Summary
Overview
Work History
Education
Skills
Websites
Certification
Accomplishments
Timeline
Generic

Colin McGuire

Astoria,USA

Summary

“Motivated new graduate nurse with hands-on clinical training and a background in healthcare administration and economics. Proficient in patient assessment, medication administration, and care planning, with additional strengths in data analysis, healthcare finance, and quality improvement. Brings strong communication, problem-solving, and teamwork skills to provide high-quality, patient-centered care while supporting organizational performance.”

Overview

6
6
years of professional experience
1
1
Certification

Work History

Practice Associate IV, Orthopedic Surgery

Columbia University Irving Medical Center
11.2022 - Current
  • Reviewing daily, weekly and monthly schedules for accuracy of appointment notes, provider specialty and that incoming patients are correctly triaged.
  • Following up with patients based on provider recommendations for treatment, including surgery, imaging and physical therapy.
  • Organizing and booking multiple surgeries per week, including joint replacements, reconstruction, restoration and revisions.
  • Obtaining authorizations for all services when needed, including surgery, imaging, referrals and admissions.
  • Maintaining a high level of customer service and data integrity with patient calls, records and performance monitoring with the appropriate tools.
  • Ensuring appropriate reimbursement for services rendered for all providers within the practice.
  • Serving as a first point of escalation for complex cases, scheduling issues and revenue cycle issues.
  • Assisting management with special projects and initiatives, including educational sessions, training, onboarding and compliance within the unit.
  • Monitored and recorded patient progress, prompting timely and appropriate interventions.
  • Evaluated previously prescribed interventions for successes or failures and adjusted strategies.

Practice Supervisor, Dept. of Medicine

Mount Sinai Hospital System
06.2022 - 10.2022
  • Managing the day-to-day front end operations of the Dept. of Medicine at Mount Sinai Union Square.
  • Monitoring and assisting fellow staff with scheduling, call volumes, surges as well as adherence to policies and service standards.
  • Reviewing appointment scheduling for accuracy and completeness to maintain robust scheduling.
  • Assisting in daily, monthly and yearly reporting and metric, as well as creating training materials as well as training staff.
  • Maintaining a high level of customer service and data integrity with patient calls, records and performance monitoring with the appropriate tools.
  • Providing guidance and assistance with escalated situations, including MyChart calls.
  • Ensuring appropriate reimbursement for services rendered for all providers within the practice.
  • Consulted with healthcare professionals on business decisions.
  • Supervised team of 24 office personnel.

Senior Medical Assistant

WMCHealth
12.2020 - 04.2022
  • Lead and supervised staff after volunteering to join the COVID team. Assisting on projects like new testing sites, vaccination sites, new software, and standard operating procedures.
  • Helping to deliver over 3000 vaccines and 800 COVID tests per day at the peak of the pandemic.
  • Part of teams leading special projects, including a testing and vaccination site at Vassar College, leading to a 99.6% vaccination rate for students and staff in April of 2021 while maintaining a positivity rate well below the national average for each month the site was active.
  • Training numerous new employees on handing COVID tests, test result communication, and electronic health record systems.
  • Leading and supervising teams of volunteers from several departments to reduce the number of active COVID cases through community outreach, mobile testing and rapid testing where available.
  • Drafting daily results reports and audits when needed, analyzing the results and communicating with superiors about results and findings. Meeting goals ahead of deadlines and implement improvements of processes to better achieve strategic initiatives.
  • Sanitized, restocked, and organized exam rooms and medical equipment.

Patient Services Representative

WMCHealth
05.2019 - 12.2020
  • Oversee day-to-day office operations for a fast-paced pediatric orthopedic specialist, including managing calendars, collecting and verifying insurance information, and handling referrals for up to 65 patients a day.
  • Schedule up to 8 weekly orthopedic surgeries, including emergency procedures, joint replacements, amputations, reconstructive surgery, and spinal surgeries.
  • Ensure patients are put in contact with physical therapists, pain management, interventional radiology or DME suppliers after procedures.
  • Coordinate each aspect of the revenue cycle process for multiple orthopedic specialists, while increasing efficiency by expediting pre-registration, information collection and claims submissions.
  • Supervising satellite offices for multiple providers, including schedules, inventory, staffing and general operations.
  • Provide actionable solutions for issues between providers, patients, insurance companies and hospital staff.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.

Claims Analyst

United Healthcare
03.2019 - 05.2019
  • Reviewed and verified up to 400 claims per day to make sure that coding was correct and payments were released to providers.
  • Adjusted claims if necessary and, if claims were denied, forwarded a Coordination of Benefits (COB) to patients to explain the denial of claim.
  • Analyzed date from errors and denials to communicate results to superiors to recommend better operating procedures and automated billing processes.
  • Verification of pricing, confirmation of prior authorization and running queries to ensure proper processing and payment.
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Interacted with clients and employees, which helped cultivate positive working relationships.

Education

Bachelor of Science - Nursing

Mercy College
Bronx, NY
05.2025

Bachelor of Science - Health Services Administration and Economics

Lehman College
Bronx, NY
12.2018

Skills

  • Clinical Competencies: Patient Assessment, Care Planning, Medication Administration (IV, IM, Subcutaneous, Oral), Vital Signs Monitoring, Infection Control, Patient & Family Education, Electronic Health Records (EPIC, Cerner, eCW, AthenaNet, OMP)
  • Healthcare Administration & Economics: Healthcare Policy & Regulation (HIPAA, CMS, Joint Commission), Quality Improvement, Patient Safety Initiatives, Workflow Optimization, Healthcare Finance & Resource Allocation, Population Health, Value-Based Care
  • Technical Skills: Microsoft Office Suite (Excel, Word, PowerPoint), Data Analysis & Reporting, EMR Documentation, Statistical Analysis (SPSS, SAP)
  • Professional Strengths: Interdisciplinary Collaboration, Critical Thinking, Problem Solving, Communication, Time Management, Adaptability, Leadership

Certification

  • American Heart Association - Basic Life Support (BLS) Certification, Exp: 08/23/2027
  • American Heart Association - Advanced Cardiovascular Life Support (ACLS) Certification, in progress.
  • The Council for Six Sigma Certification (CSSC) Lean Six Sigma White Belt Certification, Feb. 2022 Credential ID: K9dGSstEqG

Accomplishments

  • Boy Scouts of America (BSA)

Eagle Scout


Restored exhibits, signage, and interactive learning stations at West Point Military Academy in New York.

Timeline

Practice Associate IV, Orthopedic Surgery

Columbia University Irving Medical Center
11.2022 - Current

Practice Supervisor, Dept. of Medicine

Mount Sinai Hospital System
06.2022 - 10.2022

Senior Medical Assistant

WMCHealth
12.2020 - 04.2022

Patient Services Representative

WMCHealth
05.2019 - 12.2020

Claims Analyst

United Healthcare
03.2019 - 05.2019

Bachelor of Science - Nursing

Mercy College

Bachelor of Science - Health Services Administration and Economics

Lehman College

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