Efficient professional offering 5 years of commendable performance in medical administrative roles. Aiming to utilize strong knowledge of medical operations and a skill for building rapport with external and internal clients to contribute value to a dynamic organization
Overview
8
8
years of professional experience
Work History
Claims Associate - Auto/Injury Claims Associate
State Farm
Dunwoody, GA
01.2024 - Current
Delivering quality customer service to assigned insureds and claimants throughout the entire claims lifecycle to promote service times.
Interacting with clients via telephone or email to discuss claim status and provide updates.
Applying business acumen by demonstrating strong written and verbal communication, critical thinking, and decision-making skills.
Collaborating with other departments within the organization to address multifaceted problems that required interdepartmental solutions.
Reviewing medical records and documents submitted by claimants to ensure accuracy and completeness of information provided.
Maintaining accurate records of all claim processing activities in accordance with company policies and procedures.
Processing payments for approved claims in a timely manner, adhering to established payment schedules and procedures.
Verifying details with policyholders and requesting additional information.
Radiology Scheduler
Resurgens Orthopedics
Atlanta, GA
11.2022 - 01.2024
Utilized excellent communication skills to explain procedures and protocols to patients and families
Identified potential conflicts between scheduled appointments and addressed them quickly
Created detailed documentation outlining procedures for new staff members entering the department
Assisted management in creating monthly reports detailing patient volume statistics and trends
Exhibited strong organizational skills by managing multiple tasks simultaneously while meeting deadlines
Collaborated closely with radiologists, nurses, physicians, and other healthcare professionals on daily operations within the department
Maintained a high degree of confidentiality when dealing with sensitive patient information
Performed administrative duties such as filing paperwork, answering phones, and responding to emails in a professional manner
Displayed proficiency in using various computer software programs related to the position including Microsoft Office Suite applications
Ensured compliance with all state regulations regarding radiology services provided
Provided accurate tracking of patient insurance coverage and billing information while adhering to strict HIPAA regulations.
Medical Secretary
Northside West Paces Imaging
Atlanta, GA
12.2020 - 11.2022
Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
Registered new patients in electronic medical records prior to appointment scheduling
Enhanced office productivity by handling high volume of calls
Entered orders and e-prescribe information and created clinical visit summaries
Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment or verbal direction
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
UNIT SECRETARY
Spectrum Health Butterworth
Grand Rapids, MI
01.2017 - 06.2020
Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
Organized paperwork such as charts and reports for office and patient needs
Managed incoming calls and directed them to the appropriate department
Maintained current and accurate medical records for over 300 patients
Completed skilled administrative work to support all office staff and operational requirements
Developed training protocols for new unit secretaries
Maintained rapport with all unit staff, including physicians, nurse and other healthcare personnel
Provided information for patient admissions and discharges to foster timely processing
Drafted unit correspondence, including memos, emails and department updates
Executed administrative duties to facilitate unit tasks and meet team goals
Monitored inventory levels and advised management of need for replenishment
Carried out front office duties utilizing data entry skills in the framework of medical databases
Contacted hospitals to confirm patients' medical histories and prevent inaccurate diagnoses and treatments.
Education
Some College (No Degree) - Business Administration
Davenport University
Grand Rapids, MI
High School Diploma -
Waverly High School
Lansing, MI
Skills
Medical office administration
Medical Billing
Claims Management
Insurance Claims Review
Policy Knowledge
Accident review
Conflict Resolution
Team Collaboration
Medical Terminology
IDC-10 & CPT Codes
Time Management
Collaboration with healthcare professionals
Maintaining confidentiality
Compliance with state regulations
Managing master calendar
Handling high volume of calls
Documenting patient medical information, case histories, and insurance details
Strong customer service skills
Resolving complaints
Developing training protocols
Proficiency in managing multiple patient database updates
Demonstrating superior written and oral communication skills
Preventing inaccurate diagnoses and treatments
Insurance knowledge
Claims Processing
Policy Interpretation
Timeline
Claims Associate - Auto/Injury Claims Associate
State Farm
01.2024 - Current
Radiology Scheduler
Resurgens Orthopedics
11.2022 - 01.2024
Medical Secretary
Northside West Paces Imaging
12.2020 - 11.2022
UNIT SECRETARY
Spectrum Health Butterworth
01.2017 - 06.2020
Some College (No Degree) - Business Administration
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm