Dania Bates
Medical Office Administrator/Coordinator
Zachary,USA
Summary
Task-focused and customer service-oriented professional with 20 years of experience in the medical industry. Proficient in Medical Billing/Coding referrals, prior authorizations, and insurance verifications. Committed to upholding HIPAA regulations and ensuring patient confidentiality. Skilled in utilizing Microsoft Office programs, QuickBooks, EHR, and Electronic Medical Records (EMR) systems including Mckesson, EPIC Centricity, JIVA, Citrix, Connect, Zendesk, and Invision. Exceptional communication skills enable effective interaction with physicians, patients, and staff members.
Overview
25
25
years of professional experience
Work History
Behavioral Health Utilization Review
Amerihealth Caritas of Louisiana
Baton Rouge, Louisiana
11.2018 - Current
- Confirmed patient coverage details.
- Analyzed medical records for accuracy and compliance.
- Collected accurate clinical documentation for treatment and crisis situations.
- Streamlined review process, ensuring timely authorization and concurrent checks for clinical personnel.
- Ensured compliance with medical coding standards through effective use of CPT, ICD, and HCPC.
- Identified and addressed discrepancies in clinical data.
- Coordinated entry processes for several business divisions within the organization.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Handled sensitive patient concerns with professionalism and empathy.
Radiology Liaison-Remote
Envision Healthcare
03.2018 - 11.2018
- Demonstrated proficient communication techniques.
- Collaborated with Radiologists and Radiology Technicians nationwide.
- Documented vital radiological information effectively.
- Maintained high standards for film acceptability.
- Organized communication sessions between healthcare providers and Radiologists across the country.
- Facilitated accurate and concise record-keeping among medical entities.
- Completed at least 75 call-system interactions during every workshift.
- Increased overall practice revenue by diligently collecting copayments and outstanding balances at the time of service.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Provided excellent customer service to patients and medical staff.
- Streamlined appointment scheduling for increased patient convenience and reduced wait times.
Office Manager/Behavioral Health Patient Coordinator
Alternate Therapeutic Solutions, LLC
05.2017 - 03.2018
- Supervised staff activities.
- Obtained necessary approvals using insurance resources and communication platforms.
- Claims submission, code assignment
- Audited patient charts to prepare for CARF and state accreditations.
- Ensured timely collection of employee payroll forms.
- Managed outbound communications with healthcare professionals and patients.
- Streamlined scheduling processes for medical staff.
- Restructured office and supported implementation of new policies.
- Collaborated with clinical staff to coordinate care plans, resulting in improved patient outcomes.
- Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
Intake Coordinator-Office/Remote
AMG LTAC of Denham Springs
11.2014 - 06.2015
- Coordinated with Liaisons and Social Workers to obtain adequate referrals.
- Facilitated pre-admission assessments for patients.
- Processed prior authorizations for both medical and psychiatric cases.
- Assessed medical necessity to approve or deny LTAC admissions.
- Verified insurance information and documentation thoroughly.
- Conducted discharge planning assistance.
- Managed the logistics of patient transfers efficiently.
- Educated patients on insurance benefits and payment options.
- Revamped departmental operations and intake procedures.
- Showcased skills in coding and billing.
- Delivered support to medical staff in completion of patient paperwork.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
Customer Care Coordinator
Numotion
06.2013 - 11.2014
- Facilitated communication between various medical personnel through direct phone contact.
- Secured necessary documentation, prescriptions, and referrals.
- Organized schedules for therapy services and seating reviews.
- Handled prior authorization and pre-certification efficiently.
- Managed out-of-pocket expenses and coinsurance payments.
- Collaborated on seating assessments and promotional activities.
- Coordinated schedules to enhance driver efficiency.
- Applied EMR expertise during tasks.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
- Taught patients and families to use at-home medical equipment.
Patient Coordinator
Ochsner Medical Center
01.2010 - 12.2012
- Keyed in patient demographics and insurance details.
- Collected co-pays, deductibles, and outstanding balances.
- Handled patient admission and discharge processes.
- Coordinated financial arrangements to address unpaid balances.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
- Trained new staff on filing, phone etiquette and other office duties.
- Provided compassionate support for patients facing financial challenges, assisting them in navigating available resources and payment options.
- Supported new Patient Service Representatives'' orientation process by sharing expertise on office procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Shift Lead / Patient Access Representative
Baton Rouge General Medical Center
Baton Rouge, Louisiana
06.2006 - 10.2009
- Managed staff shift assignments in Emergency Department.
- Managed Pars services, aiding both patients and their families.
- Validated client insurance information.
- Updated patient demographics efficiently.
- Facilitated prior authorizations for medical services.
- Oversaw efficient handling of admissions and releases.
- Confirmed payment agreements for overdue balances.
- Increased overall practice revenue by diligently collecting copayments and outstanding balances at the time of service.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Facilitated communication between patients and various departments and staff.
ED Patient Access Representative
Medical Center of Mesquite
Mesquite , TX
08.1999 - 10.2002
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Managed patient registration process, confirming data accuracy and completeness.
- Entered patient demographic and insurance data into electronic medical record system.
- Took copayments and compiled daily financial records.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
Education
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy
01.2018
Associate - Respiratory Therapy
Independence University
01.2016
Skills
- Billing
- Coding
- EMR
- Payments
- Scheduling
- Mental Health
- Behavioral Health
- Utilization Review
- Interqual
- Discharge Planning
- Utilization Management
- Icd-9
- Medical Billing
- Excel
- Microsoft Word
- Microsoft Powerpoint
- Microsoft Office
- Medical Coding
- Insurance Verification
- Anatomy Knowledge
- ICD-10
- CPT Coding
- Microsoft Excel
- Customer service
Additionalinformation - Keyqualifications
- Medical Billing
- Prior Authorization/Precertification
- Medical Coding
- ICD-9-CM
- ICD-10-CM
- HCPCS
- CPT
- Medical Terminology
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Greenway
- Disease Processes
- Managed Care (HMO, PPO, and POS)
- Government Payers
- Third Party Payers
- Worker's Compensation
- Centers for Medicare and Medicaid
- CMS 1500
- CMS 1450 (UB-04)
- Tricare
- EOBs
- Payment Posting
- Revenue Cycle Management
- Scheduling
- Meaningful Use
- Insurance Verification
- Insurance Billing Procedures
- Insurance Claim Processing
- Practice Management
- Medical Office Procedures
- Anatomy & Physiology
- HIPAA Compliance
- Co-Payments
- Deductibles
- Co-Insurance
- Superbills
Timeline
Behavioral Health Utilization Review
Amerihealth Caritas of Louisiana
11.2018 - Current
Radiology Liaison-Remote
Envision Healthcare
03.2018 - 11.2018
Office Manager/Behavioral Health Patient Coordinator
Alternate Therapeutic Solutions, LLC
05.2017 - 03.2018
Intake Coordinator-Office/Remote
AMG LTAC of Denham Springs
11.2014 - 06.2015
Customer Care Coordinator
Numotion
06.2013 - 11.2014
Patient Coordinator
Ochsner Medical Center
01.2010 - 12.2012
Shift Lead / Patient Access Representative
Baton Rouge General Medical Center
06.2006 - 10.2009
ED Patient Access Representative
Medical Center of Mesquite
08.1999 - 10.2002
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy
Associate - Respiratory Therapy
Independence University
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