DARCHELLE BOSTON

Business Office / Psychiatry Support Coordinator, 2015 – Present; Clinic Support Specialist, 2011 – 2015.

Business Office / Psychiatry Support Coordinator: Promoted to lead front-office operations and support psychiatry services, building on a prior role as Clinic Support Specialist with elevated responsibilities in team supervision and cross-departmental coordination.

• Assisted psychiatrists during clinical hours, and provided triage support for over 100 patients in the Medication Management Program, including on-call coverage after hours and on weekends.
• Coordinated and managed provider credentialing and re-credentialing, including CAQH maintenance, insurance panel applications, and compliance with Medicare, Medicaid, and commercial payers.
• Maintained accurate records of provider licenses, DEA registrations, malpractice insurance, and other compliance documentation to ensure timely renewals.
• Provided operational support to clinical, QA, and administrative teams for special projects and internal initiatives.
• Purchased all business and clinical supplies to ensure uninterrupted clinic operations.
• Supervised and trained more than five administrative staff members, developed onboarding materials, and implemented clinic-wide procedural updates.
• Continued front-office duties, including patient scheduling, insurance eligibility verification, payment collection, and client record updates, using Procentive EMR software.

Clinic Support Specialist:

• Delivered professional and compassionate front-office support by greeting clients, responding to inquiries, and ensuring a welcoming clinic environment.
• Managed daily administrative operations, including client appointment scheduling, chart audits, and document handling, using Procentive practice management software.
• Maintained strict confidentiality of client records while accurately updating medical and payer information, processing medical records requests, and assisting with billing statements.
• Supported clinicians and psychiatrists with scheduling needs, client chart preparation, and maintaining organized clinical documentation to meet healthcare standards.
• Operated and maintained office equipment, tracked office supplies, and assisted with patient copay collection and eligibility verification.

• Conducted insurance verification, eligibility checks, patient portion calculations, and authorization requirements while addressing reimbursement questions and resolving complex patient financial concerns.
• Served as a resource for patient access specialists by assisting with on-the-job training, troubleshooting patient issues, and ensuring compliance with policies, procedures, and third-party contract guidelines.
• Contributed to team-based process improvement initiatives, ensuring adherence to performance standards, regulations, and organizational best practices.
• Uphold workplace safety standards, promptly report incidents, and demonstrate dedication to the organization's mission, vision, and values.

• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
• Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Identified insurance payment sources and listed payers in proper sequence to establish a chain of payment.
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.