CHELSEA WYSE
Ontario,Ca
Summary
With over two decades in the medical field, I bring extensive experience from both private and community healthcare sectors. Impeccable patient confidentiality standards are a hallmark of my work. I excel in medical coordination, insurance verification, and administrative roles. My expertise spans diverse medical software, exceptional organizational abilities, and a proven entrepreneurial streak. Ideal candidate for advanced medical administrative roles. Experienced Office Management and Administration Professional with a track record of optimizing productivity, efficiency, and service quality across various environments. Highly dependable, ethical, and reliable support specialist and leader. Blends advanced organizational, technical, and business acumen. Works effectively with cross-functional teams to ensure operational and service excellence.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Office Manager
Diversified Solution
02.2022 - Current
- Streamlined office operations and enhanced procedural efficiency
- Managed vendor relationships and maintained office equipment
- Coordinated meeting schedules and effectively addressed employee queries
- Led the onboarding process for new hires, ensuring smooth integration
- Supervised institutional email account maintenance and management
- Supported marketing initiatives and managed event materials
- Assisted finance team with billing and payroll, and provided tech setup and support.
Owner
Underneath the Makeup
03.2020 - Current
- Managed accounts receivable ensuring timely payments and accurate record-keeping
- Maintained and optimized inventory levels to support business demands
- Executed general office duties, enhancing operational efficiency
- Conducted detailed bookkeeping, ensuring financial accuracy and transparency
- Oversaw daily operations, ensuring smooth business processes and client satisfaction
- Cultivated business strategies and operational improvements for growth and profitability.
- Managed day-to-day business operations.
Case Management Assistant
Sutter Health ( Eteam Temp )
01.2024 - 06.2024
- Verified insurance benefits and eligibility for medical procedures before referring clients.
- Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
- Obtained prior authorization for medical procedures.
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Streamlined referral processes for increased efficiency, resulting in timely appointments for patients.
- Entered data using Epic software to document referrals and results.
- Maintained comprehensive knowledge of provider networks, ensuring appropriate specialist recommendations for patients.
- Processed referral requests from patients, doctors and other health care professionals.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts
- Assisted with completion of referral forms and verified data accuracy and completion
Insurance Verification Specialist
Acclivity Health Care
11.2021 - 02.2022
- Verified insurance for scheduled surgeries at Northwest Hospital
- Conducted accurate data entry for surgical and patient records
- Applied knowledge of CPT coding for billing processes
- Utilized ICD 9 and ICD 10 codes for accurate diagnosis entry
- Managed prior authorization processes ensuring timely surgery approvals
- Generated comprehensive reports for management and audit purposes
- Collaborated with healthcare teams to ensure seamless insurance processing.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Administrators for Behavior Health
Valor Healthcare
04.2018 - 11.2019
- Scheduled and coordinated Mental Health and Primary Care appointments for veteran patients
- Prioritized timely and clinically indicated appointments, enhancing patient care
- Managed and protected sensitive patient information, upholding confidentiality standards
- Handled medication renew/refill requests to ensure consistent patient treatment
- Utilized CPRS Software for accurate documentation and record-keeping of patient information
- Assisted Clinic Coordinator with administrative tasks and patient coordination
- Orchestrated immunization schedules and drug screening processes
- Preserved comprehensive employee health records, ensuring regulatory compliance.
Medical Coordinator for Behavior Health
Southern California Psychiatrist
06.2017 - 03.2018
- Managed patient check-in and check-out processes efficiently
- Coordinated and scheduled patient appointments, ensuring smooth clinic operations
- Verified insurance details, ensuring accurate billing and reimbursement
- Processed prior authorizations and handled patient referrals, optimizing care pathways
- Collected co-pays, ensuring timely financial transactions
- Maintained and managed medical records, upholding data integrity and patient confidentiality.
Medical Assistant
Officeworks Temp agency
09.2016 - 03.2018
- Efficiently executed patient check-in and check-out procedures
- Scheduled patient appointments, contributing to organized clinic flow
- Collected co-pays, ensuring prompt financial processing
- Maintained and managed medical records, preserving data accuracy and confidentiality
- Verified patient insurance details, facilitating seamless billing processes.
QI Coordinator for Grievances and Appeals/ IOS Staffing
Monarch Health Care Temp agency
05.2016 - 09.2016
- Processed and managed grievances and appeals for Medical and HMO Insurance companies, ensuring regulatory compliance
- Conducted data entry and acquired necessary medical records, maintaining a keen attention to detail
- Managed a high volume of documents, including copying, faxing, and scanning, to support case evaluations
- Addressed member and provider complaints via telephone, mail, and email, ensuring prompt and professional responses within established guidelines.
