Connie Allen
Knoxville,IA
Summary
To build a long-term career within your company utilizing my clerical and organizational skills as well as my detail-oriented attributes and ability to deal with the public in a positive and professional manner.
Experienced with patient interaction, appointment scheduling, and administrative tasks. Utilizes strong organizational skills and attention to detail to maintain smooth clinic operations. Track record of effective communication and customer service in fast-paced medical setting.
Overview
38
38
years of professional experience
Work History
Clinic Office Assistant
Pella Regional Health Center
11.2023 - Current
- Streamlined clinic operations by organizing and maintaining accurate patient records and documentation.
- Conducted regular audits of patient records to ensure data accuracy and eliminate discrepancies, maintaining a high level of reliability in record-keeping practices.
- Monitored inventory levels of office supplies regularly to minimize shortages and reduce costs by placing timely orders.
- Provided backup support for other office staff during periods of high demand or absences, ensuring seamless continuation of daily operations.
- Supported positive employee relations through clear communication channels between office personnel and medical professionals.
- Ensured compliance with HIPAA regulations by diligently protecting sensitive patient information in all communications and record-keeping practices.
- Contributed to increased patient satisfaction by promptly addressing concerns and providing compassionate support during their visit.
- Collaborated with the medical team to implement new procedures or protocols, enhancing overall clinic performance.
- Improved overall office efficiency by handling a high volume of incoming calls, addressing inquiries, and directing patients to appropriate resources.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Billing Representative I
PRIMARY HEALTHCARE
09.2018 - 10.2023
- Submits all dental clinic charges (i.e., dental coding, pay codes, dental documentation submission, etc.) and edits daily, checking accuracy and ensuring compliance with established goals
- Researches returned dental claim denials to identify billing issues
- Obtains the corrected claim information and resubmits the claim, documenting account activity in the appropriate systems, calling third party payers, and monitoring billing reports to follow-up on unpaid submitted claims
- Completes daily and monthly reporting requirements including closing
- Completes secondary dental billing when necessary
- Checks for compliance with all State and Federal patient financial service issues, including, but not limited to patient-rights such as confidentiality and third-party billing
- Responds to inquiries on dental accounts by customers or third-party payers
- Answers phone calls and assist patient with online bill pay and questions regarding patient statements
- Performs other duties as assigned
- Reviewed and solved account and billing discrepancies.
- Trained new hires on company-specific billing software, policies, and procedures, promoting team cohesion and productivity.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
- Coordinated with intermediate parties to obtain payments and resolve issues.
- Facilitated smooth departmental operations through cross-training in various roles, providing backup support as needed.
- Collaborated closely with sales and customer service teams to ensure seamless communication and issue resolution.
- Received incoming information and entered into database system.
- Achieved consistent performance metrics targets by prioritizing tasks effectively amid fluctuating workloads.
- Leveraged strong analytical skills to identify patterns in data, enabling accurate forecasting and improved decisionmaking.
- Assessed accounts for payment status and reached out to customers.
