Erika Smith
Summary
Motivated and dedicated professional with extensive experience in healthcare administration, specializing in fostering positive workplace culture and enhancing operational efficiency. Proven expertise in supporting team dynamics and driving cross-departmental collaboration. Strong background in employee training and development. Committed to leveraging exceptional communication and organizational skills to elevate team performance and contribute to the success of Human Resources initiatives.
Overview
9
9
years of professional experience
Work History
Patient Service Representative
Summit Health Medical Group
01.2022 - Current
- Managed precise insurance verification and authorization for complex medical treatments and diagnostic imaging, optimizing patient care timelines and operational efficiency.
- Provided essential administrative support to medical leadership, enhancing clinic operations and fostering a collaborative environment.
- Acted as primary patient liaison, ensuring exceptional service delivery and high satisfaction through effective communication and care coordination.
- Cross-trained across departments to boost team efficiency and adaptability, contributing to seamless clinic operations.
- Educated patients on treatment plans and insurance coverage, empowering informed decision-making and personalized care experiences.
Ambulatory Operations Coordinator/Prior Authorization Specialist
Hackensack University Medical Center
01.2019 - 01.2021
- Managed precise insurance and demographic data acquisition, ensuring accurate billing and record-keeping.
- Efficiently verified patient eligibility and coverage, facilitating seamless healthcare access.
- Coordinated timely prior authorizations for critical treatments, optimizing patient care pathways.
- Provided dedicated administrative support to medical leadership, enhancing operational efficiency.
- Demonstrated adaptability through cross-departmental training, supporting organizational objectives effectively.
Surgical Care Coordinator
Tri County Orthopedics
01.2018 - 01.2019
- Scheduled surgical procedures for both inpatient and outpatient settings, including rehabilitation services.
- Verified insurance coverage and effectively managed patient care, ensuring seamless healthcare experiences.
- Coordinated hospital consultations and managed patient disability planning, ensuring comprehensive care management.
- Pre-certified imaging, injections, and surgical procedures, optimizing healthcare service delivery.
- Obtained pre-operative clearances and meticulously managed OR physicians' schedules, ensuring operational efficiency.
- Demonstrated expertise in major medical, motor vehicle accident (MVA), and workers' compensation insurance processes.
- Performed clerical duties associated with surgical procedures, maintaining accurate documentation and administrative support.
IME Coordinator
Exam Works
01.2016 - 01.2018
- Efficiently coordinated and managed a high volume of medical appointments, including specialized cases such as Motor Vehicle Accident (MVA) and Workers' Compensation (WC), ensuring accuracy and timeliness.
- Oversaw national accounts and maintained professional interactions with legal professionals and attorneys, demonstrating exceptional communication and organizational skills.
- Delivered thorough administrative support encompassing documentation, correspondence, and office management, significantly contributing to the center's operational efficiency.
- Effectively trained new staff members and strategically distributed workloads to optimize team productivity and collaboration.
- Acted as a critical liaison between patients and physicians, ensuring seamless communication and enhancing the overall patient care experience.
Skills
- Effective Communication
- Data Management & Analysis
- Technical Proficiency
- Training & Development
- Organizational Development
- Problem Solving
- Medical Terminology
- Fluent in Spanish
References
References Furnished Upon Request
Timeline
Patient Service Representative
Summit Health Medical Group
01.2022 - Current
Ambulatory Operations Coordinator/Prior Authorization Specialist
Hackensack University Medical Center
01.2019 - 01.2021
Surgical Care Coordinator
Tri County Orthopedics
01.2018 - 01.2019
IME Coordinator
Exam Works
01.2016 - 01.2018
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