Johnnie Melissa Metcalf

Work History

Clinical Office Assistant to CMA

Formerly Park Ridge Health Now ADVENT HEALTH

06.2012 - Current

I have done and am, in my current role, doing everything from check in to check out and anything in between. Collect and scan Photo ID’s and Insurance cards, verify demographic information such as address, telephone numbers, etc. Work closely with providers to ensure patient care; Making sure patient needs are met in a timely fashion. Initiate and complete medication prior authorizations, and procedure authorizations, phone calls and communication between providers and patients and/or family members/caregivers. Scheduling, insurance verification's, prescription renewals, submitting referrals, charting, prior authorizations/appeals, patient assistance, collecting payments, prescription renewals, vitals, entering/submitting lab/procedure orders, charting, medical history, and medication reconciliation.
None - Continuing Education at South College- Asheville October 2010 - June 2012
I was, like many people during this time, unemployed. I chose to go back to school and decided to take nursing.
This went well until the rotation for the program started and only 20 students were being selected that year and only one rotation. I was # 21 of 20 and as a single mother could not wait for the next rotation to start as my unemployment was going to be running out in a few weeks. That is how I ended up at Park Ridge Health.
Contributed to a positive work environment through effective communication and collaboration with team members.
Streamlined appointment scheduling for improved patient experience and reduced wait times.
Facilitated smooth daily operations by coordinating physician schedules, optimizing time management and minimizing conflicts.
Enhanced patient satisfaction by efficiently managing front desk operations and addressing concerns promptly.
Collaborated with clinical staff to develop office policies that prioritized patient safety, privacy, and comfort during visits.
Ensured accurate medical records by diligently updating and maintaining patient information in the electronic health record system.
Maintained HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Educated patients on insurance benefits, clarifying coverage details and assisting with claims submissions as needed.
Supported the implementation of a new electronic health record system, facilitating a seamless transition for both staff and patients.
Assisted physicians with clinical tasks, resulting in increased efficiency during patient consultations.
Collected payment for services rendered, operated cash register and maintained accurate till.
Handled incoming phone calls professionally, directing callers to appropriate staff members while providing courteous assistance.
Retrieved and entered data into medical records system.
Coordinated referral processes, ensuring seamless transitions between healthcare providers for optimal continuity of care.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Provided prompt, polite and professional in-person and telephone customer service.
Updated patient information and insurance details for accurate electronic medical records.
Adhered to strict HIPAA guidelines to protect patient privacy.
Prepared patient charts by gathering and organizing medical records ahead of appointments.
Used [Software] to schedule appointments for doctor visits and procedures.
Registered patients and completed associated paperwork for accurate records.
Obtained pre-authorization from insurance companies ahead of medical services.
Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
Restocked each medical room with adequate supply of medications and supplies in preparation for patients.
Reconciled daily payments received and prepared deposits for smooth office finances.
Performed various administrative tasks by filing, copying and faxing documents.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.

Administrator/Owner

WNC Family Care Homes

11.2004 - 10.2010

Started out with two 6 bed facilities and grew the company to fifteen6 bed facilities and five 12 bed facilities in about 4 years. Managed 30-35 employees total.
Maintained DSS and DHSR standards and relationships
Oversaw the daily operations of all 20 facilities
Maintained sanitation and fire codes
Organized team meetings to determine where improvements were needed, and together developed and implemented plans to achieve desired results
Filed EDS claims for Medicaid reimbursement
Admission and Discharge of residents
Maintained a good working relationship with outside facilities such as Primary Care Physician's, Mental Health Provider's, etc.
Maintained employee and resident records
While Owner/Administrator of WNC FCH, I had an amazing team of supportive staff, and we as a group came up with a plan of “quality improvement” to monitor the facilities. To ensure that compliance with DSS and DHSR regulations were maintained. This team then became two smaller teams and put that plan into action, splitting the 20 homes and inspecting/monitoring each one weekly. The program was so well liked that both organizations told other facilities about it so that they too, could use it to monitor their facilities.

Summary

Overview

Work History

Clinical Office Assistant to CMA

Administrator/Owner

Education

GED -

Skills

Certification

Awards

Timeline

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