Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation. CCMA equipped with experience in medical environments and top-notch administrative skills. Works great with colleagues and maintains strong patient relations. Excels at following procedures and independently handling common questions and concerns. Hardworking and reliable CCMA with strong ability in patient care. Offering organizational and time management skills and a strong work ethic. Highly organized, proactive and punctual with team-oriented mentality. Detail-oriented skilled at handling patient and office needs. Knowledgeable about medical procedures, insurance requirements and protective regulations. Works hard to support efficient patient flows and eliminate errors. I am proficient in organizing surgeries according to insurance requirements, facility schedules and surgeon preferences. Proactive multitasker with excellent interpersonal, communication and planning abilities.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Surgery Scheduling Coordinator/ CCMA
Chattanooga Eye Institute
CHATTANOOGA, Tennessee
09.2023 - Current
Assisted in the scheduling of surgeries for patients, ensuring accuracy and timeliness.
Created a database to track patient information, surgery dates and other relevant data.
Coordinated with medical staff to ensure that all necessary paperwork was completed prior to scheduled procedures.
Provided support to surgeons by preparing documents needed for surgeries, such as consent forms and discharge instructions.
Communicated with insurance companies to determine coverage for specific procedures.
Scheduled follow-up appointments according to post-operative protocols.
Worked closely with doctors' offices to coordinate patient referrals for surgery services.
Developed reports detailing upcoming operations and associated costs.
Reviewed incoming requests from physicians regarding potential surgeries, confirming that they meet eligibility criteria.
Resolved any discrepancies between patient records and pre-surgery documentation.
Ensured compliance with HIPAA regulations during the scheduling process.
Responded promptly to inquiries from patients or their families regarding upcoming surgeries.
Answered phone calls from prospective patients seeking information about surgical options available at the facility.
Facilitated communication between surgeons, nurses, technicians and other healthcare professionals involved in the care of patients undergoing surgery.
Booked surgeries according to physician volume and maintained prompt turnaround times.
Checked patient insurance and collected pre-authorizations from providers.
Collaborated and established strong working relationships with physicians, supervisors and colleagues.
Coordinated work processes and routed paperwork to appropriate physicians and staff members.
Scheduled follow-up appointments as designated by physician.
Located scheduling barriers and implemented appropriate solutions.
Communicated with patients with compassion while keeping medical information private.
Developed and maintained effective phlebotomy procedures, ensuring compliance with all applicable regulations.
Provided support during emergency situations involving blood draws or specimen collections.
Directed activities of phlebotomy department.
Administered injections, medications and treatments as directed by the physician.
Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
CCMA/Office Manager/Billing and Coding
Dr. Mary E Baldwin
Dunlap, TN
09.2015 - 09.2024
Managed medical practice administrative needs to provide patient satisfaction.
Worked with Medical doctors to prepare correct equipment and supplies for all appointments.
Called patients to schedule appointments, consistently double-checking information and availability.
Coordinated office schedules for new patients, diagnostic assessments and procedures.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Communicated with patients to gather intake data and verify chart information.
Helped patients complete paperwork and explained processes and procedures.
Kept office spaces well-stocked with administrative and medical supplies.
Updated patient financial information to promote accurate record keeping.
Managed incoming telephone calls, took messages and directed callers to personnel.
Prepared new charts, updated existing charts and managed records transfers between offices.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Maintained office supplies inventory by checking stock and ordering new supplies.
Created and maintained accurate and confidential patient files according to regulatory mandates.
Offered patients extra support with examination preparation, biological specimens and general movement between areas.
Pursued payments from customers with outstanding balances by reaching out via email and telephone calls.
Handled checking in and checking out patients, pulling medical records and updating system details.
Managed staff scheduling and set patient scheduling policy.
Supervised patient billing, collection and financial counseling and assisted with cash posting.
Performed data entry and processing into system databases and troubleshot minor computer issues.
Administer oral and injectable medications
Assist patients with any kind of issues related to insurance forms and claims
Assist physicians and other medical staff with exams and procedures
Call or fax prescriptions to pharmacies
Change dressings
Clean instruments and medical equipment
Collect data about previous health, medical and surgical history from patients
Collect specimens for lab tests
Document medical records
Enter data from monitoring and tracking systems
Handle and route office mail
Manage medical records and specialty referrals
Measure patent vital signs, height and weight
Order medical and office supplies and medications
Perform billing tasks and in-office lab tests
Perform EKGs, vision screening, and hearing tests
Educate patients as directed by the doctor
Remove staples and stitches
Schedule patient appointments, surgeries, and diagnostic procedures
Stock exam rooms
Supervise other medical assistants
Managed all payments processing, invoicing and collections tasks.
Monitored past due accounts and pursued collections on outstanding invoices.