Medical Review Assistant, Medical Services
TELLIGEN IOWA MEDICAID ENTERPRISES
04.2017 - 09.2018
- Responsible for inbound and outbound communication in support of case review activities including collection and confirmation of data integrity in support of clinical review services
- Coordinate, distribute, and track highly confidential medical information from multiple sources (fax, web, and phone)
- Ensure quality customer service by responding phone inquiries from members, physicians, and providers
- Prioritize workload to meet program or regulatory time frames
- Provide verbal and written communications of review decisions to include administrative denials and complete service/treatment screens for accurate transmission of outcome decisions
- Provide general office support
- Perform miscellaneous duties as assigned
- Create and update procedure desk guides
- Input data and update the MDS and ICF/ID data base
- Create and print forms for the PACE program
- Assist Managers and Review Coordinators as needed
- Plan team meetings and take minutes
- Involved in and part of The IME Social Committee
Pre-Payment Auditor for Electronic Health Records, Outreach
MAXIMUS IOWA MEDICAID ENTERPRISES
03.2016 - 04.2017
- Reviewer for provider's applications who are attesting to receive an incentive payment from CMS
- Communicate with providers via email and telephone
- Review a range of data, including demographics, medical history, medication and allergies, immunizations, and billing information
- Follow up with providers for full customer service satisfaction experience
- Involved and a part of The IME Social Committee
- Proactively find solutions independently but also as a team when needed
Customer Service Representative, Provider Services
MAXIMUS IOWA MEDICAID ENTERPRISES
01.2013 - 03.2016
- Answer provider calls concerning claims and eligibility questions or issues
- Work provider correspondence received through the mail
- Worked directly with Consumer Directed Care Attendant cases
- Participated in case conferences or staff meetings
Patient Account Representative
MERCY EAST CLINICS
09.2004 - 06.2005
- Entered patient medical data/insurance information into the system
- Handled initial insurance filing for billing department
- Direct patient contact (in person/via phone) research/resolution insurance concerns
- Reconciled daily cash receipts
- Organized, filed, and completed general clerical duties as needed
- Trained new hires for front desk and clerical duties
Front Desk Receptionist
MERCY EAST CLINICS
11.2001 - 09.2004
- Schedule appointments and follow ups with patients
- Maintained and filed patient records
- Direct patient contacts in person and via phone
Teacher's Aid
PLEASANTVILLE HIGH SCHOOL
08.2000 - 11.2001
- Supervised students in study hall
- Assisted teachers during class
- Substituted during teacher and secretary absences
- Involved in active group discussion
- Positive role model for students and peers
Self-employed
IN HOME DAYCARE PROVIDER
09.1991 - 08.2000
- Cared for multiple children in my home for working families
Human Resources Receptionist
BANKER'S LIFE/PRINCIPAL FINANCIAL GROUP
10.1986 - 09.1991
- Company Overview: DES MOINES, IA
- Greeted applicants and potential new hires
- Entered applicant data into the system
- Handled Human Resources switchboard
- Assisted with applicant testing
- Assisted with HR interview process
- Maintained applicant files and records
- DES MOINES, IA
Education
Diploma -
PLEASANTVILLE HIGH SCHOOL
PLEASANTVILLE, IA05.1986
Skills
- Extensive Customer Service
- Exceptional communication skills
- Detailed and organized
- Proficient and adaptable
- Medical/dental terminology knowledge
- Professional client relations
- Scheduling appointments
- Scheduling
- Call handling
- Multitasking
- Reliability
References
Available upon request
Timeline
Clinic Office Assistant
Pella Regional Health Center
11.2023 - Current
Billing Representative I
PRIMARY HEALTHCARE
09.2018 - 10.2023
Medical Review Assistant, Medical Services
TELLIGEN IOWA MEDICAID ENTERPRISES
04.2017 - 09.2018
Pre-Payment Auditor for Electronic Health Records, Outreach
MAXIMUS IOWA MEDICAID ENTERPRISES
03.2016 - 04.2017
Customer Service Representative, Provider Services
MAXIMUS IOWA MEDICAID ENTERPRISES
01.2013 - 03.2016
Patient Account Representative
MERCY EAST CLINICS
09.2004 - 06.2005
Front Desk Receptionist
MERCY EAST CLINICS
11.2001 - 09.2004
Teacher's Aid
PLEASANTVILLE HIGH SCHOOL
08.2000 - 11.2001
Self-employed
IN HOME DAYCARE PROVIDER
09.1991 - 08.2000
Human Resources Receptionist
BANKER'S LIFE/PRINCIPAL FINANCIAL GROUP
10.1986 - 09.1991
Diploma -
PLEASANTVILLE HIGH SCHOOL
Similar Profiles
Kiley HowellKiley Howell
Nurse-practitioner at Pella Regional Health CenterNurse-practitioner at Pella Regional Health Center
Katelyn MeyerKatelyn Meyer
Patient Care Technician at Pella Regional Health CenterPatient Care Technician at Pella Regional Health Center
Ashlyn JahnerAshlyn Jahner
Obstetrics Registered Nurse at Pella Regional Health CenterObstetrics Registered Nurse at Pella Regional Health Center