Well-spoken and educated Medical Office Coordinator with outstanding phone and email communication skills. Versed in HIPAA and patient privacy regulations. Communicates well with other practices and offices to coordinate medical records and referrals. Successful at helping patients navigate medical office procedures while maintaining smooth and efficient business operations. Offering 25 years of Customer Service related experience, diligent nature and expertise in electronic records management.
Hi, I’m
Eleiga Aaliyah Lawrence
Clinical Coordinator/ Authorization Specialist
Auburn,NY
Summary
Overview
20
years of professional experience
1
Certification
Work History
Auburn Community HospitalAuburn, NY
Insurance Prior Authorization Specialist
06.2019 - Current
Job overview
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Scheduled appointments with applicants to gather information and explain benefits processes.
Auburn Community HospitalAuburn, NY
Medical Assistant
06.2020 - Current
Job overview
- Directed patients to exam rooms, submit questions and prepared for physician examinations.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Managed over 500 Patient in Dual Specialty Clinics.
- Obtained client medical history, including medication information, symptoms and allergies.
- Arranged surgeries with surgical center, confirming times with patients and preparing Pre-admission Testing and consent forms.
- Completed clinical procedures and gathered patient data for interpretation by physician.
Auburn Community HospitalAuburn, NY
Clinical Coordinator
04.2021 - Current
Job overview
- Created and maintained medical records from time of admission through patient discharge.
- Updated and maintained schedules for patients as well as managed client correspondence.
- Addressed complaints made by patients and staff
- Communicated with patients, insurance companies, and providers through phone calls, emails, and office drives concerning formularies and coverage limits.
- Trained all new employees on records management system.
- Processed new office referrals to correct agencies within 24 hours of receiving notice.
- Coordinated patient care changes and relayed updated plans to various staff members assigned to patients.
- Planned and supported staff office meetings by preparing agendas .
- Processed pre-admissions, new case information, and referrals in Medent, and Allscripts database.
- Built strong relationships with patients and families for optimized care satisfaction.
- Led physicians, nurses and healthcare teams in providing punctual, professional care delivery.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
General Atomics Aeronautical Systems Inc.Poway, CA
Administrative Assistant
06.2008 - 10.2010
Job overview
- Assisted with event planning, including associated travel and logistical arrangements.
- Prepared meeting minutes and edited subcontractor proposals, transmittal's and memorandums for organizational support.
- Assisted coworkers and staff members with special tasks on daily basis.
- Received and routed business correspondence to correct departments and staff members.
- Liaised with vendors to order and maintain inventory of office supplies and to obtain most cost-effective pricing.
- Provided administrative services, including phone and email correspondence.
- Coordinated travel arrangements by booking airfare, hotel and ground transportation
- Restocked supplies and placed purchase orders to maintain adequate stock levels
- Monitored supervisor's work calendar and scheduled appointments, meetings and travel.
LorettoAuburn, NY
Certified Nursing Assistant
03.2018 - Current
Job overview
- Answered call lights and aided in patient comfort and safety by adjusting beds, lights, bed rails, pillows, patient clothing and bedside tales or equipment.
- Performed patient assessments, documented vital signs and reported changes to supervisors.
- Evaluated 80 patients to identify and address wounds, behavioral concerns and medically-relevant symptoms.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Reviewed organization functions to stay up-to-date on procedures.
- Readied rooms for patients and prevented infections by keeping areas clean, linens changed and trash collected.
- Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Turned and repositioned patients to maintain comfort and minimize problems.
BD BiosciencesSan Diego, CA
Customer Service Representative
08.2003 - 02.2006
Job overview
- Operated in dynamic, high-volume environments to provide skilled assistance to more than 100 customers each day.
- Investigated and resolved customer inquiries and complaints quickly.
- Supported customer needs by fielding diverse questions about issues such as available merchandise, current prices and upcoming company changes.
- Facilitated antigen's orders and completed accurate entry in timely and efficient manner.
- Promoted customer loyalty by delivering exceptional service to handle questions, complaints and discrepancy issues.
Education
Cayuga-Onondaga BOCES 12 Allen Street
from Certified Nurse Aide Certification Program
03.2018
University Overview
San Diego School of Performing ArtsSan Diego, CA
High School Diploma
1996
University Overview
Skills
- Efficient and reliable Team player
- Authorization Specialist
- Completing insurance forms
- EMR / EHR
- Emergency procedures understanding
- Ambulating and repositioning patients
- HIPPA
- Direct Patient Care
- Medical Records Management
- CPR
- Account management
- MS Office
- Scheduling
- Office administration
- Spreadsheet Development
- Registration management
- Office procedures understanding
- Industry software applications
- Understanding of medical terminology
- Insurance billing procedures
- Workflow planning
- Documentation and control
- Staff Management
- Trustworthy Companion
- Patient Relationship-Building
Willing to Relocate anywhere
Willing to Relocate anywhere
I will be relocating in your area if the job is a good fit.
Accomplishments
Accomplishments
- Utilized Microsoft Excel to develop a referral tracking system on a separate network shared drive.
- Was promoted to Medical Clinical office Coordinator- To over see the functionality and scheduling, and submit Insurance Prior Authorization for Pain Management and Neurosurgery clinics Procedures.
- Collaborated with team of 6 in the development of Pain Management procedure and protocols..
Certification
- Certified Nursing Assistant 3yrs.
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Every problem is a gift—without problems we would not grow.
Timeline
Clinical Coordinator
Auburn Community Hospital
04.2021 - Current
Medical Assistant
Auburn Community Hospital
06.2020 - Current
Insurance Prior Authorization Specialist
Auburn Community Hospital
06.2019 - Current
Certified Nursing Assistant
Loretto
03.2018 - Current
Administrative Assistant
General Atomics Aeronautical Systems Inc.
06.2008 - 10.2010
Customer Service Representative
BD Biosciences
08.2003 - 02.2006
Cayuga-Onondaga BOCES
from Certified Nurse Aide Certification Program
San Diego School of Performing Arts
High School Diploma
- Certified Nursing Assistant 3yrs.
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