Jennifer Sorensen
Tulsa
Summary
Experienced professional in the medical business field seeking a challenging position to effectively utilize skills and expertise gained.
Overview
27
27
years of professional experience
Work History
Quality Care Coordinator
Utica Park Clinic
09.2020 - Current
- Responsible for leading the department in quality improvement activities, demonstrate knowledge about pay for performance and quality transparency, analyze company policies and procedures to ensure efficiency and necessity, provide reports regarding employee performance and suggestions for improvement, develop relationships with medical staff, clinical staff and leadership of clinical/non-clinical areas to improve core measure, associated outcomes and quality performance, coordinates clinical collaborative efforts to drive change in clinical practice and outcomes, maintain knowledge of current and future trends in quality, safety, performance improvement, accreditation and healthcare economics while being attuned to the needs of patients, team members, physician, payers and regulatory bodies, work with leadership & clinics to implement patient care projects, and conduct patient outreach via telephone to improve screening rates for designated HEDIS and STARS measures, develop action plans with department managers and supervisors to correct identified problems, functions as a project manager for every action plan ensuring that it gets completed timely and according to plan, employee training, assist office manager and director with reports/projects, audit charts for HEDIS goals & reporting for ACO & all ACO Managed Care payors, obtaining external records for review and reporting, reporting and uploading records to insurance websites, scheduling various procedures and testing (breast cancer screening, colorectal screening, etc.) and various other insurance, reporting and data entry duties
Referral Coordinator
Utica Park Clinic
04.2018 - 09.2020
- A newly established centralized referrals department that provided support for an estimated three hundred providers: process internal and external diagnostic, cardiology, sleep study and physical therapy referrals, process internal and external new patient referrals for multiple specialties, obtain authorizations for new patient referrals, register incoming new patient referrals, call and schedule new patient referrals, obtain authorizations for diagnostic referrals, work with most major insurances (Global Health, BCBS, UHC, Humana Military, Medicare replacement plans, etc.) and programs, such as Triwest, Veteran's Administration, Indian Health Services and Worker's Comp to obtain consultation, continuation of care and diagnostic authorizations
- While there was no official position of manager or a lead coordinator, I did provide a significant amount of assistance, support and direction to a department of twenty-two coordinators, as well as developing and maintaining several positive relationships with the clinic staff and providers
Financial Counselor
St. John Medical Center, Neuroscience Institute
03.2016 - 02.2017
- For a clinic of twenty providers (Neurology and Neurosurgery): obtain insurance verifications, obtain insurance authorizations, re-filing claims, speak with all new patients to verify insurance, demographics and authorizations, discuss accounts with patients, set up payment arrangements, assist patient with available financial assistance resources, refer patients to outside sources for medical assistance, work with in-house financial assistance department to ensure patient approval, work with business office to ensure correct billing procedures, Workers Comp, MVA, Soonercare, Triwest, Veterans Administration and Indian Health Care referrals and authorizations
Secretary III
St. John Medical Center
05.2014 - 03.2016
- For a department of eleven providers (ten therapists and counselors and one psychologist): front desk (phones, collect payments, verify and/or edit patient demographics, etc.) maintain schedules, data entry, supply maintenance and ordering, deposit, post charges, post payments, pre-admissions, admissions, discharges, process medical records requests, insurance verification, obtain clinical skills presentation approvals from LCSW, LADC and LPC & LMFT state boards, request and prepare all documentation for clinical skills presentations, data reporting, data analysis, prepare meeting minutes, maintain communication with four therapists in outlying clinics (CPC initiative), track PTO requests and other various secretarial/managerial responsibilities
Office Manager
Pain Institute of Tulsa
09.1997 - 01.2014
- I started out originally as the front desk receptionist in September of 1997
- Over time, I was promoted to several different positions, such as medical records technician and clinical research assistant, until the final promotion to office manager, overseeing seven staff members
- Various duties and skills: AR, AP, HR, EMR, ERX, hiring, training, marketing, troubleshooting, order medicine for intrathecal pumps, medical records, prior authorizations for medications and procedures, screened referrals, processed lab and imaging orders, insurance verifications, payroll, front desk, billing, liaison between patients and providers and coordinator for research company
Education
Associate - Business
Tulsa Community College
Tulsa, OK01.2004
Skills
- Management
- Accounts payable
- Accounts receivable
- Payroll
- Phones
- Data entry
- Collections
- Medical records
- Insurance
- Medical billing
- Medical coding
- Medical terminology
- Authorizations
- Prior authorizations
- Referrals
- Transcription
- Typing (60 WPM)
- Hiring
- Training
- Prescriptions
- Filing
- MAC and PC
- Internet and email
- Clinical skills presentation process
- Care planning
- Resource allocation
- Clinical documentation
- Team collaboration
- Patient support
- Service coordination
- Patient communication
- Compliance management
- Patient outreach
- Health screenings
- Resource management
- Medtronic intrathecal pumps and maintenance
- Experience in various specialties (Orthopedic Surgery, Pain Management, Behavioral Health, Neurology and Neurosurgery)
- Several software programs (MS Word, Excel, Outlook, Epic, CERNER, Star McKesson, Athena, AltaPoint, MediSoft and navigating multiple insurance website portals)
References
Available upon request
Timeline
Quality Care Coordinator
Utica Park Clinic
09.2020 - Current
Referral Coordinator
Utica Park Clinic
04.2018 - 09.2020
Financial Counselor
St. John Medical Center, Neuroscience Institute
03.2016 - 02.2017
Secretary III
St. John Medical Center
05.2014 - 03.2016
Office Manager
Pain Institute of Tulsa
09.1997 - 01.2014
Associate - Business
Tulsa Community College
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