Gina Gordon
Apollo Beach,FL
Summary
Efficient Referral Coordinator with 8 years of increasing responsibility in cardiac and transplant industry. Medical professional with over 20 years of experience. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. Ability to identify areas of deficiency and collaborate with community partners to improve current processes.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Structural Heart Watchman Coordinator
Manatee Memorial Hospital
Bradenton , FL, United States
07.2020 - Current
- Obtain medical records specific for Structural Heart program: Watchman, TAVR and MitraClip
- Verify patient eligibility for procedure through record review , testing, calculate CHADSVASC and HAS-BLED scores to build a complete case for insurance authorization.
- Obtain insurance authorization via insurance specific portals: Availity, Humana, UHC, etc
- Peer to peer with insurance providers
- Maintain NCDR-LAAO Registry
- Maintain OR scheduling and flow
- Schedule anesthesia for cases
- Tissue Coordinator for the OR
- Updates and verifies demographic information.
- Provides information regarding clinic and hospital polices, procedures, and locations to patients, family members, and staff.
- Coordinates and schedules patient appointments with other clinics, specialties, and inter-facility as appropriate.
- Serves as coordinator for questions including interpretation of procedure.
- Verifies health insurance information, serving a major role in the revenue process.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process
- Participates in team huddles and meetings to manage, plan, problem solving, and follow-up with patient care by sharing information and collaborating with the interdisciplinary team.
- Attended professional meetings and conferences to maintain and improve professional competence.
- Stayed current on guidelines to maintain compliant program operations.
- Preforms other duties as assigned.
- Scheduled appointments with specialists on behalf of clients.
Patient Service Representative
Zoll
Pittsburgh, PA
10.2012 - Current
- Assess and measure patients to place external cardiac defibrillators
- Performed patient education regarding cardiac devices and importance of medication compliance
- Provide staff education in acute care hospital and skilled nursing facility
Heart Transplant Referral Coordinator
Tampa General Hospital
Tampa, United States
11.2017 - 02.2020
- Trained 6 staff on referral and intake process
- Completed up to 8-10 referral requests each day for medical provider of transplant services
- Called insurance companies to get pre-certification and other benefits information on behalf of patients
- Assessed patient need, provider availability and insurance coverage for scheduling
- Preserved and prepared reports and treatment records
- Provided ongoing communication to help patients deal with referral processes
- Organized clinical documentation, treatment plans, and referrals
- Improved quality processes for increased efficiency and effectiveness
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process
- Proficient in Epic, Care Everywhere, E-health, Nuance Powershare software
- Schedule initial visits
- Responsible for writing regulatory letters for UNOS
- Verify patient insurance benefits, including Medicare, Medicaid, Tricare, VA, and commercial plans
EKG Technician
Tampa General Hospital
Tampa, FL
08.2015 - 11.2017
- Tested patient cardiac activity with specialized equipment
- Checked, tested and maintained cardiology equipment to uphold optimal diagnostic standards
- Recorded vascular information such as blood pressure, cardiac rhythm changes and oxygen saturation to inform diagnostic processes
- Set up equipment to prepare for patient procedures and tests
- Monitored patients' blood pressure and heart rates before, during and after procedures
- Provided excellent service and attention to customers in face-to-face encounters and through phone conversations
Medical Assistant
Founders Family Medicine & Urgent Care
Castle Rock, CO
10.2014 - 03.2015
- Front and back office duties
- Manage 10-12 patient referrals daily
- Roomed and Obtained Vital Signs of patients
- Phlebotomy
- Administered Vaccines/Immunizations to adult and pediatric patient
- Performed point of care testing and reported results to physicians
