Christina Dorsett
Stephens City,VA
Summary
Dedicated Executive Assistant with excellent experience in industry. Maintains professional appearance and demeanor and expertly completes assigned tasks with focus on quality. Dependable and quick-learning team player with effective communication and organization skills.
Overview
33
33
years of professional experience
Work History
Provider Data Specialist; Senior Provider Relations Specialist/eviCore Project Coordinator; Provider Relations Specialist; Provider Service Coordinator
Health Alliance/Carle Hospital
11.2010 - Current
- Assist with all onboarding and functionality training of all new/current staff.
- Management Representative for team meetings.
- Consistently demonstrate solution driven decision making.
- Identify process improvement opportunities, coordinate, track progress, and assess effectiveness of new process and procedure implementation related to operational efficiencies and standardization.
- Identify best practices and share with the team to foster a culture of learning and continuous improvement.
- Meet with physicians and staff to review eviCore program implementations, identify workflow issues, and assist with operational/clinical concerns.
- Foster and maintain a collaborative professional working relationship with outside vendors, internal departments and providers.
- Participates on, and leads, multiple project meetings.
- Ability to perform job functions with attention to detail and accuracy.
- Served on the Peer Interviewing team for all new applicants.
- Conduct on-site or webinar presentations to provide orientation, continuous training and education to the provider network.
- Training of new and existing staff along with providing continued support for a team of 12 members.
- Assisted with feedback for evaluations and job recognition awards.
- Handled 85% of all daily provider inquiries within the first call, eliminating the need for follow-up calls.
- Accurately documented, researched and resolved provider calls efficiently and solution focused.
- Answer a high volume of inbound calls on a daily basis.
Surgery Authorization Representative
Jordan Young Institute
02.2019 - 03.2020
- Effectively communicate changes or trends in insurance policies to team members.
- Obtain pre-authorization from insurance carriers for medical services within a designated time frame.
- Follow up and secure prior-authorizations prior to service appointments. Demonstrate proficiency in medical terminology and general medical office procedures, including HIPAA regulations.
- Record all communication with insurance carriers in standardized documentation with the proper format.
- Review denial reasons and advocate for patients while obtaining approval/denial letters, informing the office of results, and providing appeal services.
- Analyzed patient medical notes to obtain relevant information and ensure insurance authorizations.
- Demonstrated proficiency in medical terminology, CPT, and ICD codes.
- Provide superior customer service to internal and external clients, providers and patients
- Responsible for the timely and accurate verification of primary insurance as directed by insurer.
- Contacting insurances (by phone, e-mail and regular mail) for eligibility, benefits, network status and authorization, documenting information
- Analyze faxed requests and documentation to determine coverage and approval utilizing criteria; utilize nurses for medical reviews when necessary
Chief Nursing Officer Executive Assistant
Catawba Hospital
09.2007 - 10.2010
- Administered support to the Chief Nursing Officer, Nursing Supervisors, and Staff of 90.
- Managed time-keeping using Kronos for all Exempt Nursing Upper Management Staff.
- Managed Outlook shared calendars for Chief Nursing Officer, Managers (4), and Supervisors (6).
- Produced reports, presentations, and hospital audits using various computer programs.
- Coordinated routine management meetings, conferences, webinars, interviews, and training.
- Established and maintains files, records, retention schedules, training manuals, policies, and procedures.
- Processed accounts payable, invoices, check requests, conference reimbursement using the appropriate GL to AP.
- Handled all incoming telephone calls and exercises judgment as to the urgency or other nature of the calls and directs them to appropriate personnel or administrator on-call, if necessary.
- Collected necessary data and prepared statistic reports including data for state reporting.
- Prepared Nurses Week functions for nurses on the floors.
- Worked closely with HR for all nursing personal.
Marketing Assistant
Robertson Marketing Group
03.2003 - 06.2007
Home Case Worker
Head Start
08.1999 - 05.2002
Unit Secretary – Med Surg
Kewanee Public Hospital
04.1992 - 04.1999
- Managed and transcribed physician order to desk Kardex and carbon copy forms for the RN's and LPN's.
- Scheduled unit patients for diagnostic tests, consultations with specialists, and various therapy visits.
- Established maintained and managed patient files and records, ensuring accuracy and organization of records.
- Greeted patients and visitors and guided visitors to appropriate departments.
- Facilitated the seamless operation of the unit.
- Managed the call light system for unit patients, including assisting in rooms when able.
- Transcribed and processed all discharge orders, scheduled follow up appointments, compiled all discharge paperwork into patient folders for RN to review with patient, assisted in transporting patient to car.
Education
Emerging Leaders Program/Certificate - undefined
Carle Foundation Hospital
Urbana, IL01.2017
MK Education - Medical Billing & Coding
Parkland College
Champaign, IL01.2013
Certified Nursing Certificate - undefined
Hillcrest Nursing Home
Geneseo, IL01.1989
Skills
- Customer Service (9 years)
- Experienced receptionist
- Knowledge of medical insurance types
- Familiarity with various health insurance models
- Over a decade of customer service experience
- Front Desk (10 years)
- Guest Relations Experience (10 years)
- Skilled in facilitating conflict resolution
- Administrative support proficiency
- Workflow improvement expertise
- Effective project oversight
- Strong verbal and written communication skills
- Skilled in auditing and reporting statistical data
- Meticulous attention to detail
- Effective at managing multiple tasks
- Proficient in procedural judgment and decision-making
- Effective client relations skills
- Expertise with MS Office, EPIC, Tapestry, Kronos, Visual Cactus, Symplr, MC400, Salesforce, Panviva, Quest Analytics
Timeline
Surgery Authorization Representative
Jordan Young Institute
02.2019 - 03.2020
Provider Data Specialist; Senior Provider Relations Specialist/eviCore Project Coordinator; Provider Relations Specialist; Provider Service Coordinator
Health Alliance/Carle Hospital
11.2010 - Current
Chief Nursing Officer Executive Assistant
Catawba Hospital
09.2007 - 10.2010
Marketing Assistant
Robertson Marketing Group
03.2003 - 06.2007
Home Case Worker
Head Start
08.1999 - 05.2002
Unit Secretary – Med Surg
Kewanee Public Hospital
04.1992 - 04.1999
Emerging Leaders Program/Certificate - undefined
Carle Foundation Hospital
Certified Nursing Certificate - undefined
Hillcrest Nursing Home
MK Education - Medical Billing & Coding
Parkland College
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