Delnette Triplett
Surgery Scheduler, Insurance Verification Specialist, Phlebotomist
Kennesaw,GA
Summary
Experienced with managing surgical schedules and coordinating with medical teams to ensure timely and efficient patient care. Utilizes strong organizational skills to handle complex scheduling demands and address any arising conflicts. Knowledge of healthcare protocols and procedures, with focus on maintaining high standards of accuracy and efficiency.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
12
12
years of professional experience
17
17
years of post-secondary education
Work History
Lab Technician
Children's Healthcare of Atlanta
07.2022 - Current
- Prepare and process patient specimens with attention to prioritization, ensuring accurate documentation of results.
- Collect blood samples proficiently utilizing various equipment including vacutainer tubes, syringes, and needles, while maintaining an adequately supplied phlebotomy cart.
- Engage with patients to obtain necessary laboratory information, alleviate concerns, and foster a cooperative environment, adhering to physician directives for therapeutic phlebotomy procedures.
Surgery Scheduler
Piedmont Orthopedics-Ortho Atlanta (Remote)
12.2021 - Current
- Manage prior authorization requests, ensuring completeness and accuracy of required information.
- Educate patients on surgical procedures and provide comprehensive treatment plans.
- Verify patient insurance coverage and secure pre-authorization to facilitate a seamless billing process.
- Manage post-operative and pre-operative scheduling, payment collection, and maintain accurate patient records, ensuring prompt resubmission of claims as required.
- Responsible for scheduling all outpatient surgeries and procedures as requested by the physician.
- Coordinates efforts with the Director of Nursing to ensure availability of needed equipment, requested staff, and/or ancillary services.
- Assist the call center with answering inbound calls to help schedule appointments.
- Contributed to overall clinic success with proactive identification of areas for process improvement in scheduling systems.
- Responsible for monitoring and maintaining and releasing block time.
- Prepares and distributes the daily surgery schedule to the Nursing Managers, RNs, Pre-op and PACU team.
- Ability to identify potential issues with prior authorization requests, navigate complex situations, and find solutions to ensure timely patient care.
Senior Business Office Representative
Atlanta Outpatient Surgery Center
08.2018 - 12.2021
- Responsible for accounts payable tasks ensuring timely and accurate processing of facility invoices, patient refunds and vendor credits.
- Verifying the sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or patient.
- Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into patient accounting system and the procedure scheduled, date of service and facility name are on the authorization. Ensure authorization has not expired.
- Be familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/copays/co-insurance. Knowledge of payer contracts including Medicare, Medicaid, and other government contracts and guidelines and workmen’s compensation fee schedule.
- Contact the patient and communicate the center financial policy.
- Ensure that business office duties are carried out efficiently and accurately.
- Assisted in budget planning efforts by conducting research, gathering data, and providing input on financial projections.
Medical Technologist Assistant
Winston Medical Center
01.2014 - 06.2018
- Conducted a comprehensive range of tests on specimens, delivering accurate reports to physicians for informed patient diagnosis and treatment plans.
- Maintained laboratory equipment functionality through routine calibration, troubleshooting, and repairs, ensuring consistent operational standards.
- Managed specimen collection, logging, and preparation processes, adhering to safety protocols for the handling and disposal of bodily fluids.
Medical Assistant
Rush Family Medical Clinic
02.2013 - 06.2018
- Maintained a clean and organized clinical environment by sanitizing exam rooms and medical equipment, ensuring readiness for patient care.
- Conducted patient intake by recording medical histories, medication details, and vital signs, contributing to comprehensive patient profiles for clinical assessments.
- Managed administrative tasks including data entry, phone correspondence, and patient billing, supporting the clinic's operational efficiency.
Education
Associate of Arts - Medical Billing and Coding
Antonelli College
Jackson, Flowood 05.2001 - 05.2018
High School Diploma - undefined
Louisville High School
Louisville, MSSkills
Insurance verification
Timeline
Lab Technician
Children's Healthcare of Atlanta
07.2022 - Current
Surgery Scheduler
Piedmont Orthopedics-Ortho Atlanta (Remote)
12.2021 - Current
Senior Business Office Representative
Atlanta Outpatient Surgery Center
08.2018 - 12.2021
Medical Technologist Assistant
Winston Medical Center
01.2014 - 06.2018
Medical Assistant
Rush Family Medical Clinic
02.2013 - 06.2018
Associate of Arts - Medical Billing and Coding
Antonelli College
05.2001 - 05.2018
High School Diploma - undefined
Louisville High School
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