- Administered breathing treatments
- Provided patient education
- Followed infection control procedures
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions
- Educated patients by providing medication and diet information and clarifying physicians' orders, answering questions thoroughly
Office Manager
Denver Cardiology
Parker, Colorado
06.2011 - 09.2014
- Telephone triage
- Monitored vital signs, such as blood pressure and pulse
- Read and recorded temperature, pulse and respiration
- Tested and recorded blood glucose levels
- Set up CIMP
- Provided advanced lipid testing education to patients
- Receive and report lab results to physicians and patients
- Recorded and filed patient data and medical records
- Supervised maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms)
- Prepared prescription refill requests
- Prepared patient charts, pre-admissions and consent forms as necessary
- Scheduled patient appointments
- Provided administrative support for two physicians and PA
- Scheduled radiology exams for patients
- Resolved and clarified issues with patient medications and collaborated with local pharmacies
- Changed sterile dressings/Pacemaker and defibrillator wound checks
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
Cardiac Diagnostic Technician
Centura Health System Parker Adventist Hospital
Parker, Colorado
10.2003 - 06.2008
- Performed 25-30 outpatient and inpatient EKG testing on adult, child, and neonatal
- Performed Nuclear and Exercise Stress Tests and Stress Echocardiograms
- Proficient in Holter Monitoring, Event Monitoring, Tilt Table procedures, and Pulse Oximetry
- Proficient and Phlebotomy and IV certified
- Knowledgeable of Quest and Lab Crop policies and procedures
- Performed annual fitness testing for Parker Fire Department firemen
- Participated in pre and post Cath Lab procedures, hemodynamic monitoring, and Cardioversions
- Scheduled inpatient cardiology diagnostic testing
- Knowledge of basic cardiac monitoring functions and rhythm identification
Unit Coordinator
Centura Health- St Anthony Central
Denver, CO
05.1996 - 11.2003
- Float between units
- Performed and interpreted EKG's for this Level 1 Trauma Center
- Ordered all labs for ER patients
- Reported critical values to physicians
- Processed billing for ER patients
- Multi- tasked triage, incoming phone calls, patient emergency care, physician requests, and assured patient comfort
- Scheduled patient procedures
- Pulled and filed patient charts
Education
High School Diploma -
Irvington High School
Fremont, CA05.1981
Some College (No Degree) - Medical Terminology
College of Marin
Greenbrae, CASkills
- Regulatory compliance
- Proficiency with Availity and insurance portals for authorization
- Knowledge of Medicare/CMS guidelines
- Schedule and complete clinical peer-to-peers
- Insurance Knowledge
- Advanced Medical Terminology
- Computer Literacy
- Data entry
- Knowledge of Insurance codes (ICD-9 and CPT)
- Disease management standards
- Proficient using EHR
- Front and back office operations
- Effective communication
- Customer service
- Teamwork
- Organizational skills
- Flexible and Adaptable
- Appointment Setting
Accomplishments
- Established protocols and implemented process improvement projects to obtain records from outside hospitals leading to decrease in referral time 2016-2020
- Transplant Assistant of the Year 2017, 2019
- Volunteer for community health events
- Chair person for Heart Walk campaign
Certification
- ACLS
- BLS
- Boston Scientific Watchman Coordinator Summit 10/2022
- Advanced 12-Lead EKG 2002
- Electrocardiogram Recognition 2006
Timeline
Structural Heart Watchman Coordinator
Manatee Memorial Hospital
07.2020 - Current
Heart Transplant Referral Coordinator
Tampa General Hospital
11.2017 - 02.2020
EKG Technician
Tampa General Hospital
08.2015 - 11.2017
Medical Assistant
Founders Family Medicine & Urgent Care
10.2014 - 03.2015
Patient Service Representative
Zoll
10.2012 - Current
Office Manager
Denver Cardiology
06.2011 - 09.2014
Cardiac Diagnostic Technician
Centura Health System Parker Adventist Hospital
10.2003 - 06.2008
Unit Coordinator
Centura Health- St Anthony Central
05.1996 - 11.2003
High School Diploma -
Irvington High School
Some College (No Degree) - Medical Terminology
College of Marin
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