Carolyn DePucci
Coeur d'Alene,ID
Summary
Tenacious Referral Specialist with 17 years connecting clients with medical providers. Successful working with insurance companies and other medical professionals to obtain prior authorization and set up essential client appointments. Applies proactive approach to problem-solving and resourceful use of industry network.
Overview
14
14
years of professional experience
Work History
Referral Specialist
NW Internal Medicine
Post Falls, ID
11.2014 - Current
Authorization Specialist
NWSH
Post Falls, ID
11.2014 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
Front Desk Patient Coordinator
NWSH
Post Falls, ID
11.2014 - 06.2017
- Coordinated appointments for multiple providers, ensuring timely and efficient scheduling of patient visits.
- Streamlined patient check-in process for faster and more accurate information gathering.
- Assisted in the implementation of new electronic health record system, contributing to a smoother transition for staff and patients alike.
- Enhanced office organization with effective filing systems, resulting in easier access to patient records.
- Reduced waiting times by optimizing appointment scheduling procedures according to provider availability.
- Managed high call volume effectively, prioritizing urgent matters while maintaining courteousness towards all callers.
- Facilitated communication among patients, medical staff, and insurance companies, resolving issues promptly and professionally.
- Educated patients on available services within the practice, promoting further utilization of resources tailored to their specific requirements.
- Handled financial transactions with precision while discussing payment options with patients in a respectful manner.
ER HUC
Kootenai Hospital
Coeur D'Alene, ID
11.2013 - 11.2014
- Improved overall productivity by streamlining the coding process through efficient organization and time management.
- Provided expert consultation on complex cases that required specialized knowledge of HCC coding rules and guidelines, offering guidance for optimal code assignment strategies.
- Managed a high volume of medical records efficiently while maintaining exceptional attention to detail during the coding process.
Registration Coordinator
Kootenai Medical Center
Coeur D'Alene, ID
01.2010 - 05.2013
- Fielded internal and external information requests, incorporating available data extracts and [Type] reports into responses.
- Reduced wait times by effectively prioritizing tasks and managing daily workload.
- Managed high call volume while maintaining a courteous demeanor, addressing inquiries regarding appointments, billing, and general information.
- Increased accuracy in medical record documentation through diligent attention to detail and thorough data entry practices.
- Assisted patients with special needs or language barriers, promoting inclusivity and accessibility within the clinic setting.
- Organized paperwork flow within the department, reducing clutter and increasing efficiency in file management systems.
- Ensured patient confidentiality by strictly adhering to HIPAA guidelines during all interactions with patients'' personal information.
- Enhanced patient experience by efficiently managing registration processes and providing exceptional customer service.
- Maintained accurate patient records, ensuring timely processing of insurance claims and payments.
- Created a welcoming atmosphere for incoming patients by maintaining cleanliness throughout the waiting area and front desk spaces.
Education
GED -
Redwood High
Marin County 06.1980
Skills
- Insurance Verification
- Data entry proficiency
- Pre-authorizations
- Medical terminology knowledge
- Healthcare industry understanding
- Appointment Scheduling
- Multi-line telephone operation
- Medical Terminology
- HIPAA Regulations
- Patient Scheduling
- Insurance Authorizations
- HIPAA Compliance
- Problem-Solving
- Appointment Setting
- Medical Charting
- Office Coordination
- Patient Referral
- Supply Ordering
- Payment Scheduling and Collection
- CPR Certified
- Calendar and Appointment Management
- Patient Health Information Access
- Clerical Support
Accomplishments
I have been awarded the Daffodil Award Nomination for Customer Service twice.
Timeline
Referral Specialist
NW Internal Medicine
11.2014 - Current
Authorization Specialist
NWSH
11.2014 - Current
Front Desk Patient Coordinator
NWSH
11.2014 - 06.2017
ER HUC
Kootenai Hospital
11.2013 - 11.2014
Registration Coordinator
Kootenai Medical Center
01.2010 - 05.2013
GED -
Redwood High
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