Microsoft
Jakai Perdomo
Senior Clinical Coordinator
Raleigh,NC
Summary
Goal-driven Healthcare Administration professional with excellent scheduling, coordination and documentation talents as part of clinical teams. Skilled at managing patient services, providing thorough reports and ensuring patient satisfaction.
Organized and patient-oriented with proficiency in handling administrative tasks and duties. Detail-oriented performer with over 9 years of experience in the medical field. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
6
6
years of post-secondary education
Work History
Senior Care Coordinator
SonderMind
Raleigh, NC
12.2022 - 12.2022
- Liaised between patients, Veteran's Dept of Affairs, private healthcare practices and internal company departments to facilitate effective communication.
- Acted as main point of contact for patients, psychiatrists, therapists and staff by closely reviewing medical charts and maintaining high levels of communication.
- Facilitated communication between internal psychiatrists and therapists.
- Delivered excellent patient experiences and direct care.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Measured effectiveness with team and implemented recommendations for long-term improvements.
- Educated patients by explaining Sondermind's onboarding, scheduling procedures.
- Resolved problems with areas such as communication and billing that could negatively impact services.
- Developed strategic relationships with many locations of Veteran Dept Affairs Medical Centers, private Healthcare practices, Partnership Managers and coworkers to build strong network.
- Evaluated effectiveness of current strategies with interdisciplinary team and utilized recommendations to make permanent improvements to care standards.
- Maintained consistent follow-up on status of prior authorization requests.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Reviewed authorizations from payer to determine approved or denied items.
- Completed clerical duties and tasks for clinic administration.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Contributed to and helped lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Enhanced office productivity by handling high volume of callers per day.
- Managed multi-line phone system and pleasantly greeted patients.
- Completed patient referrals to other medical specialists.
- Helped patients complete necessary medical forms and documentation.
- Transcribed phone messages and relayed to appropriate personnel.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Managed large volume of medical claims on daily basis.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Reviewed provider coding information to report services and verify correctness.
- Paid or denied medical claims based upon established claims processing criteria.
- Answered provider inquiries via email, telephone and written correspondence.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
Medical Biller and Coder (Contract)
Mako Medical Laboratories
Raleigh, NC
01.2022 - 03.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Filed and updated patient information and medical records.
- Liaised between patients, insurance companies and billing office.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Collected payments and applied to patient accounts.
- Managed billing calendar and scheduled claims for payments.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Medical Insurance Specialist (Contract)
Genentech Access Solutions
Raleigh, NC
09.2021 - 01.2022
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Scanned, received and sent faxes to insurance claims, co-pay assistance information and patient documentation.
- Managed large volume of medical claims on daily basis.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Contacted insurance companies to discuss and resolve unpaid claims and incorrectly paid claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
Customer Service Representative (Contract)
Randstad
Raleigh, NC
04.2021 - 08.2021
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Provided primary customer support to internal and external customers.
- Collected and analyzed customer information to prepare product or service reports.
- Recorded account information to open new customer accounts.
- Updated account information to maintain customer records.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
Surgical Coordinator
Mount Sinai South Nassau Hospital
Oceanside, NY
11.2020 - 04.2021
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Verified insurance coverage and obtained pre-authorizations.
- Expertly managed planning, scheduling and coordination of outpatient procedures.
- Checked patients in and out and collected payments.
- Reviewed medical histories and current information to provide accurate information to surgeons.
- Educated patients about surgeries and provided treatment plan documentation.
- Received and routed laboratory results to correct clinical staff members.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Verified eligibility and compliance with authorization requirements for service providers.
- 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.
- Scheduled patients for tests and consultations.
- Processed forms required for insurance approvals and scheduled procedures.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Collaborated with medical assistants, gastroenterologist doctors and the nurse practitioner to prepare and set up rooms with adequate supplies and equipment.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- 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.
- Contacted hospitals/private practices to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
- Communicated information to patients regarding requirements for appointments and test preparation.
- Used electronic systems to enter provider orders and retrieve test results.
Senior Medical Secretary
South Island Orthopedic- Health Plus MGMT
Cedarhurst, NY
01.2020 - 04.2020
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Coordinated customer service, patient scheduling and billing.
- Registered new patients in electronic medical records prior to appointment scheduling.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Enhanced office productivity by handling high volume of callers per day.
- Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment or verbal direction.
- Prioritized calls through screening process and transferred calls and recorded messages for appropriate personnel.
- Supported office staff and operational requirements with administrative tasks.
- Maintained current and accurate medical records for patients.
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Facilitated new patient prescriptions, refills and prescription pre-authorizations.
- Proofread documents and correspondence for accuracy and completeness.
- Registered and verified patient records before triage with most up-to-date information.
- Managed office bookkeeping with insurance billing and patient payments.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
Prior Authorization Coordinator
Halper Family Medicine
Rockville, NY
03.2019 - 09.2019
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Tracked referral submission during facilitation of prior authorization issuance.
- Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
- Reviewed insurance coverage for patients to determine which party was liable for payment.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Managed office bookkeeping with insurance billing and patient payments.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Received and routed laboratory results to correct clinical staff members.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- 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.
