Summary
Overview
Work History
Education
Skills
Timeline
Generic

CAITLIN MORAN

Tucson,Az

Summary

Medical Office Receptionist. Seeking to take next career step with a highly respected healthcare organization dedicated to producing positive patient outcomes/delivering exceptional customer service. Experienced customer service professional with over 4 years’ experience working within the private sector’s retail and services industry. Skilled in optimizing customers’ experience by exercising active listening, critical thinking, paying attention to details, understanding customers’ needs, and overseeing customers’ reservations. Strong administrative skills including processing medical insurance eligibility & claims, inventory management, scheduling, records management, and organizing special events. Demonstrated effectual junior-level experience collaborating with colleagues, supervisors, medical staff and mid-level managers for problem solving to ensure compliance with various industries’ policies and applicable government regulations.

Overview

3
3
years of professional experience

Work History

Insurance Specialist

Tucson Orthopaedic Institute
01.2021 - Current
  • Reviews provider schedules 2-3 days in advance to ensure demographic and insurance information are accurate.
  • Responsible for all daily add on appointments for complete immediate Chart Review processing
  • Ensures documentation is in patient chart, including but not limited to, referrals as per insurance guidelines and various test results,
  • In coordination with appointment scheduling, clerk contacts patient prior to scheduled appointment to obtain accurate demographic information, authorizations and/or referrals as required by insurance guidelines.
  • Verifies insurance eligibility through Allscripts, Payer Path, Mod Med and/or various insurance websites.
  • Can submits pre-authorization requests to various insurances for scheduled services
  • Notifies Patient Account Representative of any self-pay patients, all insurance contract questions and patients that have terminated their insurance
  • Calls Workmans Comp carriers to verify patients are authorized to see the Doctor
  • Attends meetings as required
  • Maintains all patient demographics and HIPAA rules and regulations
  • Performs related work as required

Inbound Receptionist

Tucson Orthopedic Institute
01.2021 - Current
  • Worked closely with HR to maintain, update, and organize patients’ records to ensure compliance with clinic and government policies and procedures
  • Liaised between medical staff and patients; registered patients and monitored patients accounts for scheduling, insurance eligibility and billing in accordance with applicable insurance and government laws and regulations.


Education

High School Diploma -

Cienega High School
Vail, AZ

Skills

  • COMPUTER SKILLS
  • Proficient in Mod Med, All Scripts PM, Microsoft Word, Excel and Outlook; as well as social network sites like Facebook, Twitter, Snapchat, and Instagram Open to learning new skills as well as perfecting set skills
  • OTHER SKILLS
  • Networking: Developed and managed relationships with managers, customers, to include some international customers,
  • To facilitate successful employees and customers conflict resolution
  • Soft Skills: Professional; Critical Thinking; Written and Verbal Communication; Time Management; Multitask;
  • Quick Learner and Reliable with minimal level of supervision; Customer Confidentiality; Events
  • Planning; Organization; Loyal; Honest; Obliging; Teamwork; Diversity of thought and inclusion

Timeline

Insurance Specialist

Tucson Orthopaedic Institute
01.2021 - Current

Inbound Receptionist

Tucson Orthopedic Institute
01.2021 - Current

High School Diploma -

Cienega High School

Similar Profiles

CREATE PROFILE
CAITLIN MORAN