Dawn Marino
Millsboro,DE
Summary
Operations Specialist with over 15 years of experience in the Health Care field performing both front and back-end tasks, working with EHR/EMR and clinical systems with providers and insurance companies. Have HEDIS and clinical data experience with knowledge of clinical quality assurance on NCQA compliance and guidelines in quality of patient care. Detail-oriented with great client and customer relations. Team-oriented with the ability to manage projects independently
Overview
20
20
years of professional experience
Work History
Operations Specialist
Mid-Atlantic Family Practice
04.2009 - Current
- Managed and participated in various rate improvement activities for HEDIS projects in both commercial and Medicare.
- Successfully managed multiple projects simultaneously while adhering to deadlines and budget constraints.
- Abstracted medical record data for HEDIS for measurements.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Oversaw day-to-day operations, delegating tasks appropriately to ensure smooth workflow and timely completion of projects.
- Contacted insurance carriers to obtain prior authorization and referrals for specialist appointments, testing and procedures.
Patient Representative
Delaware Eye Institute
06.2004 - 04.2009
- Gathered demographic and insurance information to register patients for medical appointments.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Answered multi-line phone system to schedule appointments, answer questions, and direct calls to staff.
- Prepared patient charts before visits to facilitate easy access to relevant information for healthcare providers.
- Assisted with medical coding and billing tasks.
Education
High School Diploma -
Cape Henlopen High School
Lewes, DE06.2004
Skills
- Operations and Quality Improvement
- Data Abstraction/Extraction
- HEDIS NCQA, HIPPA PHI
- EHR/EMR Systems
- Insurance Referrals/Prior Authorizations
- Medical Records Management
- Microsoft Office, Word, Excel
- Detail Oriented
- Analytical Thinking
- Staff Leadership
- Multitasking and Time Management
Timeline
Operations Specialist
Mid-Atlantic Family Practice
04.2009 - Current
Patient Representative
Delaware Eye Institute
06.2004 - 04.2009
High School Diploma -
Cape Henlopen High School
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