Dawn Rushing
Chapin,SC
Summary
Accomplished healthcare professional with expertise in health insurance benefit assessments, prior authorizations, and surgical scheduling, seeking a position in a dynamic and challenging setting. Proficient in Electronic Health Records (EHR), medical terminology, patient registration, and the check-in/check-out process, as well as facilitating coordination between private practices and outpatient hospitals and ambulatory surgical centers. Detail-oriented Surgery Scheduler with knowledge of ICD-10 coding and experience with EPIC and EHR systems. Adept at managing documentation, sterilizing instruments, and coordinating necessary supplies. Excels in high-pressure administrative environments dedicated to ensuring efficient and effective scheduling operations.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Surgery Scheduler
Prisma Health
05.2024 - Current
- Incorporate understanding of payor requirements and collaborate with payor sources to finalize pre-certification prior to surgical procedures and/or appointments.
- Coordinate outpatient procedures with external offices and communicate relevant details to patients.
- Aid in addressing accounts receivable challenges, including claim rejections, charge adjustments, billing modifications, and other elements affecting collections.
- Engage with patients and external offices to ensure resolution of outstanding referrals.
- Create reference materials for new staff, encompassing access to various insurance portals, commonly used terminology, and workflow processes.
- Offer operational assistance to front-office personnel during peak periods. Participate in huddles, denial discussions, and leadership meetings through Microsoft Teams.
- Enroll in educational courses and workshops to enhance knowledge and ensure adherence to compliance standards.
- Reach out to vendors for equipment repairs or services and escalate issues to Practice Manager as necessary.
Operations Clinical Coordinator
Carolina Eye, Ear, Nose, and Throat Associates
08.2023 - 05.2024
- Facilitated orientation and training of new employees.
- Oversaw personnel and assessed workload to guarantee operational effectiveness.
- Collaborated with physicians to establish and enforce protocols and policies. Handled patient complaints and escalated issues to physician when necessary.
- Managed end-of-day reconciliation process for all front office personnel.
- Achieved promotion to this role while continuing to fulfill responsibilities of medical assistant.
- Introduced new policies and provided staff education on updates.
- Supervised and directed daily operations of clinical team comprising 10 physicians and support staff.
Medical Assistant
Carolina Eye, Ear, Nose, and Throat Associates
08.2013 - 08.2023
- Arranged outpatient surgical interventions at hospitals and ambulatory surgical facilities.
- Utilized expertise in medical terminology, CPT codes, and ICD-10 codes to secure prior authorizations for surgical and radiological procedures.
- Collaborate with physicians to electronically process medication prescriptions through EHR system, address clinical inquiries from patients, and conduct in-office procedures.
- Managed patient registration, including insurance verification and benefit assessment.
- Evaluate vital signs, medication adjustments, and updates in medical history during patient visits.
- Maintained adequate inventory of medical supplies by monitoring stock levels and placing replenishment orders before depletion.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Performed medical records management, including filing, organizing and scanning documents.
- Oriented and trained new staff on proper procedures and policies.
Assistant Manager of Operations
Bee Healthy Medical Weight Loss Clinic
07.2012 - 08.2013
- Conducted product inventory assessments and placed orders directly with suppliers.
- Monitored vital signs and administered B-12 and Lipotropic injections.
- Developed nutrition plans and provided recommendations for supplements.
- Recorded medications and injections, including lot numbers.
- Managed patient check-in and check-out processes.
- Delivered hands-on support to customers by evaluating their needs and staying informed about consumer preferences.
- Performed regular inventory audits to confirm stock levels, resolve discrepancies, and anticipate future requirements.
- Addressed issues with challenging customers and clients to support staff and uphold high standards of customer service.
- Coordinated employee scheduling based on customer traffic patterns and individual employee strengths.
- Executed business strategies that enhanced revenue and effectively targeted new market segments.
Server
Wild Hare Sports Cafe
09.2011 - 12.2012
- Accurately recorded and verified food and beverage orders.
- Ensured timely and correct delivery of food and drinks to customers.
- Oversaw and coordinated service for multiple tables simultaneously.
- Promoted customer satisfaction and pleasant dining experience.
- Utilized POS system for order placement, bill management, and processing complimentary items.
- Kept dining areas clean and organized to meet restaurant hygiene standards.
- Adhered to health and safety regulations essential for providing safe and sanitary environment for both customers and staff.
- Addressed customer complaints swiftly and professionally to uphold positive reputation.
Education
Bachelor of Science - Exercise Science
University of South Carolina
Columbia, SC12.2010
Skills
- Surgical Procedures
- Insurance Verification
- Patient Accounts
- HIPAA Compliance
- ICD-10 and CPT
- Payment Posting
- Project Management
- Business Acumen
- Productivity Improvement
- Interpersonal Relationships
- EHR systems expertise
- Obtaining authorizations
- Maintaining confidentiality
- Schedule Management
- Office Administration
- Data entry proficiency
Certification
- UKG Dimensions Timekeeper Certification
- Business Foundations for Nurses Professional Certificate by American Nurses Association
- Leadership Foundations
- Leadership Strategies for Women
- Building Business Acumen for Aspiring Professionals
- Finance for Non-Financial Managers
- Supply Chain Management
- Positive Psychology for Less Stress and Happier Workdays
- How to Develop Friendships and Connect Meaningfully with Work Colleagues
- Skills to Build Stronger Work Relationships
- How to Resolve Conflicts
Timeline
Surgery Scheduler
Prisma Health
05.2024 - Current
Operations Clinical Coordinator
Carolina Eye, Ear, Nose, and Throat Associates
08.2023 - 05.2024
Medical Assistant
Carolina Eye, Ear, Nose, and Throat Associates
08.2013 - 08.2023
Assistant Manager of Operations
Bee Healthy Medical Weight Loss Clinic
07.2012 - 08.2013
Server
Wild Hare Sports Cafe
09.2011 - 12.2012
Bachelor of Science - Exercise Science
University of South Carolina
- UKG Dimensions Timekeeper Certification
- Business Foundations for Nurses Professional Certificate by American Nurses Association
- Leadership Foundations
- Leadership Strategies for Women
- Building Business Acumen for Aspiring Professionals
- Finance for Non-Financial Managers
- Supply Chain Management
- Positive Psychology for Less Stress and Happier Workdays
- How to Develop Friendships and Connect Meaningfully with Work Colleagues
- Skills to Build Stronger Work Relationships
- How to Resolve Conflicts
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