PROFESSIONAL Over 20 years of experience in the Ophthalmology Industry. Systematic SUMMARY healthcare administrative professional knowledgeable in working with facilities, patients and insurance companies to set up minor procedures and complicated surgeries. Well-organized and detail-oriented team player with good problem-solving, relationship-building and communication skills in all aspects of a medical office including front to back office staff.
Overview
24
24
years of professional experience
Work History
SURGICAL COORDINATOR
Sight MD
11.2021 - Current
Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
Verified insurance coverage and obtained pre-authorizations.
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Assisted with medical coding and billing tasks.
Coordinated with facilities to set up surgeries for 3 Surgeons at Specialty Surgical Center Of Westchester.
Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
Arranged pre-operative and post-operative appointments for surgical patients.
Collated pre-operative lab and imaging results to facilitate surgery planning.
SURGERY SCHEDULER
Vitreous, Macula Consultants Of N.Y. I
10.2017 - 11.2021
Expertly managed all surgery services, including planning, scheduling and coordination, determination of procedures and procurement of supplies and equipment for 5 Surgeons within 3 separate facilities
Followed physician's orders and availability calendar to schedule tests and procedures
Contacted insurance companies to obtain authorizations and gathered all related medical records
Educated patients about surgeries and provided treatment plan documentation
Scheduled all Diagnostic and COVID-19 testing
Reviewed medical histories and current information to provide accurate information to surgeons, Anesthesiologist and nursing staff
Coded correct procedures for physician and billing purposes using ICD-10 and CPT Codes
E- scribed all Pre and Post surgical medications for all patients depending on 5 Surgeons preferences
Maintained schedule for all assisting Surgical fellows and 24 Hr
On call schedules.
LEAD MEDICAL RECEPTIONIST /MEDICAL INSURANCE, SPECIALIST
Vitreous Retina Macula Consultants Of N.Y. I
03.2000 - 10.2017
Completed clerical duties and tasks for clinic administration
Used computer programs and registration systems to schedule patients for
routine and complex procedures
Verified and updated demographic and other personal information for
clients with respect to personal boundaries when asking for important
details
Remained aware of 12 provider schedules in 3 separate satelite offices and
scope of practice on evolving basis to organize and schedule appropriate
care
Checked patient data including insurance, demographic and health history to
keep information current
Adhered to strict HIPAA guidelines to protect patient privacy
Coordinated patient scheduling, check-in, check-out and payments for
billing
Managed master calendar and scheduled appointments for providers
based on optimal patient loads and clinician availability
Made contact with insurance carriers to discuss policies and individual
patient benefits
Assured timely verification of insurance benefits prior to patient procedures
\or appointments
Posted payments to accounts and maintained records.
Education
Associate of Early Childhood -
Bronx Community College of The City University of New York