Jane Riley
Swanville,ME
Summary
Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality.
Overview
43
43
years of professional experience
Work History
Patient Service Representative
PCHC Seaport Community Health Center
Belfast, ME
02.2023 - Current
- Assisted patients in filling out check-in and payment paperwork.
- Took copayments and compiled daily financial records.
- Used Centricity to schedule appointments.
- Used Clearwave to track real time eligibility.
- Balanced deposits and credit card payments each day.
Oncology Referral Specialist
Pen Bay Medical Center / Waldo County General Hosp
Belfast, ME
01.2022 - 02.2023
- Scheduled appointments with oncologists, hematologists and other providers.
- Entered data using EPIC to document referrals and results.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Partnered with other departments to provide efficient service to patients.
- Worked with PCP and Central Referrals to obtain prior authorization for incoming and outgoing provider visits.
- Identified issues, analyzed information and provided solutions to problems
Oncology Unit Secretary / Chemotherapy Scheduler
Waldo County General Hospital
Belfast, ME
08.2008 - 12.2021
- Organized paperwork such as charts and reports for office and patient needs.
- Maintained rapport with physicians, nurses and other healthcare personnel.
- Managed incoming calls.
- Supported office staff and operational requirements with administrative tasks.
- Provided information for patient admissions and discharges to foster timely processing.
- Scheduled complex chemotherapy treatment schedules and provider visits.
Switchboard Operator
Waldo County General Hospital
Belfast, ME
08.2008 - 08.2011
- Directed incoming calls to internal personnel and departments, routing to best-qualified department.
- Announced important information and emergency notifications over PA system.
- Performed clerical work such as sorting mail, restocking supplies and typing documents.
- Greeted and directed visitors.
Administrative Assistant
Nickerson Professional Association
Belfast, ME
10.2005 - 08.2008
- Executed record filing system to improve document organization and management.
- Scheduled office meetings and client appointments for staff teams.
- Sorted and distributed office mail and recorded incoming shipments for corporate records.
- Answered phones, routing calls, delivering messages to staff and greeting visitors.
- Generated reports and typed letters in Word and prepared Excel spreadsheets.
- Prepared income tax and payroll packets for clients.
Medical Secretary / Insurance Biller
Myra Altman, MD
Belfast, ME
06.1994 - 10.2005
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Set up and maintained new electronic billing system.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Answered phones, assisted patients and managed front desk as needed.
Patient Accounts Insurance Biller
Waldo County General Hospital
Belfast, ME
06.1989 - 06.1994
- Processed insurance claims.
- Entered supply charges.
- Registered patients.
- Mailed monthly statements to patients.
- Responded to inquiries from callers seeking information.
Invoice Detail Clerk
Ames Dept Store
Belfast, ME
12.1982 - 06.1989
- Managed invoicing and payment processing operations.
- Calculated time and entered payroll data for processing.
- Maintained personnel files.
- Cashed up and balanced daily cash drawers.
Cashier / Backup Service Manager
First National Stores, FINAST
Belfast, ME
09.1980 - 04.1982
- Ran cash register and bagged groceries.
- Monitored team performance and provided job training.
- Supervised front end for evening shift.
Education
High School Diploma -
Searsport District High School
Searsport, ME06.1981
Skills
- Data Entry Software
- Confidential Records Management
- Quality Patient Care
- Computerized Maintenance Management Systems
- Referral Tracking
- Office Supplies and Inventory
- Administrative Duties
- Patient Data Management Systems
- Organization and Time Management
- Office Administration
- Specialist Referrals
- Patient Data Privacy
- Creative Thinking
- Compassionate Communication
References
- Susan Drinkwater (207) 323-2994
- Cindy Goodwin. (207) 505-6247. (207) 548-4165. cinpray55@gmail.com
- Marilyn Knowlton. (207) 322-9648
Timeline
Patient Service Representative
PCHC Seaport Community Health Center
02.2023 - Current
Oncology Referral Specialist
Pen Bay Medical Center / Waldo County General Hosp
01.2022 - 02.2023
Oncology Unit Secretary / Chemotherapy Scheduler
Waldo County General Hospital
08.2008 - 12.2021
Switchboard Operator
Waldo County General Hospital
08.2008 - 08.2011
Administrative Assistant
Nickerson Professional Association
10.2005 - 08.2008
Medical Secretary / Insurance Biller
Myra Altman, MD
06.1994 - 10.2005
Patient Accounts Insurance Biller
Waldo County General Hospital
06.1989 - 06.1994
Invoice Detail Clerk
Ames Dept Store
12.1982 - 06.1989
Cashier / Backup Service Manager
First National Stores, FINAST
09.1980 - 04.1982
High School Diploma -
Searsport District High School