Katie Fox
Clinical Technician II
Willamina,OR
Summary
Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.
Overview
22
22
years of professional experience
4
4
years of post-secondary education
Work History
Clinical Technician II
Salem Health-West Valley Hospital
Dallas , OR
2003.06 - Current
- Oversee appointment scheduling and itinerary coordination for both clients and personnel.
- Communicate with patients and family members to assist with information, provide literature and direct to community resources.
- Liaise with relevant clinical groups to develop linkages between areas.
- Coordinate post-discharge care by communicating with outpatient clinics, community resources, agencies and families around patients' transitional care.
- Establish and maintain effective communication with staff, physicians and community organizations to promote high quality patient care.
- Work effectively with staff from all departments to coordinate resolutions.
- Assist patients in navigating complex healthcare systems and procedures to reduce emotional strain.
- Provided excellent customer service to patients and medical staff.
- Train new staff on filing, phone etiquette and other office duties.
- Engage with patients to provide critical information.
- Answer incoming calls, scheduled appointments and filed medical records.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Documented patient information and care activities in electronic health record.
- Observed patients under care conditions to help identify symptoms, responses to treatments and progress with goals.
- Maintained computer and physical filing systems.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Coordinated special projects and managed schedules.
- Reduce waste and pursue revenue development strategies to keep department aligned with targets.
- Assist in organizing and overseeing assignments to drive operational excellence.
- Track referral submission during facilitation of prior authorization issuance.
- Field telephone inquiries on authorization details from plan members and medical staff.
- Obtain and log accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Verify eligibility and compliance with authorization requirements for service providers.
- Research denied claims and contacted insurance companies to resolve these issues.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Evaluate clinical criteria for approval or denial of services requiring pre-authorization.
- Review appeals for prior authorization requests and communicated with payers to resolve issues.
- Respond to inquiries from healthcare providers regarding prior authorization requests.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provide prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Develop and maintained productive working relationships with healthcare providers.
- Make contact with insurance carriers to discuss policies and individual patient benefits.
- Maintain confidentiality of patient finances, records, and health statuses.
- Verify client information by analyzing existing evidence on file.
- Assure timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
CNA II
Salem Health - Hospital
Salem , OR
2001.12 - 2003.06
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Upheld infection control and prevention policies across different patient-facing areas.
- Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Transported patients between rooms and appointments or testing locations.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Delivered high-quality care to critically ill patients in hospital facility.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
Education
Some College (No Degree) - Pre Nursing Studies
Chemeketa Community College
Salem, OR 2001.05 -
High School Diploma -
Sheridan High School
Sheridan, OR 1995.09 - 1999.06
Skills
Authorizations
Committees
* Patient Safety Representative
* Unit Council Representative
*Co-Chair of West Valley Hospitals Professional Governance Council
Timeline
Clinical Technician II
Salem Health-West Valley Hospital
2003.06 - Current
CNA II
Salem Health - Hospital
2001.12 - 2003.06
Some College (No Degree) - Pre Nursing Studies
Chemeketa Community College
2001.05 -
High School Diploma -
Sheridan High School
1995.09 - 1999.06
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