Dedicated Administrative Coordinator with over 20 years of experience collaborating with diverse teams. Skilled in customer relations and decision-making, with strong communication and computer abilities. Proven capacity to meet project deadlines independently or as part of a team, demonstrating adaptability in multicultural environments.
Overview
22
22
years of professional experience
Work History
Insurance Verification Specialist
The Centers for Advanced ENT Care
Chevy Chase
05.2024 - Current
Verified insurance coverage for new patients and referrals; updated information for existing patients to ensure accurate billing.
Called insurance companies to obtain approvals for necessary services.
Explained financial responsibilities to patients, clarifying out-of-pocket costs and notifying clinical staff of denial statuses to facilitate timely care.
Answering questions: Responding to questions about billing and insurance. Entering data for new and existing patient accounts
Collaborating with billing: Working with billing departments to ensure efficient payment tracking and issue resolution
Maintaining records: Keeping accurate records of all insurance verifications, including notes on the verification process and any authorizations obtained. Monitoring pending work levels to ensure timely completion of pre-authorization. Tracking physician referrals and providing necessary details to the billing staff. Work with the surgical scheduling team to make sure that all CPT and DX codes are collected.
Answers all telephone calls and gives immediate, courteous attention to all people coming to the sleep lab.
Scheduled patients for consultations and sleep studies, ensuring compliance with department protocols and procedures.
Arranges for Insurance pre-certifications and patient registration prior to patient services. Prepares patients and provides the sleep lab records for patient consultations in a timely manner, consistent with department protocols.
Maintain patient records in an organized manner according to accreditation regulations and departmental protocols.
Contributed to departmental performance improvement activities by gathering information and preparing quarterly reports for meetings.
Prepares month-end statistical reports accurately and in a timely manner. Schedules, coordinates, prepares and distributes minutes for Department Meetings.
Schedules the CPAP Clinic on a regular basis, arranging for meeting space and necessary equipment and supplies, notifies patients in advance, and assists patients during the CPAP Clinic.
Compiled responses from patient satisfaction surveys and reported trends and complaints during departmental meetings.
Maintains good working relationships with Medical Directors, Physicians' Office personnel, other hospital department employees and Sleep Lab employees.
Maintains patient confidentiality in all settings with sensitivity to privacy concerns of patients.
Assist patients in obtaining needed DME by contacting vendors, providing orders, etc. needed for patients to obtain their equipment.
Schedules office and hospital based medical procedures, for patients with appropriate provider and time/ location slot, utilizing appropriate scheduling code.
Schedules office and hospital based medical procedures, tests and imaging ensuring available time is utilized to maximum efficiency.
Confirm patient's insurance provider and either obtain prior authorization or communicate need for prior authorization to appropriate parties as needed.
Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.
Completes accurate documentation of informed consent with patients for procedures and surgeries as needed.
Ensures patients have proper medical clearance and pre-surgical testing as needed.
Patient Care Coordinator/ Administrative Assistant
SleepMed Inc
Rockville
01.2006 - 02.2014
Clarified insurance plans for patients, ensuring comprehensive understanding of payment policies and procedures.
Contacted patients via phone, email, and in person to secure payments on outstanding accounts, effectively resolving issues while fostering a positive experience.
Verified payments made by insurance companies were accurate and according to contract guidelines. Managed incoming and outgoing calls for busy medical office.
Updated patient accounts daily by entering and verifying information for accuracy.
Streamlined administrative and procedural processes, enhancing accuracy and efficiency in alignment with organizational objectives.
Organized charts regularly in accordance with hospital's policy and procedures. Prepared folders and maintained records of newly admitted patients.
Assisted in all areas of administrative work including data entry, receptionist duties, file organization, research and development.
Scheduling Coordinator/ Medical Receptionist
Nancy Youssefi M.D
Bethesda
03.2004 - 01.2006
Managed communications with patients via phone, email, and in person to secure payments on outstanding accounts and facilitate financial processes.
Processed high volume of incoming and outgoing calls in fast-paced medical office, ensuring efficient communication and service delivery.
Delivered prompt and courteous customer service to clients to enhance satisfaction.
Managed medical supply inventory, insurance records, patient charts and company files using online tracking system.
Maintained detailed administrative processes that reduced redundancy, improved accuracy, and streamlined operations to support organizational objectives.
Processed and distributed confidential patient information in compliance with privacy regulations.
Entered patient test results into an online database for easy access by physicians and patients.
Education
High school diploma -
Belmont High School
East Los Angeles, CA
06-1998
Skills
Health insurance verification
ICD-10 and CPT coding
Medical terminology
Medical records management
Quality assurance
Administrative support
Schedule management
Microsoft Office proficiency
Critical thinking
Goal achievement
Patient advocacy
Additional Information - About Me
I am passionate about patient care and delight in helping others. I am well versed in various aspects of administrative and clinical coordinating which makes me the ideal candidate for any practice. I have several years of medical office experience, so I am confident that my skills are well-aligned for any medical office, and that I would be an excellent fit for your organization. In addition to my extensive medical background, I have strong communication, customer service and administrative skills. Over the years my duties and responsibilities have been scheduling appointments, confirming appointments, working with physicians, working the front and back office, sending medical records, obtaining benefits and authorization for surgery procedures etc. I believe my experience and track record make me an excellent fit for this opportunity.