Creative Operations Specialist skillful in executing effective operating rhythms and management systems structures. Expertise in analyzing, articulating and solving various problems. Analytical and organized professional comfortable working independently or as part of team.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Operations Specialist I
Children's Healthcare of Atlanta
02.2021 - Current
Assist incoming callers with appointments including building new charts, updating demographics.
Work daily assignments from referrals, follow up list and auto dial system to assure patient care.
Confirm appointments for ENT also Gastro appointments including updating communication preferences and COVID-19 guidelines.
Collected, arranged, and input information into database system.
Developed and updated tracking spreadsheets using microsoft excel.
Assisted various departments with change by communicating new improvement plans and expectations.
Front Desk Patient Coordinator
Gastroenterology Specialists of Gwinnett
09.2023 - 08.2024
Delivered excellent patient experiences and direct care.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Greeted and interacted with patients to provide information, answer questions and assist with appointment registration.
Obtained copayments from patients and scanned identification and insurance cards.
Performed various administrative tasks by scanning, copying and faxing documents.
Placed new supply orders, managed inventory and restocked clerical spaces including samples from Pharmaceutical reps.
Coordinated lunch schedules for staff to make sure pharmaceutical reps were able to promote medications to providers twice a week.
Monitored patient health records for accuracy to meet compliance with healthcare guidelines and completed medical record request.
Patient Care Coordinator
Ideal Gynecology
07.2020 - 12.2020
As a patient care coordinator for a GYN Specialist I typically check approximately 45 patients in/out including collecting copays and patient payments
Also assisted answering about 50 calls a day with scheduling new and existing patients for annuals and procedures
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Patient Care Representative
Piedmont Urgent Care by WellStreet
08.2017 - 04.2020
Check approximately 50 patients in/out, insurance verification, collect co-pays, answer phones, and schedule follow-up appointments
Perform clerical tasks and adhere to established policies and procedures for urgent care/after hours clinic responsible for care and treatment of a variety of pediatric, adult, and geriatric patients in a small medical center
Greet all patients and provide instructions to visitors in a polite and professional manner
Maintain the readiness of the Well Street Urgent Care & Occupational reception area
Analyze health insurance benefits by verifying eligibility and relay relevant information regarding payment policies and billing/collection process.
Member Service Customer Care
Aerotek/Kaiser Permanente
12.2016 - 07.2017
Assisted members with password resets and questions on their membership
Provided professional courtesy when obtaining and exchanging information to the members
Resolved a variety of billing issues for members including accepting premium payments and updating financial records.
Patient Service Representative
TriWest Healthcare Alliance
09.2015 - 08.2016
Scheduled appointments for Veterans using the Medical Management appointing functions for specialty care in the provider network in accordance with the VA guidelines
Took appropriate measures to comply with the HIPAA regulations to protect the privacy of Veterans health information
Initiated automated or live outbound calls to Veterans and providers within the timeline and confirmed receipt of medical documentation to complete processing of medical claims
Completed voluntary customer service trainings to learn ways to enhance customer satisfaction and improve productivity
Maintained up to date knowledge of Microsoft Outlook, Word, Excel and other online systems.
Client Service Representative II / Technical Support
Healthscope Benefits Inc
01.2013 - 08.2015
Managed approximately 60 incoming calls from members and providers with health insurance eligibility and benefit information
Advised members how to obtain ID cards and coverage information on company website and provided instructions on resetting passwords
Provided assistance to providers with setting up online accounts and resolving technical errors
Adhered to security and audit procedures.
Education
High school diploma - College Prep grad
TNT Academy
Lilburn, GA
07.2015
Skills
Health Insurance Portability and Accountability Act Medical Terminology
Customer Service
Medical Records
ICD-10 -
ModificationMulti-line phone systems
EPIC
MS Office (Word, Excel, Outlook)
Allscripts EHR Electronic Health Record
Patient Registration
Insurance Verification
Patient confidentiality
Appointment Scheduling
Payment Collection Waystar and Navicure Clearinghouse
Patient Care Coordination
Certification
Basic Life Support (BLS), 01/01/20, 01/01/22
Workauthorization
Authorized to work in the US for any employer
Timeline
Front Desk Patient Coordinator
Gastroenterology Specialists of Gwinnett
09.2023 - 08.2024
Operations Specialist I
Children's Healthcare of Atlanta
02.2021 - Current
Patient Care Coordinator
Ideal Gynecology
07.2020 - 12.2020
Patient Care Representative
Piedmont Urgent Care by WellStreet
08.2017 - 04.2020
Member Service Customer Care
Aerotek/Kaiser Permanente
12.2016 - 07.2017
Patient Service Representative
TriWest Healthcare Alliance
09.2015 - 08.2016
Client Service Representative II / Technical Support
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Pediatric Nurse Practitioner (PRN) at Children's Healthcare of Atlanta Urgent CarePediatric Nurse Practitioner (PRN) at Children's Healthcare of Atlanta Urgent Care