Deanna Clark
Milwaukee,United States
Summary
Talented Insurance Coordinator with 20-year background in hospital settings. Expert in managing insurance claims process, maintaining patient accounts and liaising with insurance companies. Well-versed in Medicare, Medicaid, HMO and PPO insurance requirements.
Overview
25
25
years of professional experience
Work History
Insurance Coordinator
Medical College Of WI
Wauwatosa , WI
12.2018 - Current
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Verified insurance and communicated coverage to staff and patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Verified eligibility and compliance with authorization requirements for service providers.
SURGICAL & PROCEDURE SCHEDULER
Midwest Orthopedic Specialty Hospital
Franklin, Wisconsin
01.2013 - 03.2016
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
- Work closely with OR team, physicians, anesthesiologists, inpatient for need of bed(s)
postoperatively and offices. - Manage planning for reception, day surgery, and cancellation notifications, informing all parties
involved - Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Registered and verified patient records before triage with most up-to-date information.
Surgical & Procedure Scheduler
The Surgery Center
Frankin, WI
05.2004 - 02.2013
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Coordinated and scheduled surgeries for a large group of specialty physicians and surgeons
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
- Coordinated sterile processing when the need for special surgical equipment was requested.
Health Unit Coordinator
St. Francis Hospital And Medical Center
01.1997 - 05.2004
- Conducted in-person greeting, welcome and orientation for newly admitted and transferred patients.
- Transcribed physician orders accurately and alerted nurses to new orders, single orders and stat medications.
- Assisted with processing patient admissions, transfers and discharges.
- Assembled and maintained patient medical records and other documents related to patient care.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Coordinated student learning programs, pre-printed orders committee, and re-design committee
- Worked independently as well as on teams, playing an active leadership role
- Managed front desk - answered phones, called patients to set appointments, fulfilled departmental
errands and problem solved in a fast-paced environment
SCHEDULER/RECEPTIONIST
St. Mary's Hospital
Milwaukee , WI
05.1994 - 12.1996
- Answered central telephone system and directed calls accordingly.
- Confirmed appointments, communicated with clients and updated client records.
- Checked-in visitors, distributed visitor badges and managed logbooks to comply with security initiatives.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Scheduled and confirmed appointments.
- Kept reception area clean and neat to give visitors positive first impression.
- Assisted Referrals and Medical Records departments, filling in for various duties.
- Actively contributed to staff meetings and in-service projects.
Education
High School Diploma -
Notre Dame High School
06.1983
Skills
- ICD-10 Coding
- Medicare and Medicaid knowledge
- Problem-solving
- Medical billing and coding
- File and records management
- Insurance claims and denial processes
- Customer service and assistance
- Claims
- Insurance Verification
- Understanding of medical terms
- Insurance industry experience
- Patient contact
- Prior authorization processing
- Excellent administrative abilities
Timeline
Insurance Coordinator
Medical College Of WI
12.2018 - Current
SURGICAL & PROCEDURE SCHEDULER
Midwest Orthopedic Specialty Hospital
01.2013 - 03.2016
Surgical & Procedure Scheduler
The Surgery Center
05.2004 - 02.2013
Health Unit Coordinator
St. Francis Hospital And Medical Center
01.1997 - 05.2004
SCHEDULER/RECEPTIONIST
St. Mary's Hospital
05.1994 - 12.1996
High School Diploma -
Notre Dame High School
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