Patient education
- Customer service/ reception
- Answering and triaging patient calls
- Teaching patients to self catheterize
- Post op care
- Catheter removal and voiding trials
Office Manager/Marketing Director
Absolute Senior Care, LLC
Oklahoma City, OK
10.2007 - 03.2010
- Scheduling
- Accounts receive able and payable
- Payroll quick books
- Face to face with all new clients
- In services for caregiver
- Direct Marketing and cold calls
- Hiring
- Back ground checks / Random drug screens
- Providing safe environments for all clients
- Integrated technology to increase efficiency and real-time accountability of operational tasks.
- Created company handbook to document corporate policies and procedures.
- Engaged with existing and potential clients to gain insight into needs.
- Established and maintained positive working relationships with community organizations, acting as corporate representative at meetings and events.
- Reviewed production costs and product quality and modified inventory control programs to maintain and enhance annual business plan.
- Hired and onboarded team members to meet immediate and expected demand.
- Evaluated and enhanced workflow to implement best practices, reduce costs and increase staff motivation and satisfaction.
- Managed scheduling, training and inventory control.
- Planned delivery routing, team workflows and promotional initiatives.
- Improved morale and management communication by creating employee recognition and rewards practices.
Education
Medical Assistant - Medical Assisting
ATI Career Training Center - North Richland Hills
Oklahoma City, OK07.2011
Skills
- ECW
- EMR Systems
- Experience Administering Injections
- Medical Imaging
- Triage
- Patient Care
- Caregiving
- Medical Scheduling
- Vital Signs
- ICD-10
- QuickBooks
- Medical Office Experience
- Laboratory Experience
- Infection Control Training
- Insurance Verification
- Computer Proficiency
- Medical Charting
- Clerical Support
- Effective Communication
- CPR Certified
- Co-Payment Collection
- Patient Referral
- Appointment Setting
- Problem-Solving
- Clinical Support
- Home Care
- Medical Coding
- Phone Etiquette
- Cerner
- Anatomy Knowledge
- Supervising Experience
- Medication Administration
- Conflict management
- Certifications and Licenses
- Concussion certification
- Training delivery
- Employee relations
- Personnel management
- Cost control
- Expense tracking
- Policy development
- Self-motivated
- Leadership/communication skills
- Project management
- Program leadership
- Knowledgeable in online authorizations
- Medicaid Knowledge
- Data Entry
- Confidentiality
- Documentation and Reporting
- Verbal Communication
- Insurance Pre-Certifications
- Schedule Coordination
- Referral Verification
- Epic Systems
Professional References
- Misty Thompson Former Manager of clinic operations (405) 200-7688
- William J Miller MD Urologist Letter of recommendation attached
- Tom Patel Former manager (405) 312-1402
Timeline
Medical Assistant
Kidney Specialist of Central Oklahoma
06.2023 - 01.2024
Medical Assistant
Urology Specialist of Central Oklahoma LLC
11.2011 - 03.2022
Office Manager/Marketing Director
Absolute Senior Care, LLC
10.2007 - 03.2010
Medical Assistant
Integris Urology South
05/26/2 - 12.2022
Medical Assistant - Medical Assisting
ATI Career Training Center - North Richland Hills
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