KAYLA MICHALSKI
Medical Practice Resource/Medical Secretary/Insurance Verifier/Referral Coordinator
Warwick,RI
Summary
Highly organized Medical Secretary/Referral Coordinator knowledgeable about healthcare processes and administrative requirements. Qualified to handle insurance documentation, update charts and manage business correspondence. Professional coordinator and pharmacy technician with an excellent record of strong accuracy and customer service skills. Adept at handling multiple projects well and completely under high-pressure deadlines. Highly effective and consistently exceeding company’s goals, while providing the utmost care to individuals.
Overview
10
10
years of professional experience
6
6
years of post-secondary education
Work History
Medical Practice Resource
CharterCARE Health Partners
10.2023 - Current
- Oversaw inventory management, reducing waste by closely monitoring supplies usage and ordering as needed.
- Developed and maintained strong relationships with healthcare providers, facilitating seamless coordination of services.
- Developed close working relationships with front office and back office staff.
- Ordered all office supplies and kept check on inventory levels.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Managed pre-certifications and verified insurance coverage.
- Ensured proper storage of vaccines, keeping them within recommended temperature ranges at all times to maintain effectiveness.
- Trained interns and newly hired team members on office procedures and computer system.
- Utilized various software programs to process customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Verified insurance of patients to determine eligibility.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
Medical Secretary/Referral Coordinator
CharterCARE Health Partners
01.2021 - 10.2023
- Supported office staff and operational requirements with administrative tasks.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Registered new patients in electronic medical records prior to appointment scheduling.
- Enhanced office productivity by handling high volume of callers per day.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Maintained office supplies inventory by checking stock, anticipating department needs, and placing and expediting orders.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Obtained payments from patients and scanned identification and insurance cards.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Maintained current and accurate medical records for patients.
- Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment, or verbal direction.
- Located, checked in, and pulled medical records for patient appointments and incomplete charts.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Accomplished multiple tasks within established timeframes.
- Oversaw vaccine inventory by ordering vaccines and requisitions and stocking and shipment receiving.
- Communicated with doctors, nurses, patients and other employees to identify and resolve healthcare needs.
- Communicated with patients, ensuring that medical information was kept private.
- Spearheaded and implemented new projects to expand scope of engagement.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Coordinated with other healthcare providers concerning treatment plans for patients.
- Managed pre-certifications and verified insurance coverage.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Answered phone calls and messages for 3 physicians in primary care medical facility, scheduling appointments, and handling patient inquiries
Intake Coordinator
Elmwood Homecare
06.2019 - 05.2020
- Worked closely with referral sources and doctor’s office to ensure patients got care needed; verified health insurance plans
- Maintained referral log to track patients; worked independently in fast-paced environment
- Responded to referrals via Allscripts, called MD offices to verify patient’s PCP
- Completed and gathered all intake paperwork such as medication list, office notes, demographics, physician information, Dr.’s orders and discharge summary and entered all information in Home Solution System
- Identified risk factors or safety concerns and report to Program Director and assigned therapist/nurses to support team with necessary safety planning
- Performed chart prep and transcription, transfers, referrals, and nursing administrative support to all business staff as requested
- Communicated with liaison, case managers and nursing staff in scheduling patient receive services
- Verified all physician licenses and advised reimbursement team; responded to all case manager on referral base systems
- Confirmed start of care details with all parties to ensure seamless transition into homecare for patients.
Lead Intake Coordinator
Care Resource
03.2018 - 09.2018
- Responsible for answering all intake incoming calls; accepted all referrals as well as responded to referrals via Allscripts and 4Next
- Communicated with various departments by providing information pertaining to equipment, supplies, and services needed to start patients on service with company
- Worked closely with referral sources and doctors’ offices to ensure patients got care needed
- Ran Medicare reports daily; maintain referral log to track patients; worked independently in fast-paced environment
- Relayed insurance coverage and patient responsibility to referral sources, Sales, and patients
- Discuss patient responsibility and documentation required for billing of services
- Resolved patient issues and respond to phone and fax inquiries regarding in-home IV order requests
- Assessed patient needs and document all communication in Electronic Medical Records system regarding coordination of care
- Worked closely with patients and their caregivers as well as case managers and liaisons to coordinate in-home IV therapy services.
