Kirstin Shamas
Miami,FL
Summary
Compassionate Physician Administrative Assistant known for high productivity and efficient task completion. Skilled in patient care management, medical staff coordination, and healthcare administration. Excel in communication, leadership, and problem-solving to ensure seamless operations and quality patient care.
Overview
4
4
years of professional experience
Work History
Physician Administrative Assistant
Nicklaus Children Hospital
Miami, Florida
11.2022 - Current
- Coordinated patient referrals to appropriate medical facilities and practitioners.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Scheduled pre-operative appointments with patients, obtained consent forms and collected necessary insurance information.
- Acted as liaison between physicians, vendors, insurance companies, patients and their families regarding surgical procedures.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Processed appeals in a timely manner as per policy guidelines.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
- Reviewed claims submitted without valid pre-authorization codes and took corrective action when necessary.
- Coordinated resolutions for issues and appealed denied authorizations.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Assisted with scheduling diagnostic tests such as X-rays, MRIs, CT scans., when requested by physicians or nurse practitioners.
- Arranged hospital admissions for patients as required.
- Retrieved lab results from outside laboratories and entered them into EHR systems.
- Coordinated meetings between physicians and other healthcare professionals.
- Created spreadsheets in Excel for tracking purposes.
- Managed physician calendar, scheduling patient appointments and procedures.
Medical Receptionist/Mammography Assistant
West Kendall OBGYN
Miami, FL
06.2021 - 10.2022
- Fostered relationships with patients to minimize patient anxiety and distress, and enhance cooperation.
- Verified patient details before completing procedures.
- Developed and labeled diagnostic images and films in accordance with established quality standards.
- Oversaw scheduling, patient coordination and department and equipment maintenance for consistent department operations.
- Greeted patients with warm smile and promoted individual comfort throughout procedures and scans while being as discrete as possible.
- Promoted commitment to patients by providing assistance, remaining professional and actively responding to questions and concerns.
- Performed general administrative tasks to support radiology department.
- Prepared examination rooms between appointments by cleaning surfaces and restocking supplies.
Medical Receptionist
Pediatric Associates
Miami Lakes, FL
07.2020 - 06.2021
- Processed patient payments and scanned identification and insurance cards.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Entered patient information, including insurance, demographic and health history into system to keep all records up-to-date.
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
- Observed strict HIPAA guidelines at all times according to company policy.
- Delivered high-quality administrative and customer service to sustain patient and work flows.
- Retrieved faxes and uploaded related information to patient charts for clinical staff.
- Followed infection prevention protocols for reception area to protect patients and staff.
Education
High School Diploma -
Miami Sunset Senior High School
Miami, FL06.2005
Skills
- Managing patient records
- Meeting planning
- Spreadsheet tracking
- Clinical and administrative support
- Authorizations
- Outpatient surgery coding
- Networking skills
- Multitasking Abilities
- Reliability
- Billing and coding expertise
- Pre-authorization management
- Facility coordinating
Timeline
Physician Administrative Assistant
Nicklaus Children Hospital
11.2022 - Current
Medical Receptionist/Mammography Assistant
West Kendall OBGYN
06.2021 - 10.2022
Medical Receptionist
Pediatric Associates
07.2020 - 06.2021
High School Diploma -
Miami Sunset Senior High School