Vivian Lang
Naples,FL
Summary
Proven specialist in streamlining healthcare processes, notably at Comprehensive Primary Care Specialists Mount Sinai, enhancing patient satisfaction and authorization efficiency. Excelled in medical terminology and effective communication, surpassing productivity targets by consistently meeting or exceeding goals. Demonstrated expertise in HIPAA compliance and insurance verification, contributing to improved operational workflows. Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
16
16
years of professional experience
Work History
Referral and Authorization Specialist
Comprehensive Primary Care Specialists Mount Sinai
07.2015 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Manage patients check-ins and check-outs, including co-payment collection.
- Conduct EKGs and schedule appointments for office visits, specialists, and various imaging procedures (CT, MRI, mammograms, ultrasounds, colonoscopies).
Lead Front Desk Medical Receptionist
Shores Pediatrics
12.2008 - 07.2015
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
- Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
- Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Improved office efficiency by organizing and maintaining accurate patient files and records.
- Served as a liaison between patients and healthcare providers, ensuring clear communication of necessary information.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Registered and verified patient records before triage with most up-to-date information.
Education
High School Diploma -
South Miami Senior High
MiamiSkills
- Medical terminology expertise
- Claims Management
- Insurance Verification
- Medical coding knowledge
- Data entry proficiency
- HIPAA Compliance
- Prior authorization processing
- Appointment Scheduling
- Microsoft Office
- Effective communication skills
- Verbal Communication
- Medicaid knowledge
Languages
Spanish
Professional Working
English
Full Professional
Timeline
Referral and Authorization Specialist
Comprehensive Primary Care Specialists Mount Sinai
07.2015 - Current
Lead Front Desk Medical Receptionist
Shores Pediatrics
12.2008 - 07.2015
High School Diploma -
South Miami Senior High
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