Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
14
14
years of professional experience
Work History
Lead Patient Care Coordinator
United HealthGroup
Phoenix, AZ
01.2011 - Current
Resolved conflicts among members of the healthcare team related to differences in opinions on how best to provide quality care.
Maintained an up-to-date knowledge base about relevant healthcare topics such as insurance coverage guidelines, government regulations.
Assured regulatory compliance and professionalism across patient service.
Demonstrated flexibility during changes to patient care practice.
Processed patient intake information and updated medical records prior to treatment.
Provided administrative support for patient care staff.
Verified identity documents for new customers before opening accounts in accordance with company policies.
Performed data entry into computer systems to maintain accurate records of customer information.
Managed incoming and outgoing mail, courier services, faxes and other correspondence.
Answered incoming calls, directed them to appropriate personnel and took messages.
Resolved any customer complaints or issues in a timely fashion following established protocols.
Handled cash transactions accurately, balancing the register at the end of each shift.
Reconciled daily financial transactions against cash receipts at the end of each day's business activity.
Responded to customer inquiries via phone, email, and in person.
Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
Processed payments from customers using a variety of payment methods including credit cards, checks and money orders.
Prepared daily shift close reports and balanced cash register to accurately reflect transactions.
Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Participated in training sessions on new software programs used for verification purposes.
Responded promptly to customer inquiries regarding their benefits and eligibility status.
Updated patient and insurance data and input changes into company computer system.
Utilized electronic medical records (EMR) systems for documenting verification processes.
Assisted in training new staff on insurance verification procedures and best practices.
Referral Coordinator
Happy Kids Pediatrics
Phoenix, AZ
04.2010 - 01.2011
Monitored patient progress throughout the referral process.
Coordinated with external agencies to ensure timely processing of referrals.
Ensured compliance with HIPAA regulations when handling patient information.
Performed data entry related to referrals into electronic health record systems.
Developed relationships with key stakeholders within the healthcare system to facilitate effective referrals.
Advised staff on appropriate protocols when making a referral.
Answered questions and resolved concerns raised by both patients and specialists.
Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Reviewed demographic, clinical and insurance information before sending to referred specialists.
Educated patients on the referral process, including expected timelines and preparation for specialist visits.
Education
Medical Assistant Certificate - Medical Assiatant
Lamson College
Tempe, AZ
09-2009
Skills
Leadership
Bilingual in English/Spanish
Scheduling Coordination
Payment Collection
Filing and Recordkeeping
Patient Care Coordination
Insurance Verification
Healthcare knowledge
Customer Service
Super User with Allscripts
Supervise front office team
Word Excel/Power point
Microsoft office
New Hire Training
Office Administration
HIPAA Compliance
Languages
English
Professional
Spanish
Professional
Accomplishments
Senior Patient CareCoordinator
Several employee of the month awards
Leader Position
References
References available upon request.
Timeline
Lead Patient Care Coordinator
United HealthGroup
01.2011 - Current
Referral Coordinator
Happy Kids Pediatrics
04.2010 - 01.2011
Medical Assistant Certificate - Medical Assiatant
Lamson College
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