Henna Maraj
Richmond Hill,United States
Summary
Organized Clinical Coordinator with excellent scheduling, coordination and documentation talents as part of clinical teams. Skilled at admitting patients, managing patient services, providing thorough reports and ensuring patient satisfaction. Detail and patient-oriented with proficiency in handling emergency situations. Dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Clinical Coordinator/Pre-Authorization Specialist
Optum, UnitedHealth Group (Hematology & Oncology)
01.2023 - Current
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
- 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.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Tracked referral submission during facilitation of prior authorization issuance.
- Assisted patients with completion of applications and paperwork.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Monitored customer accounts to identify and rectify billing issues.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Scanned and uploaded medical records into electronic medical records system.
Registrar/Secretary
New York Presbyterian Hospital Of Queens- Hollis Women’s Center
12.2021 - 12.2022
- Updated computer system with latest information to keep records current and accurate.
- Developed and implemented registration policies, procedures and timelines for smooth administration processes.
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Supported office staff and operational requirements with administrative tasks.
- Completed patient referrals to other medical specialists.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Registered and verified patient records before triage with most up-to-date information.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Placed new supply orders, managed inventory and restocked clerical spaces.
Practice Office Associate
Northwell Health Specialties, Pediatric Cardiology & Surgery
01.2019 - 11.2021
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Provided prompt, polite and professional in-person and telephone customer service.
- Updated patient information and insurance details for accurate electronic medical records.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Registered patients and completed associated paperwork for accurate records.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Used Epic/Soarian to schedule appointments for doctor visits and procedures.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Receptionist/Medical Assistant
Pediatric Urology & Gynecology Associates P.C, Pediatric Urology
01.2017 - 01.2019
- Scanning patient information in, taking insurance cards, giving patients registration forms, putting in patient information
- Directing patients to proper rooms, going over schedules to make sure all proper information is in before patient appointment, getting referrals, labs, progress notes, etc
- Calling insurance companies to verify eligibility, calling pediatricians/specialists to obtain patient information, filing patient medical records, obtaining radiology reports, etc
- Helping patients prepare for in office testing and in office procedures
- Training new staff, doing multiple positions when understaffed, calling for prior authorizations for in office procedures, etc
- Pediatric Gynecology:
- Bringing patients back for the doctor, getting all medical history, taking blood pressure, height & weight
- Getting documents/films/radiology reports/lab work for the doctor so she can review everything and make proper diagnosis, assisting doctor with office procedures such as IUD insertions, minimal surgical procedures, helping assist with post-operative appointments, etc
- Cleaning, packing and sterilizing speculums & all other instruments being used in the office
- Filling out lab requisitions, doing urinalysis in office & outpatient
- Collecting specimens, sending them out to the lab for routine pickup
- Comforting patients who need the extra care after procedures, giving them proper medication, assisting the RN when she gives medication to patients, etc.
Medical Receptionist
Select Pediatrics, A Division of Pro Health Care Associates
01.2015 - 01.2017
- Helping patients check in and check out, scanning documents, inputting patient information, pharmacies, etc
- Scheduling future patient appointments as they come out, answering phones, calling insurance companies to check insurance eligibility, collecting patient copayments, balances, deductibles, & co-insurance
- Getting electronic referral for patients, helping bring patients to rooms, writing out excuse notes for patients, confirming future appointments, helping patients as they come in for walk in appointments, helping train new staff, etc.
Education
Bachelor of Science - Health Care Administration
St. Joseph's University
Long Island, NY06.2025
High School Diploma - Public Service & Law
Hillcrest High School
Jamaica, NY06.2012
Skills
- EPIC Software Proficiency
- Outlook/Adobe/Teams Software Proficiency
- E-Clinicals Software Proficiency
- Multitasking Abilities
- Teamwork and Collaboration
- Dependable and Responsible
- Able to type 95 wpm
- Program management
- Workflow optimization
- Schedule management
- Accounts receivable and insurance billing
- Staff development and coaching
- Patient Relations
- Medical Records Management
- HIPAA Guidelines
- Patient Screening
- Administrative Duties
- Completing Insurance Forms
- Appointment Coordination
- Intellidose Software Proficiency
- Excellent Communication
- MS Office
- Organization and Time Management
- Customer Service Expertise
- System Documentation
- CPT Coding
- Conversation Recording
- Database Administration
- Office Equipment Operation
- Multi-Line Telephone Systems
- PC Proficiency
- Business Administration
- Verbal and Written Communication
- Google Docs
Timeline
Clinical Coordinator/Pre-Authorization Specialist
Optum, UnitedHealth Group (Hematology & Oncology)
01.2023 - Current
Registrar/Secretary
New York Presbyterian Hospital Of Queens- Hollis Women’s Center
12.2021 - 12.2022
Practice Office Associate
Northwell Health Specialties, Pediatric Cardiology & Surgery
01.2019 - 11.2021
Receptionist/Medical Assistant
Pediatric Urology & Gynecology Associates P.C, Pediatric Urology
01.2017 - 01.2019
Medical Receptionist
Select Pediatrics, A Division of Pro Health Care Associates
01.2015 - 01.2017
Bachelor of Science - Health Care Administration
St. Joseph's University
High School Diploma - Public Service & Law
Hillcrest High School
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