Facilitated payment of invoices due by sending bill reminders and contacting clients.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Submitted claims to insurance companies.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Performed insurance verification, pre-certification and pre-authorization.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
CCMA/Prior Authorization Specialist/Scheduler
Siskin Spine and Rehabilitation Specialist
Chattanooga, TN
2008 - 09.2015
Administer oral and injectable medications
Assist patients with any kind of issues related to insurance forms and claims
Assist physicians and other medical staff with exams and procedures
Call or fax prescriptions to pharmacies
Change dressings
Clean instruments and medical equipment
Collect data about previous health, medical and surgical history from patients
Collect specimens for lab tests
Document medical records
Enter data from monitoring and tracking systems
Handle and route office mail
Manage medical records and specialty referrals
Measure patent vital signs, height and weight
Order medical and office supplies and medications
Perform billing tasks and in-office lab tests
Perform EKGs, vision screening, and hearing tests
Educate patients as directed by the doctor
Remove staples and stitches
Schedule patient appointments, surgeries, and diagnostic procedures
Stock exam rooms
Supervise other medical assistants
Conducted insurance verification and pre-certification and pre-authorization functions.
Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Notified ordering providers of denied authorizations.
Coordinated resolutions for issues and appealed denied authorizations.
Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
Maintained files for referral and insurance information, entering referrals into system.
Determined which party would be liable for payment on medical services by thoroughly reviewing patient insurance coverage.
Transmitted claims to insurance companies for payment and reconciled EOBs.
Validated insurance and advised patients of benefits and coverage.
Filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided.
Informed patients of claims status after filing insurance claims.
Submitted claims to insurance companies and clearinghouses.
Complied with insurance regulations dictated by local, state and federal agencies.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Complied with confidentiality regulations in handling customer information.
Corresponded with insurance customers and agents to obtain or relay information on account status changes.
Collected payments, processed receipts and informed policyholders of outstanding balances.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Created and managed surgical schedules for Epidurals and EMG nerve conduction studies.
Coordinated with patients, staff, and physicians to ensure accurate scheduling of surgeries.
Maintained a high level of customer service by responding promptly to inquiries from patients and families about their care plans and procedures.
Assisted in preparing operating room logs and maintaining them throughout the day.
Assisted doctors in resolving any conflicts related to surgery times or delays due to unforeseen circumstances.
Booked surgeries according to physician volume and maintained prompt turnaround times.
Collaborated and established strong working relationships with physicians, supervisors and colleagues.
CCMA
Covenant MedCare LLC.
Dunlap, TN
2006 - 2008
Scheduled appointments for patients via phone and in person.
Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
Educated patients about medications, procedures and physician's instructions.
Contacted pharmacies to submit and refill patients' prescriptions.
Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
Performed preliminary physical tests to accurately record results in patient history summary.
Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
Organized charts, documents and supplies to maintain team productivity.
Secured patient information and maintained patient confidence by completing and safeguarding medical records.
Assessed, documented and monitored vital signs for patients within outpatient setting.
Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
Collaborated with local pharmacies to resolve and clarify issues with patient medication.
Conducted insurance verification and pre-certification and pre-authorization functions.
Responded to patient callbacks and phone-in prescription refill requests.
Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
Measured vital signs and took medical histories to prepare patients for examination.
CCMA
Dr. Sajeel Ijaz Internal Medicine
Jasper, TN
03.2001 - 2006
Cleaned and maintained medical equipment following procedures and standards.
Measured vital signs and took medical histories to prepare patients for examination.
Labeled and completed lab requisitions using ICD and CPT coding.
Responded to patient callbacks and phone-in prescription refill requests.
Followed principles of asepsis and infection control to meet patient safety guidelines.
Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
Collaborated with local pharmacies to resolve and clarify issues with patient medication.
Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
Assessed, documented and monitored vital signs for patients within outpatient setting.
Secured patient information and maintained patient confidence by completing and safeguarding medical records.
Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
Recorded vital signs and medical history
Educated patients about medications, procedures and physician's instructions.
Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
Education
High School Diploma -
Sequatchie County High School
Dunlap, TN
05.1989
CCMA
Academy of Allied Health Careers
Chattanooga, TN
Medical X-Ray Operator Limited Bone Densitometry
RES Bone Densitometry Course
Nashville, TN
2009
CNA
National Health Corporation (NHC)
Dunlap, TN
1994
Skills
Effective Multitasking
Team Leadership
Medical Practice Operations
Attention to Detail
Insurance Eligibility and Verification
Strong Work Ethic
Organization and Time Management
Customer Service
Supply Ordering
Detail-Oriented
Medical Charting
HIPAA Compliance
Calendar Management
Scheduling expertise
Insurance pre-certifications
Pre-authorization management
Scheduling Tests and Procedures
Preparing Treatment Rooms
Certification
1999-MA Certification
1994-CNA Certification
2001-BAT Certified (Comprehensive Breath-Alcohol Technician Training course for the Intoxilyzer 200D
2002-Collector Training (Urine Drug Screens)
2008-Encore Operator Training by GE Healthcare for Bone Densitometry Core.
2009 RES Class Limited to Densitometry Core
Completed 16 hour course by The Devereux Foundation on Crisis Prevention/Intervention
Completed a 16 hour course on Non-Violence Crisis Intervention
Participated as a coach for van driver preparation class and currently certified with a class F drivers license.
Taser and Mace Certified
Certified of collector training for Federal Drug Screen Collections
Call Center Dispatcher/Senior Dispatcher/Customer Service Specialist at Quick Tube SystemsCall Center Dispatcher/Senior Dispatcher/Customer Service Specialist at Quick Tube Systems