Customer Service Representative
MOO Inc
06.2017 - 03.2018
- Responded to customer inquiries via Zendesk tickets and responded to customer inquiries via live chat
- Answered customer inquiries in person or by phone; answered multi-line phone
- Answered and resolve clients inquires through use of effective listening, written and verbal communication skills
- Maintained established levels of productivity, efficiency and quality to ensure company standards are met as well as maintaining focus in fast-paced environment
- Worked with customers to address and resolve inquiries; provided troubleshooting assistance to customers
- Maintained organized filing system for invoices, reports, and additional customer-related information
- Collaborated with appropriate departments and managers to ensure customer satisfaction and alignment with policies, procedures, goals, and objectives.
Intake Coordinator
Care Resource
11.2015 - 05.2017
- Accepted referrals over phone as well as responded to referrals via Allscripts and Curaspan
- Worked closely with referral sources and doctors’ offices to ensure patients got care needed
- Responsible for admission process for new patients by ensuring availability of reimbursement for services, identifying clinical team to deliver care, and scheduling all patient visits within prescribed discipline and visit frequency requirements
- Responsible of Medicare and non-Medicare reimbursement requirements including eligibility for service, managed care and Veterans Administration pre-authorization processes, and Medicare/managed care inpatient services requirements
- Managed scheduling for all patient services within specified discipline/frequency parameters
- Coordinated with Clinical Supervisor, Billing Manager and clinical team to ensure required information is obtained for patient records
- Scheduled all visits to ensure that regulatory deadlines are met and staffing resources are optimized
- Handled all scheduling exceptions and coordinates with Clinical Supervisor as needed.
Customer Service Representative
LinCare
11.2014 - 11.2015
- Processed insurance approvals; worked closely with doctors on any problems to find resolutions
- Ensured paperwork was sent to billing in timely manner; worked independently in fast-paced environment
- Answered calls from patients in timely and efficient manner; obtained, entered and shipped patient equipment orders
- Actively participated in training of all customer service personnel including new hires, deleted corrects/re-entered patient orders as deemed necessary
- Monitored phone calls to confirm proper telephone techniques used by customer service personnel
- Responsible for reading and analyzing documents such as patient orders
- Effectively communicated with co-workers and patients and assisted with training of employees.
Customer Service Representative/Pharmacy Technician
CVS Caremark
03.2014 - 10.2014
- Answered high volume of calls as well as determined best solution for customers
- Responsible for data entry of infusion prescriptions, contacting customers for supply needs and scheduling delivery of specialty medications
- Created and maintained supply templates in pharmacy computer database
- Assisted pharmacist in communication with patients to manage supply inventory, met patient delivery needs, access current condition (in non-clinical manner), validated insurance coverage, and medication supply needs
- Documented all supply management activities in patient medical record
- Assisted in validating and/or obtaining authorizations for pharmacy services as requested
- Coordinated management needs of catheter care patients; worked with outgoing auto dial system.
Education
Pharmacy Technician Certification -
Allied American University
Laguna Hills, CA 01.2011 - 05.2012
Diploma - undefined
East Providence Sr. High School
East Providence, RI 01.2003 - 05.2007
Skills
Policy & Procedures Time Management Customer Care Strong Organizational SkillsMedical Terminology HCHB System/ICIMS Confidentiality Strong Teambuilding SkillsHIPAA Regulations Critical Thinking Skills Resourceful Scheduling ManagementLeadership Skills Decision-Making Skills People Skills Problem Solving SkillsConfidentiality Intake Coordination Data Entry Multitasking Skills
Medicare/Medicaid
Provider Relations
Insurance Verification
Organization and Time Management
Written Communication
Telephonic Customer Support
Policies and procedures
Drug inventory management
Immunizations
Timeline
Medical Practice Resource
CharterCARE Health Partners
10.2023 - Current
Medical Secretary/Referral Coordinator
CharterCARE Health Partners
01.2021 - 10.2023
Intake Coordinator
Elmwood Homecare
06.2019 - 05.2020
Lead Intake Coordinator
Care Resource
03.2018 - 09.2018
Customer Service Representative
MOO Inc
06.2017 - 03.2018
Intake Coordinator
Care Resource
11.2015 - 05.2017
Customer Service Representative
LinCare
11.2014 - 11.2015
Customer Service Representative/Pharmacy Technician
CVS Caremark
03.2014 - 10.2014
Pharmacy Technician Certification -
Allied American University
01.2011 - 05.2012
Diploma - undefined
East Providence Sr. High School
01.2003 - 05.2007