Deana Dore
West Melbourne,FL
Summary
Experienced administrative professional with expertise in medical billing, prior authorization, providing exceptional patient care and as well as various office management experience. Skilled in optimizing workflows and improving operational efficiency to enhance patient satisfaction. Eager to contribute to the success of a growing organization while further developing my expertise in healthcare administration.
Overview
16
16
years of professional experience
Work History
Diagnostic Scheduling Coordinator
Health First Diagnostic Center
02.2022 - Current
- Schedule diagnostic procedures for a high patient volume, consistently meeting or exceeding department metrics for efficiency and turnaround time
- Verify insurance coverage and initiate prior authorization for diagnostic tests, ensuring compliance with insurance guidelines and facilitating timely approvals
- Proactively identify inefficiencies in the authorization and scheduling process, taking initiative to streamline workflows and reduce patient wait times
- Successfully implemented solutions to leadership resulting in a notable reduction in scheduling delays and improved patient care
- Handle patient scheduling inquiries, insurance concerns, and denials, addressing authorization delays and providing rescheduling options to ensure patients have the necessary documentation to avoid unexpected billing
- Delivered exceptional patient care across multiple areas, consistently going above and beyond the scope of work to contribute to high patient satisfaction rates
Patient Service Representative
Health First Breast Center
10.2016 - 07.2019
- Served as the primary point of contact between patients, insurance companies, as well as the clinical team, facilitating clear communication to resolve any issues related to insurance approvals, scheduling conflicts, or medical concerns
- Delivered pre- and post-operative instructions, ensuring patients received medical clearances, lab work, and follow-up care
- Monitored and tracked surgical scheduling, ensuring optimal utilization of operating room time and resources, and minimizing delays in patient care
- Played a key role in developing a new surgical department, working closely with the doctor to assist with hiring, recruiting, and establishing a successful surgical practice from the ground up
Billing Specialist / Surgical Coordinator
Dermatology By the Sea
02.2011 - 12.2015
- Processed medical billing for surgical procedures, including coding diagnoses and treatments per CPT, ICD-10, and HCPCS guidelines
- Submitted insurance claims to multiple providers, ensuring timely and compliant filing to minimize delays in reimbursement
- Managed the claims denial process by thoroughly reviewing denial reasons, identifying issues such as coding errors, missing documentation, or coverage issues
- Worked closely with the billing and clinical team to resolve discrepancies and re-submit claims for payment
- Handled patient billing inquiries, explained insurance coverage and out-of-pocket costs, and assisted in setting up payment plans for balances not covered by insurance
- Actively followed up on unpaid claims, maintaining regular communication with insurance providers to check claim statuses and resolve any outstanding issues
- Managed accounts receivable to ensure timely payment and minimize aging claims
Office Manager
STR Restoration, Inc.
01.2009 - 02.2011
- Oversaw payroll processing for over 15 employees, ensuring accurate and timely compensation while adhering to company policies and legal requirements
- Handled accounts payable and receivable, ensuring that invoices were processed, payments were made promptly, and accounts were reconciled regularly
- Managed vendor relationships, negotiated contracts, and coordinated services, ensuring the office was equipped with necessary resources and materials while staying within budget
- Assisted in human resources tasks, including recruiting, interviewing, onboarding, and training new administrative staff.
- Managed office communication, serving as the first point of contact for clients, vendors, and employees, and providing exceptional customer service both in-person and over the phone
Head Cheer Coach
05.2024 - Current
- Created a fun and supportive team environment, using team-building activities to boost trust, communication, and respect among the athletes while strengthening their bond as a team
- Developed and led training sessions that emphasized not only skill development but also teamwork, helping athletes to support one another and grow as a unified team
- Acted as a primary point of contact between parents and the team, providing regular updates and addressing any concerns to maintain clear communication and align expectations
Education
General Education -
Palm Beach Community College
Boca Raton, FL01.2005
High School Diploma -
Northeast High School
Oakland Park, FL01.2002
Skills
- Problem-Solving Skills
- Great Attention to Detail
- Time Management Skills
- Medical Billing & Coding
- Insurance Verification
- Patient Account Management
- Excellent Customer Service
- Proactive Mindset
- Ability to work independently & as a team
Accomplishments
- Created a fun and supportive team environment, using team-building activities to boost trust, communication, and respect among the athletes while strengthening their bond as a team.
- Developed and led training sessions that emphasized not only skill development but also teamwork, helping athletes to support one another and grow as a unified team.
- Acted as a primary point of contact between parents and the team, providing regular updates and addressing any concerns to maintain clear communication and align expectations.
(Volunteer) Cheer Coach
Youth Cheerleading Team for Girls Ages 10-14
May 2024 to Current
References
Personal and Professional References available upon request
Timeline
Head Cheer Coach
05.2024 - Current
Diagnostic Scheduling Coordinator
Health First Diagnostic Center
02.2022 - Current
Patient Service Representative
Health First Breast Center
10.2016 - 07.2019
Billing Specialist / Surgical Coordinator
Dermatology By the Sea
02.2011 - 12.2015
Office Manager
STR Restoration, Inc.
01.2009 - 02.2011
High School Diploma -
Northeast High School
General Education -
Palm Beach Community College
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