Summary
Overview
Work History
Education
Skills
Timeline
Generic

Julie Gandhi

Temecula,CA

Summary

Experienced in research, data analysis, and problem-solving with a strong focus on attention to detail. Exceptional organizational, analytical, and management skills enable effective handling of complex tasks. Committed to advocating for patients, providing support, and promoting their rights within the healthcare industry. Comprehensive understanding of computer applications and medical billing programs for efficient navigation through various systems. Effective communication skills, both orally and in writing, convey information clearly and concisely. Consistently demonstrates initiative and accountability in successfully completing delegated tasks.

Overview

12
12
years of professional experience

Work History

Centralized Scheduling Coordinator

PeaceHealth Springfield
02.2019 - 10.2024
  • Coordinated surgeries, procedures, and exams for various hospital departments.
  • Acts as primary liaison for interactions between community physicians and offices.
  • System patient services and caregiver to secure resources necessary for patient care
  • Coordinates with Patient Financial Services to secure necessary case and appointment authorizations.
  • Detected inconsistencies and incomplete data impacting financial outcomes.
  • Collaborated with leadership to resolve potential resource conflicts.

Referral Coordinator

PeaceHealth Family and Internal Medicine
05.2017 - 02.2019
  • Directed patient referral processes to relevant healthcare facilities.
  • Ensure accuracy by updating records regularly.
  • Executed completion of referrals and Durable Medical Supply orders.
  • Enhanced communication to promote completion of medical referrals.
  • Ensured timely response to referrals.
  • Utilized phone queue system to address authorization and referral requests from healthcare providers.
  • Processed applications for Patient Assistance Programs to secure medication support.
  • Liaise with organizations and insurance companies to guarantee prior medication approval.
  • Provided essential medical data including history, diagnosis, and prognosis.
  • Advocated for patients with carriers to secure timely approval of essential supplies and services.

Administration

PeaceHealth
09.2014 - 05.2017
  • Arrived patients into Care Connect system.
  • Coordinated scheduling and completion of daily pharmacy requirements for MPI and nuclear studies.
  • Confirmed coverage and eligibility for insurance services.
  • Retrieved necessary medical documents as needed.
  • Collaborated with Echo, EKG, Treadmill, and Vascular departments to optimize patient flow.
  • Facilitate collaboration with registration for precise input of orders in care connect.
  • Streamlined record retention process by analyzing data charts.
  • Adhered to department guidelines maintaining patient confidentiality.
  • Completed varied assignments upon request.

Patient Financial Specialist

PeaceHealth
06.2012 - 09.2014
  • Executed billing procedures for UB claims.
  • Guaranteed compliance with the 48-hour claim processing standard.
  • Executed identification of billable claims with attention to detail.
  • Verified patient eligibility and obtained prior authorizations.
  • Streamlined reporting process through efficient data management.
  • Managed the processing of credits, debits, and refunds accurately.
  • Executed various critical tasks assigned as necessary.

Education

Medical Terminology, Medical Office Procedures, Anatomy and Physiology, Human Relations at Work

Lane Community College

Skills

  • EMR Systems
  • Medical Terminology
  • Medical insurance
  • Excellent people skills
  • Excellent phone skills
  • Claim entry and payment posting
  • Records organization and management
  • Prior Authorization
  • Insurance process and procedures
  • Patient advocate
  • HIPAA Compliance

Timeline

Centralized Scheduling Coordinator

PeaceHealth Springfield
02.2019 - 10.2024

Referral Coordinator

PeaceHealth Family and Internal Medicine
05.2017 - 02.2019

Administration

PeaceHealth
09.2014 - 05.2017

Patient Financial Specialist

PeaceHealth
06.2012 - 09.2014

Medical Terminology, Medical Office Procedures, Anatomy and Physiology, Human Relations at Work

Lane Community College
Julie Gandhi