- Obtained payments from patients and scanned identification and insurance cards.
Lead Medical Receptionist
ProHealth
Long Beach, NY
11.2018 - 03.2019
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Contributed to and helped lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Completed and filed financial documentation for accounting purposes.
- Responded to correspondence from insurance companies to verify patient's coverage.
- Managed multi-line phone system and pleasantly greeted patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Completed patient referrals to other medical specialists.
- Supported office staff and operational requirements with administrative tasks.
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
- Helped patients complete necessary medical forms and documentation.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Completed clerical duties and tasks for clinic administration.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
Lead Medical Receptionist
Integrated Medical Professionals
Manhasset, NY
06.2018 - 12.2018
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Checked patient insurance, demographic and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Assessed and forwarded procedure and service details to correct coding staff to best categorize for insurance purposes.
- Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
- Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Completed clerical duties and tasks for clinic administration.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Contributed to and helped lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.
- Enhanced office productivity by handling high volume of callers per day.
- Maintained current and accurate medical records for patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed multi-line phone system and pleasantly greeted patients.
- Completed patient referrals to other medical specialists.
- Supported office staff and operational requirements with administrative tasks.
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
- Helped patients complete necessary medical forms and documentation.
- Transcribed phone messages and relayed to appropriate personnel.
Administrator
Long beach Recreation
Long Beach, NY
05.2012 - 08.2018
- Delivered top-notch administrative support to office staff, promoting excellence in office operations.
- Restocked supplies and submitted purchase orders to maintain stock levels.
- Routed business correspondence, documents and messages to correct departments and staff members.
- Conducted research to assist with routine tasks and special projects.
- Planned weekly activities schedule for assigned group and facilitated smooth transitions for on-time arrival.
- Resolved conflicts that arose between campers by listening to complaints and finding appropriate solutions.
- Provided clear instruction to activity and program participants to deliver fun and maintain safety.
- Supervised camper activities to address behavioral issues and promote fun, safety and inclusivity.
- Kept track of allergies and dietary restrictions, verifying correct meals and snacks were given to campers.
- Onboarded new temps by entering employee information into systems.
- Participated in team-building activities to enhance working relationships.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Coordinated with human resources department to handle payroll and personnel databases.
- Maintained personnel records and updated internal databases to support document management.
- Computerized office activities, maintained customer communications and tracked records through delivery.
- Managed agendas and calendars, boosting productivity and improving organizational initiatives.
- Completed forms and reports to facilitate admission, transfer or discharge.
- Oversaw successful planning and execution of staff meetings, parties and events.
Education
Bachelor of Arts - Healthcare Administration
University of Maryland Global Campus
Remote 05.2021 - Current
Associate of Arts - Liberal Arts, Humanities & Social Sciences
Nassau Community College
Garden City, NY 05.2019 - 05.2021
High School Diploma -
Long Beach Senior High School
Long Beach, NY 05.2011 - 05.2015
Skills
Administrative supervision
Database coordination
Insurance practices
Healthcare operations
Proficient in Microsoft Word
Proficient in Microsoft Excel
Proficient in Microsoft Powerpoint
KProficient in Microsoft Outlook
Claims Processing
Medical terminology
Quality assurance
Care Planning
Monitoring tools
Multitasking ability
Case management
Relationship building
Decision making
Patient education
Process improvements
Organizational skills
Strategic planning
Documentation
Goal Setting
Verbal and written communication
Scheduling
Analytical and Critical Thinking
MS Office
Interpersonal Communication
Planning and Coordination
Teamwork and Collaboration
Attention to Detail
Self-Motivated
Teambuilding
Good Telephone Etiquette
Problem-Solving
Dependable and Responsible
Medicare/Medicaid
Insurance Verification
Medical Office Management
ICD 10 Coding
Training and Development
Multitasking Abilities
Excellent Communication
Google Workspace
Provider Relations
EMR
Critical Thinking
Software
Athena
ALLSCRIPTS
Adobe
Timeline
Senior Care Coordinator
SonderMind
12.2022 - 12.2022
Medical Biller and Coder (Contract)
Mako Medical Laboratories
01.2022 - 03.2022
Medical Insurance Specialist (Contract)
Genentech Access Solutions
09.2021 - 01.2022
Bachelor of Arts - Healthcare Administration
University of Maryland Global Campus
05.2021 - Current
Customer Service Representative (Contract)
Randstad
04.2021 - 08.2021
Surgical Coordinator
Mount Sinai South Nassau Hospital
11.2020 - 04.2021
Senior Medical Secretary
South Island Orthopedic- Health Plus MGMT
01.2020 - 04.2020
Associate of Arts - Liberal Arts, Humanities & Social Sciences
Nassau Community College
05.2019 - 05.2021
Prior Authorization Coordinator
Halper Family Medicine
03.2019 - 09.2019
Lead Medical Receptionist
ProHealth
11.2018 - 03.2019
Lead Medical Receptionist
Integrated Medical Professionals
06.2018 - 12.2018
Administrator
Long beach Recreation
05.2012 - 08.2018
High School Diploma -
Long Beach Senior High School
05.2011 - 05.2015