China Williams
2720 Somerset Drive, #109, Lauderdale Lakes,FL
Summary
Driven and motivated individual with fourteen years of experience working in environments demanding strong organizational, technical, customer service, and interpersonal skills. Committed to superior customer service, detail-oriented and resourceful in completing all projects. Confident and poised in interactions with individuals at all levels. A quick learner with the ability to multi-task effectively. Flexible and versatile, able to maintain composure under pressure, as well as excellent team-building skills.
Overview
16
16
years of professional experience
Work History
Surgical Coordinator
Sports and Orthopedic Center, PA
Deerfield Beach, FL
10.2023 - Current
- Responsible for scheduling and coordinating surgeries, procedures, and appointments for the operating room.
- Organized patient records to ensure accuracy of information in the system.
- Developed a comprehensive tracking system for all scheduled surgeries, ensuring timely completion of paperwork.
- Verified insurance eligibility and coverage prior to surgery.
- Acted as liaison between surgeons, anesthesiologists, nurses and other medical staff regarding surgical schedules.
- Communicated with patients and family members to provide updates on scheduled dates and times of operations.
- Processed pre-operative orders including lab work, imaging studies and any other required tests prior to surgery date.
- Ensured that all necessary documentation was completed accurately prior to surgery date.
- Resolved conflicts in scheduling by working closely with nursing personnel and hospital administration.
- Performed data entry into various computer systems related to surgical scheduling activities.
- Checked physician orders and schedule availability to make accurate appointments for tests and surgical procedures.
- Used accurate procedure codes for billing purposes and to help operating teams be correctly prepared for each operation.
- Answered phone calls from patients inquiring about upcoming scheduled surgeries or follow up visits.
- Verified patient eligibility for particular types of surgeries based on health plan guidelines or coverage limitations.
- Managed scheduling of multiple surgeries on a daily basis, coordinating availability of surgeons and anesthesiologists.
Utilization Review Coordinator
Holy Cross Health
Fort Lauderdale, FL
07.2022 - 10.2023
- Reviewed and evaluated patient information to determine appropriate level of care and services required.
- Participated in meetings with health plan representatives regarding utilization management policies.
- Maintained accurate data entry into a computerized system related to UR activities.
- Provided training to other staff members on utilization management processes and procedures.
- Investigated denials from payers for lack of medical necessity or level of care issues.
- Ensured that all documentation is complete and accurately reflects the services provided by physicians.
- Responded promptly to inquiries from internal and external customers regarding authorization status or payment issues.
- Collaborated with other departments to ensure accurate completion of prior authorization requests.
Authorization Coordinator
Holy Cross Health
Oakland Park, FL
10.2018 - 07.2022
- Communicated with physician offices, insurance payers, and patients regarding authorizations and referrals.
- Requested, tracked, and obtained pre-authorizations for all ordered procedures, medications, and diagnostic testing.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Provided support by answering and resolving concerns and inquiries.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Completed functions of this role in a timely and accurate manner.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Patient Care Coordinator
Sports and Orthopedic Center
Coral Springs, FL
05.2015 - 10.2018
- Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
- Answered phones, greeted patients and filed paperwork to maintain smooth operations in front office.
- Informed patients of payment policies, collected insurance information and verified benefits.
- Arranged and scheduled post-operative visits during appropriate timeframe after surgery.
- Booked surgeries according to physician volume and maintained prompt turnaround times.
- Delivered administrative support to clinical staff and managers.
- Delivered high-quality administrative and customer service to sustain patient and work flows.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
- Entered insurance, demographics and health history into patient database.
- Applied knowledge of medical terminology and insurance processes to support office administration productivity.
- Trained new staff on office procedures, insurance processes and medical terminology.
- Protected patients by observing strict HIPAA guidelines.
Administrative Assistant
American Commercial Realty
Plantation, FL
10.2010 - 04.2015
- Directed customer communication to appropriate department personnel.
- Managed inventory to ensure all supplies were in stock and within budget.
- Provided secretarial and office management support while building cooperative working relationships.
- Developed administrative processes to achieve organizational objectives and improve office efficiency.
- Oversaw filing systems and scanned documents to manage physical and electronic documents and information.
- Worked professionally to handle client, vendor and public guest requirements.
Education
Some College (No Degree) - Health Administration
Broward College
Fort Lauderdale, FLHigh School Diploma -
Plantation High School
Plantation, FL06-2009
Skills
- Typing 67 WPM
- Friendly, Positive Attitude
- Working Collaboratively
- Computer Skills
- Microsoft Office
- Reliable and Trustworthy
- Team Building
- Data Management
- Conflict Resolution
- Customer Service
- Team Management
- Organizational Skills
- Active Listening
- General Office Skills
- Written and Verbal Communication Skills
- Medical terminology proficiency
- Electronic Health Records Management
- Insurance Verification
- Scheduling expertise
- Stress management techniques
- Patient Relations
- Insurance pre-certifications
- Calendar Management
- Maintaining confidentiality
- Copay collecting
- Educating patients
- HIPAA Compliance
Timeline
Surgical Coordinator
Sports and Orthopedic Center, PA
10.2023 - Current
Utilization Review Coordinator
Holy Cross Health
07.2022 - 10.2023
Authorization Coordinator
Holy Cross Health
10.2018 - 07.2022
Patient Care Coordinator
Sports and Orthopedic Center
05.2015 - 10.2018
Administrative Assistant
American Commercial Realty
10.2010 - 04.2015
High School Diploma -
Plantation High School
Some College (No Degree) - Health Administration
Broward College