Dynamic healthcare professional with extensive experience at Optum, Inc., specializing in patient care coordination and electronic medical records management, excelling in fostering patient relationships and ensuring HIPAA compliance.
Overview
41
41
years of professional experience
Work History
Associate Patient Care Coordinator
Optum, Inc. - ProHealth
Manchester, CT
12.2019 - Current
Performed all duties associated with the check-in process, the check-out process, and answering many phone calls.
Assisted with coordinating laboratory tests and imaging studies for patients as requested by their physician.
Maintained confidentiality of all patient information according to HIPAA guidelines.
Facilitated communication between healthcare providers and patients via telephone or email.
Conducted follow-up calls to ensure that patients were receiving appropriate care and services.
Answered incoming phone calls from patients and provided information regarding services offered by the clinic.
Monitored patient medication refills and communicated with pharmacy staff regarding refill requests.
Maintained accurate patient records, ensuring accuracy of all data entered into the system.
Assisted with scheduling patient appointments, verifying insurance coverage and obtaining authorizations.
Collaborated with nursing staff to advocate for individual patient needs and insurance coverage.
Scheduled evaluations and procedures for patients.
Demonstrated flexibility during changes to patient care practice.
Received and routed care team messages and documents to appropriate staff.
Assured regulatory compliance and professionalism across patient service.
Established strong work network by building professional relationships with physicians and fellow employees.
Managed patient appointments, ensuring efficient scheduling and rescheduling as necessary.
Maintained comprehensive patient records, ensuring accuracy and confidentiality.
Explained policies, procedures and services to patients.
Received patient inquiries or complaints and directed to appropriate medical staff members.
Collaborated with clinical and administrative staff to meet patient needs.
Reported liabilities and risk management concerns to supervisor for review.
Obtained informed consent and payment documentation from patients and filed in system.
Verified patients' insurance and payment methods during admissions or check-in processes.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Patient Care Coordinator-CMG became Starling
Starling Physicians-Dept. of OB/GYN
Hartford, USA
04.2012 - 10.2018
Company Overview: CMG became Starling
Answered 100+ calls per day determining the nature of the call and forwarding it to the appropriate person.
Scheduled appointments, handled and distributed faxes, copied and forwarded medical records as well as charged and collected charges for records.
Completed FMLA and disability forms, and completed tasks sent to me by the providers.
CMG became Starling
Medical Assistant Supervisor/Triage Coordinator
CT Multispecialty Group P.C.
Hartford, USA
03.1999 - 04.2012
Company Overview: same office
Coordinated and supervised the activities of clinical team members, engaged in clinical care for patients under the supervision of a physician or provider for the diagnosis, treatment and prevention of disease.
Helped identify and recommend solutions to clinical team members for office issues or problems.
Triaged high volume of clinical calls through a busy OB/GYN by efficiently listening and assessing signs and symptoms and offering same day appointments as needed.
Also, interviewed Medical Assistants.
Same office
Medical Assistant
Dr. Michael Morosky
Hartford, USA
01.1984 - 03.1999
Company Overview: became CMG in 1996
Ensured high quality care for patients by reviewing and prepping charts, efficiently rooming patients, and preparing for in office procedures including but not limited to colposcopy, Leeps, IUD placement, endometrial biopsies, Non Stress Tests, Ect.
Maintained adequate clinical supplies and ensured supply purchases were cost efficient and within the budget.
Also, refilled medications, triaged medical calls, prior authorized surgical procedures and medications, as well as medical transcription.
I also scheduled surgical procedures for patients.
Became CMG in 1996
Education
Associate - Medical Assistant (Administrative/Clinical)
Bay Path University
Longmeadow, MA
05.1979
Skills
Knowledge of electronic medical records
Knowledge of medical terminology
Confidentiality
Communication
Leadership Skills
Decision Making
Customer Service Oriented
Patient scheduling
Medical record management
HIPAA compliance
Insurance verification
Patient communication
Appointment management
Care coordination
Customer service
Team collaboration
Problem solving
Conflict resolution
Attention to detail
Time management
Interpersonal skills
Workflow optimization
Appointment scheduling
Cross-functional teamwork
Strong empathy
Patient safety
Policy adherence
Patient relations
Healthcare system navigation
Medical record requests
Documentation
Organizational skills
Payment collection
Medical terminology
Patient outreach and Follow-up
Multitasking
Scheduling
Patient registration
HIPAA protocol adherence
Verbal and written communication
Critical thinking skills
References
References available upon request.
Timeline
Associate Patient Care Coordinator
Optum, Inc. - ProHealth
12.2019 - Current
Patient Care Coordinator-CMG became Starling
Starling Physicians-Dept. of OB/GYN
04.2012 - 10.2018
Medical Assistant Supervisor/Triage Coordinator
CT Multispecialty Group P.C.
03.1999 - 04.2012
Medical Assistant
Dr. Michael Morosky
01.1984 - 03.1999
Associate - Medical Assistant (Administrative/Clinical)