Results-driven professional seeking a full-time position to tackle professional challenges and leverage strong interpersonal skills, excellent time management abilities, and problem-solving expertise. Committed to maintaining dedication and efficiency to contribute effectively to organizational success. Eager to apply skills and contribute to a collaborative and innovative team environment.
Overview
13
13
years of professional experience
Work History
ADMINISTRATIVE SERVICES
Pennsylvania Hospital
03.2017 - Current
Greet, screen, schedule and direct patients in a prompt, positive, pleasant, and helpful manner at all times even in the most adverse circumstances
Retrieves and processes incoming medical records/images, ensures scanning and physician review is completed
Ensures diagnostic testing and other evaluations are completed before visit if applicable
Assist attending physicians with outpatient hours including maintaining clinical schedule, closing necessary dates and moving patients if rescheduling is necessary
Schedules required procedures and OR/Lab for patients at provider direction
Coordinates all procedures that need to occur prior to scheduling surgery, including but not limited to the scheduling of ancillary tests, preoperative testing, xrays, scans, MRI's, labs, EKG as necessary for completion of preoperative packages
Responsible for the timely submission of pre-op cases, and ensure accuracy of information and correct forms completed and signed in advance of procedure
Processes medication refill request, triage to appropriate clinical staff
Coordinates and schedules cases with medical equipment representatives as required
Obtains medication pricing and coverage information for patients
Initiate Tier 1 prescription exemptions as needed
Schedules test, procedures, and other clinical follow up services as requested by the providers
Completes medical records request
Handles all patients correspondence, including mypennmedicine messages
Answers and screens all phone calls and patient inquiries
Take appropriate messages/ delegate to appropriate staff
Attend and take minutes in meetings when necessary
Schedules travel and lodging for physicians and completes submissions of expenses for travel and other professional expenses
Updates CV's in FEDs
Create/Edit and distribute letters per attending physician's direction
Coordinates submission and approval of journal articles, and permission as directed
Coordinates visits for visiting scholars
Coordinates visits and interview schedule for the recruitment of faculty
On call schedule Management with the ability to enter and make changes to the call schedule in appropriate systems Qgenda, etc
Use CPT codes for scheduling procedures/ surgeries/ admissions and link correct primary diagnosis
Ensure that all operative reports and encounter forms are turned in for billing within the designated timeframes.
Maintain comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals
Ensure all pre-registration items are completed to allow timely and complete billing.
PATIENT SERVICE COORDINATOR
University of Pennsylvania Hospital
01.2015 - 03.2017
Strives to understand and anticipate patient needs, manages service recovery efforts when needed, enlisting management assistance as appropriate, identify opportunities to improve patient experience
As per practice /department protocols and or measurements: answer phones in timely manner, manage/ handle patient requests and route appropriately, retrieve voicemails in a timely manner, take accurate and thorough messages and route appropriately through EMR
Schedule patient appointments (on phone or in person) by determining reason for visit, following established schedules and protocols, using appropriate billing area/ appointment location, communicating changes and conrming appointments , and, as needed, ofering alternatives and canceling/ rescheduling appointments
Responsible for arriving/ departing activities of patients at practice and performs point of service activities: collect copays and records accurately, obtains necessary signatures/ forms, obtains insurance cards and referral/authorizations, updates appointment status in EMR, and nalizes all check out procedures
Communicates with patients regarding patient ow and wait times- keep managers aware of potential issues as they arise
Issues referrals and obtains pre-authorizations for patients as required and as per protocol
Maintains up to date knowledge of insurance requirements pertinent to patient service service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment and referral
Validates patient demographic/ insurance information and or registers new patients into EMR using established protocol
Records receipts accurately to ensure end of the day reconciliation: participates in cash reconciliation delineations
Resolves work queues and or issues from front end reports; proactively prioritizes recovery of missing charges
Order supplies for the oce and generate front end process reports.
PATIENT SERVICE REPRESENTATIVE
University of Pennsylvania Hospital
01.2012 - 01.2015
Providing excellent customer service to patients and their families throughout the registration and scheduling process
Facilitating navigation and ease for patients during the phone interaction process
Assisting patients with communication to insurance companies as well as serving as a liaison between patient and clinical staff
Data entry of confidential and numerical patient information into EPIC system with accuracy
Utilizing solid judgment and providing information for patients that have urgent medical problems and complaints
Practicing meticulous follow up in generating referrals for patients in a timely manner
Register new/follow up patients and inform them of appropriate practice policies for their appointment needs
Continuing education by attending personal growth classes- Servicing patients and families to excellence by efectively communicating to resolve patients concerns quickly.
Education
MBA - Business Management
Thomas Jefferson University
Philadelphia, PA
05.2026
BA- BUSINESS MANAGEMENT -
Cheyney University
Cheyney, PA
01.2005
Skills
Electronic Medical Records training (EPIC)
Cost Estimates
Explanation of Benefits
Insurance Verification (covered and non-covered services)