Medical Receptionist
Medical Professional/OS Surgery Center Temp agency
11.2015 - 01.2016
- Efficiently handled patient check-in and check-out procedures, ensuring a smooth clinic experience
- Collected co-pays and managed accounts payable, maintaining financial accuracy
- Managed medical records and generated reports, supporting clinical and administrative functions
- Scheduled patients for surgeries, ensuring optimal coordination and preparation
- Conducted insurance verification and processed prior authorizations, facilitating seamless patient care transitions
- Liaised with medical staff to optimize appointment flow and minimize patient wait times
- Assisted with patient inquiries and concerns, enhancing overall patient satisfaction and trust.
Medical Receptionist
Saddleback Family and Urgent Care
09.2013 - 11.2015
- Managed patient check-in and check-out processes efficiently
- Verified patient insurance details and obtained prior authorizations
- Scheduled medical appointments, optimizing patient flow
- Processed co-pay collections and managed accounts payable
- Coordinated immunization procedures and drug screenings
- Handled Worker Men’s compensation cases and work physical appointments
- Facilitated seamless communication between patients and medical staff.
Medical Assistant
Dr. Niva Lubin Internal Medicine
09.2013 - 11.2015
- Interviewed patients, capturing detailed medical information
- Monitored vital signs and administered medications under physician's guidance
- Conducted blood collections and handled other lab specimens
- Administered immunizations and vaccines in compliance with health protocols
- Managed patient check-in and check-out processes, ensuring efficient service
- Verified patient insurance and secured prior authorizations when needed
- Scheduled medical appointments, prioritizing patient needs
- Processed co-pay collections and managed accounts payable effectively.
Medical Assistant
Aunt Martha’s Women Health
03.2006 - 06.2013
- Conducted patient interviews to gather comprehensive medical information
- Measured vital signs and administered medications under physician's directives
- Performed blood collection, tissue sampling, and other lab specimen procedures
- Assisted in specialized clinical procedures including Colposcopy, Cryo, IUD insertion, and Nexplanon/Implanon insertion
- Managed and replenished medical supplies and medications, ensuring clinic readiness
- Administered immunizations and vaccines in line with health guidelines
- Served as Acting Clinic Manager and Lead Medical Assistant, overseeing clinic operations.
Education
Medical Office Management -
Concord Career Institution
San Bernardino, CA1998
Skills
- Excellent Communication
- Interpersonal Skills
- Professionalism
- Organizational Skills
- Leadership
- Cultural Awareness
- Confidentiality and Integrity
- Adaptability
- Medical Software Proficiency
- Medical Procedures
- Data Entry and CPT Coding
- Insurance Verification and Authorization
- Microsoft Office Suite
- Inventory Management
- Report Generation
- Blood Collection and Lab Specimen Handling
- Medication Administration
- Office Administration
Certification
CLC (certified life coach)
Intent
Seeking employment with a progressive organization that values expertise, dedication, and a strong work ethic, aiming to leverage extensive medical experience to enhance operational efficiency and patient care.
Personal Information
Title: SENIOR MEDICAL OPERATIONS SPECIALIST
References
Upon Request
Training
- HIV, STD, STI, Healthcare Provider/Basic Life Saver, AED
- Veteran Affair-Privacy and HIPAA Training
- Veteran Affairs-Privacy and Information Security Awareness and Rules and Behavior
- VBA-Date Stamp Accountability Policy (2018)
- Family planning education and training
- Customer service training
- Culture awareness training
- CPT coding, ICD 9 ICD 10
Timeline
Case Management Assistant
Sutter Health ( Eteam Temp )
01.2024 - 06.2024
Office Manager
Diversified Solution
02.2022 - Current
Insurance Verification Specialist
Acclivity Health Care
11.2021 - 02.2022
Owner
Underneath the Makeup
03.2020 - Current
Administrators for Behavior Health
Valor Healthcare
04.2018 - 11.2019
Medical Coordinator for Behavior Health
Southern California Psychiatrist
06.2017 - 03.2018
Medical Assistant
Officeworks Temp agency
09.2016 - 03.2018
QI Coordinator for Grievances and Appeals/ IOS Staffing
Monarch Health Care Temp agency
05.2016 - 09.2016
Medical Receptionist
Medical Professional/OS Surgery Center Temp agency
11.2015 - 01.2016
Medical Receptionist
Saddleback Family and Urgent Care
09.2013 - 11.2015
Medical Assistant
Dr. Niva Lubin Internal Medicine
09.2013 - 11.2015
Medical Assistant
Aunt Martha’s Women Health
03.2006 - 06.2013
Medical Office Management -
Concord Career Institution
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