Jana Ratliff
Greenwood,IN
Summary
Accomplished and versatile healthcare professional demonstrating excellence in communication, patient care, and office administration skills. Excels in cultivating team cohesion, fostering positive relationships, positive patient interactions, and enhancing customer service standards. Adept in pharmacy and medical terminology desiring to learn and grow in a forward looking environment focused on compassionate and efficient patient care.
Overview
27
27
years of professional experience
Work History
Patient Services and Prior Authorization Specialist
Optum
06.2016 - Current
- Check in patients and update demographics, insurance, and HIPPA forms
- Collect copayments and compile daily financial records.
- Check out patients and assist with referrals, scheduling return appointments, and diagnostic testing
- As Prior Authorization Specialist research denied claims and contact insurance companies to resolve
- Evaluate clinical criteria for approval or denial of services or medication requiring authorization or appeal
- Research patients medical chart for history and criteria requirements and communicate closely with patient to obtain approval for prior authorization or patient assistance applications
Challenge Course Facilitator
Indiana FFA Leadership Center
03.2008 - Current
- Lead various groups through team building activities and experiential initiatives that teach communication, conflict management, interpersonal and relationship skills
- Create lesson plans for each program that are specific to the group's goals and objectives and be prepared to adapt the lessons to meet various physical, mental, emotional, social and personal needs of participants
- Cultivate positive relationships with participants by demonstrating and encouraging positive interaction
Patient Financial Counselor
Goodman Campbell Brain and Spine
05.2013 - 05.2016
- Served as the sole representative of the billing department at the Methodist location working closely with hospital departments on ER surgical accounts
- Prepared and reconciled surgical accounts and provided estimate to patient presurgery, collected any prepayments due from patient or established a payment plan for patient portion
- Provide administrative knowledge and support to physicians to ensure billing department efficiency
- Work delinquent accounts with collections agencies and communicate with patients via phone call and other correspondence to reconcile accounts
Biometric Screener
Onsite Health Diagnostics
04.2013 - 11.2013
- Maintained participant and specimen information logs.
- Administered blood pressure with automatic and manual cuffs.
- Completed finger-sticks for cholesterol and glucose readings using Cholestech LDX equipment
Medical Office Manager
Pain Management Center
03.2010 - 04.2013
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable
- Addressed and remedied all patient or team member issues
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars
- Implemented onboarding for new employees and externs, which enabled each to effectively learn tasks and job duties
Pharmacy Technician
Meijer
04.2006 - 08.2009
- Answered phone calls, managed drive thru and in-store counters, and performed data entry
- Consulted with insurance companies to complete claims processing, resolve concerns, and reconcile payments.
- Counted, measured and prepared medications for pharmacist following standard procedures, communicated with healthcare providers and addressed customer questions
Pharmacy Technician
CVS Pharmacy
01.2004 - 04.2006
- Answered phone calls, managed drive thru and in-store counters, performed data entry, communicated with healthcare providers and addressed customer questions
- Consulted with insurance companies to complete claims processing and reconcile payments.
- Counted, measured and prepared medications for pharmacist following standard procedures
Front Desk Night Auditor
Carlton Lodge
06.2004 - 03.2006
- Guest services and hospitality- performed hotel front desk duties overnight, check in and check out, managed reservations, answered phones, scheduled wake up calls, addressed guests needs and requests, set up breakfast in the morning for guests
- Accounting- Ran daily audit reports to balance accounts, process invoices, prepare checkout bills
Apartment Leasing Agent
Westminster Apartments. Van Rooy Properties
01.2002 - 08.2004
- Customer service- Established relationships with current tenants to provide personalized service, problem solving, conflict resolution
- Property management- Ensured property was well-maintained and monitored, developed and implemented marketing strategies, collected payments for rent, security deposits, and application fees and maintained accurate tenant recirds
- Coordinated move-ins, prepared and updated leases for tenants, provided tours for potential residents, performed background and credit checks, verified income and references
Kitchen Manager and Bartender
Green Acres Pub
04.2001 - 03.2002
- Customer service- Interacted with customers, handled complaints, and learned their preferences
- Staff management- Scheduled employees, to ensure proper staffing for each shift
- Bar operations/ Event management- Strategized plans to increase revenue with innovative promotions, specialty drinks, and customer-focused events ensuring efficiency and positive atmosphere
- Bartending- stock and clean bar, serve customers at the bar as well as prepare drinks for private tables
- Inventory control- Scheduled and received food and beverage deliveries, adhering to budgets
- Health and safety- Oversaw food prep and beverage service safety protocols
Long-Distance Telephone Operator
Opticom
07.1999 - 04.2001
- Monitored call queues in a fast paced call center working quickly to resolve inquiries and route calls efficiently within target timeframes
- Customer service- assisted with special billing requests, charges to third parties and credits or refunds for misdialed numbers or bad connections
- Handled emergency calls- assisted children or people with disabilities in making telephone calls
Market Research Associate
Herron Associates
01.1998 - 06.1999
- Primary Research-collected data from surveys, interviews, focus groups and other methods to understand consumers, competitors, and market conditions
- Fast paced call center placing outbound marketing survey calls screening for study participants
- Managed campaigns for various clients- Researching identifying and analyzing industry trends and consumer behavior data for new opportunites
Front Desk Concierge
Comfort Inn & Suites
07.2008 - 05.2011
- Provided exceptional customer service and hospitality greeting customers upon arrival
- Managed check-in/ check-out procedures for guests, collected room deposits, fees, and payments.
- Overnight audit- run daily reports, balance accounts, manage reservations and answer multi line phone system
Education
Diploma - Medical Office Management
Kaplan College - Indianapolis
Indianapolis, IN04.2010
Skills
- Office administration
- Prior authorization/ Precertification
- Medical terminology
- Check in/ Check out Charge Entry
- Reception Management
- Employee Engagement
- Medical Records
- Referrals
- Interpersonal Relations
- Patient Intake
- HIPAA Compliance
- Accounts Receivable/ Collections
- Patient Assistance
- Vitals
Timeline
Patient Services and Prior Authorization Specialist
Optum
06.2016 - Current
Patient Financial Counselor
Goodman Campbell Brain and Spine
05.2013 - 05.2016
Biometric Screener
Onsite Health Diagnostics
04.2013 - 11.2013
Medical Office Manager
Pain Management Center
03.2010 - 04.2013
Front Desk Concierge
Comfort Inn & Suites
07.2008 - 05.2011
Challenge Course Facilitator
Indiana FFA Leadership Center
03.2008 - Current
Pharmacy Technician
Meijer
04.2006 - 08.2009
Front Desk Night Auditor
Carlton Lodge
06.2004 - 03.2006
Pharmacy Technician
CVS Pharmacy
01.2004 - 04.2006
Apartment Leasing Agent
Westminster Apartments. Van Rooy Properties
01.2002 - 08.2004
Kitchen Manager and Bartender
Green Acres Pub
04.2001 - 03.2002
Long-Distance Telephone Operator
Opticom
07.1999 - 04.2001
Market Research Associate
Herron Associates
01.1998 - 06.1999
Diploma - Medical Office Management
Kaplan College - Indianapolis