Connie Darlene Dormire
Chattanooga,TN
Summary
To obtain a position of responsibility within an organization offering personal and professional growth potential where acquired skills and abilities will be challenged.
Overview
1
1
year of post-secondary education
24
24
years of professional experience
Work History
Referral Specialist
Common Spirit /Chattanooga Internal Medicine Group
Chattanooga, TN
03.2021 - Current
- Coordinated referrals for imaging and specialist visits across all specialties in an 8-physician practice
- Navigated Medicare and commercial insurance policies and procedures to ensure compliance and streamline operations
- Gained proficiency in ICD-10 diagnostic codes to facilitate accurate medical billing
- Use Epic and Epic Gold and other EHR systems
Insurance Coordinator
Tin Laser Vision Center
Chattanooga, TN
06.2019 - 06.2020
- Verified insurance benefits to ensure patient eligibility before office visits
- Obtained precertification for vision surgeries to facilitate timely patient care
- Coordinated appointment scheduling for patients
- Conducted cost accounting to track expenses
- Executed follow-up on accounts receivable
- Experienced layoff due to Covid-19 pandemic
Appointment Scheduler
Consultants in Pain Management
Chattanooga, TN
02.2017 - 10.2018
- Called and returned calls to patients to facilitate appointment rescheduling
- Sent electronic messages to providers regarding patient inquiries on medication refills
- Entered and updated confidential patient information in electronic records database
Account Representative
North American Credit Services
01.2016 - 01.2017
- Billed and processed claims for commercial payers.
- Backup for Medicare billing and claims
- Billed corrected claims, addressed denials, and filed appeals.
- Managed corrections and processed refunds, maintaining accurate accounts
Insurance/Precert/Coder
Physician Practice Resources/Dr.Ghandi
Chattanooga, TN
01.2013 - 05.2015
- Insurance/Precert/Coder- Hematology/Oncology
- Verified insurance eligibility and benefits to ensure patient access to timely care
- Obtained referral/precertification for office visits, outpatient procedures, and in-office chemotherapy to facilitate patient treatment
- Coded charts and fee tickets with accurate diagnosis codes based on clinical information from imaging reports, office notes, labs, and pathology reports to support billing accuracy
Surgery Scheduler
Chattanooga Bone & Joint
Chattanooga, TN
06.2012 - 08.2012
- Created and managed surgical schedules for multiple surgeons.
- Worked with operating facilities to schedule procedures on behalf of surgeons.
- Assisted with pre-operative preparation such as obtaining insurance authorizations, lab work, radiology tests.
- Verified insurance authorization and medical necessity for specialty services.
Referral Clerk/Charge Entry
Beacon Health Alliance
Chattanooga, TN
01.2004 - 06.2012
- Verify insurance & obtain referrals/precertification
- Verified insurance and obtained referrals/precertification to ensure timely patient access to services
- Executed charge entry using ICD9 and CPT codes to maintain accurate billing records
- Knowledge of Medicare necessity ICD-9 codes
- Executed end-of-day deposit matching for financial accuracy
Various Temporary Assignments
Medical Personnel Services
Chattanooga, TN
01.2003 - 01.2004
- Managed patient appointments at Memorial Cancer Center
- Organized office operations at Wound Healing Center
- Coordinated surgical schedules at Center for Sports Medicine
Education
Medical Transcription
Education Direct
07.1999 - 10.1999
Yes - EKG Tech/Telemetry
Allied Health
07.1996 - 10.1996
None - Medical terminology
Chattanooga State
B.S. - Fashion Merchandising
University of TN
Skills
- Patient CareVerification
- CPT coding
- Medical Billing
- ICD coding
- Medical Office Experience
- EMR Systems
- Medical Records
- Medical Scheduling
- Medical Terminology
- HIPAA
- Triage
- ICD coding
- Computer Skills
- Microsoft Office
- Phone Etiquette
- Communication skills
- Customer service
- Patient Care
- Communication skills
- Customer service
- Receptionist
Assessments
- Title: Medical clerical
- Work Permit: Authorized to work in the US for any employer
- Visa Status: Authorized to work in the US for any employer
Personal Information
- Title: Medical clerical
- Work Permit: Authorized to work in the US for any employer
- Visa Status: Authorized to work in the US for any employer
Timeline
Referral Specialist
Common Spirit /Chattanooga Internal Medicine Group
03.2021 - Current
Insurance Coordinator
Tin Laser Vision Center
06.2019 - 06.2020
Appointment Scheduler
Consultants in Pain Management
02.2017 - 10.2018
Account Representative
North American Credit Services
01.2016 - 01.2017
Insurance/Precert/Coder
Physician Practice Resources/Dr.Ghandi
01.2013 - 05.2015
Surgery Scheduler
Chattanooga Bone & Joint
06.2012 - 08.2012
Referral Clerk/Charge Entry
Beacon Health Alliance
01.2004 - 06.2012
Various Temporary Assignments
Medical Personnel Services
01.2003 - 01.2004
Medical Transcription
Education Direct
07.1999 - 10.1999
Yes - EKG Tech/Telemetry
Allied Health
07.1996 - 10.1996
None - Medical terminology
Chattanooga State
B.S. - Fashion Merchandising
University of TN