Resourceful Program Coordinator with a proven track record of high productivity and efficient task execution. Team leadership. Recognized for problem-solving abilities and adaptability, which drive seamless program execution and positive outcomes. Aiming to leverage these skills to enhance organizational success in future initiatives. Experience in having worked in many specialties: Urgent Care, Emergency Department, Orthopedics, General Practice, Plastic Surgery, and Radiation Oncology.
Overview
39
39
years of professional experience
1
1
Certification
Work History
Program Coordinator - Radiation Oncology
Providence St. Joseph’s Medical Center / Disney Family Cancer Center
Burbank, CA
02.2003 - Current
Program Coordinator overseeing Radiation Oncology Department and collaborated closely with Director/Administrator, Physicians, Nursing Staff, Radiation Therapist and Administrative/Secretarial staff
Liaison for hospital and physicians’ group
Assigned to Medical Director for administrative duties
Audited and examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under their policies when applicable
Updated patient financial information to guarantee accuracy
Performed quality control of the data entry system to verify that claims and payments posted correctly
Printed and reviewed monthly patient report and audited patient accounts for accuracy and compliance
Carefully reviewed medical records for accuracy and completion as required by insurance companies and hospital policy
Assisted in the maintenance and conversion from paper to electronic medical charts
Maintenance of electronic medical record (filing, Op Reports, test results) outside records from healthcare facilities, Kronos time keeping for staff
Provided administrative support for four physicians
Received, organized, and maintained all coding and reimbursement periodicals and updates
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party requirements regarding billing
Meticulously identified and rectified inconsistencies, deficiencies, and discrepancies in medical documentation
Functioned as a liaison between the business department, billers, and third-party payers in resolving billing and reimbursement accuracy
Participated in the development of new programs or modifications to existing programs.
Developed and implemented program activities according to established goals and objectives.
Collaborated with other departments within the organization to coordinate efforts that support overall organizational objectives.
Prioritized and organized tasks to efficiently accomplish service goals.
Worked effectively in team environments to make the workplace more productive.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Maintained updated knowledge through continuing education and advanced training.
Office Manager
Dimen Health Center
Santa Barbara, CA
11.1985 - 03.2003
Manager for two primary practices and four satellite locations
Managed twenty staff members, payroll, and day to day office practice
Meticulously tracked and resolved underpayments
Consistently informed patients of their financial responsibilities prior to services rendered
Updated patient financial information to guarantee accuracy
Remained up to date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans
Treated all patients, their families, visitors, peers, staff, and providers in a pleasant and courteous manner
Performed quality control of the data entry system to verify that claims and payments posted correctly
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials
Posted and adjusted payments from insurance companies
Identified and resolved patient billing and payment issues
Processed payroll accurately ensuring all employees were paid on time.
Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
Administered payroll and maintained proper documentation of employee personnel.
Reviewed files and records to obtain information and respond to requests.
Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
Organized company events including holiday parties, team building activities .
Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
Delegated work to staff, setting priorities and goals.
Used judgment and initiative in handling confidential matters and requests.
Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
Recruited and trained new employees to meet job requirements.
Assisted in recruiting, onboarding and training new employees.
Responded to customer inquiries via phone or email in a professional manner.
Managed office inventory and placed new supply orders.
Handled scheduling and managed timely and effective allocation of resources and calendars.
Supervised staff members, organized schedules and delegated tasks.
Reviewed completed work to verify consistency, quality, and conformance.
Education
Surgical Technologist - Coursework in Human Anatomy and Physiology
Glendale College
Glendale, CA, USA
01.2006
Associate of Arts - Coursework in Business, Accounting and Healthcare Administration, Coursework in Insurance Billing and Coding, Healthcare Management coursework
Los Angeles Mission College
Sylmar, CA, USA
01.1989
High School Diploma - Coursework in general studies, with an emphasis on business. Minor in computers
San Fernando High School
San Fernando, CA, USA
01.1985
Skills
EPIC Superuser
Mosaiq
Word
Outlook
Excel
PowerPoint
Bilingual English and Spanish
Medical Terminology
Commercial insurance
Private insurance
Insurance verification
ICD-10 coding
Third-party insurance carriers
Kronos Timekeeping
Office Management
Commitment to excellence
Resourceful
Dependable
Strong diligence
CPT coding
Multitasking
Applied critical thinking skills
Proficient in both verbal and written communication
Electronic medical records
Customer service
Problem solving
Certification
Certified Surgical Technologist
Timeline
Program Coordinator - Radiation Oncology
Providence St. Joseph’s Medical Center / Disney Family Cancer Center
02.2003 - Current
Office Manager
Dimen Health Center
11.1985 - 03.2003
Surgical Technologist - Coursework in Human Anatomy and Physiology
Glendale College
Associate of Arts - Coursework in Business, Accounting and Healthcare Administration, Coursework in Insurance Billing and Coding, Healthcare Management coursework
Los Angeles Mission College
High School Diploma - Coursework in general studies, with an emphasis on business. Minor in computers
San Fernando High School
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