Kristina Pitts
Senoia,GA
Summary
Detail-oriented Surgery Benefits Coorinator with 13 years of healthcare office experience. Proficient in record keeping, appointment setting, and insurance processing. Offering an expert ability to coordinate staff and communicate with patients. Skilled in streamlining patient flow through accurate recordkeeping and clear communication skills. Proficient in using Epic for patient information management and documentation. Effective at setting up as many as 20-30 weekly procedures for 4 surgeons in a busy pain management practice serving three locations. Well-versed in checking coverage, obtaining authorizations and collecting payments. Knowledgeable about working with facilities, patients and insurance companies to set up minor procedures and complicated surgeries. Well-organized and detail-oriented team player with good problem-solving, relationship-building and communication skills.
Overview
13
13
years of professional experience
Work History
Surgery Benefits Coordinator
Ankle and Foot Centers of Georiga
Peachtree City, GA
06.2020 - Current
- Contact insurance companies and get benefits information and check to see if surgery is covered by the patient's plan. Verify that Doctor and Hospital are in network with a patient's plan.
- Maintained up-to-date knowledge of insurances requirements for surgeries. Submit authorizations for surgery, and keep Doctors updated on the approval process. If needed, schedule peer to peer to get surgery approved.
- Contact patients and explain their benefits for surgery. Explain the fees associated with surgery and their payment options. Help patient's decide the best payment option.
- Follow up with offices, to make sure payment has been collected prior to surgery. If payment has not been collected, then follow up with the office to find out why.
Procedure Scheduler
Georgia Pain and Spine Care
Newnan, GA
07.2015 - Current
- Schedule procedures for our Newnan and Peachtree City locations.
- Check patient's benefits and determine what they will owe for procedures.
- Start prior authorizations for procedures and if the procedure is denied by the insurance company, then appeal or set up a peer to peer with the physician.
- Check with the physician to see if a rep is required to be present during the procedures, then contact the reps and confirm appointment times.
- When scheduling procedures with patients, check their medical history to see if any paperwork is needed from their primary care physician. This paperwork is usually anticoagulant letters and cardiac clearances.
- Go over pre-op instructions with the patients at least 4 days before their scheduled procedure.
- When going over the pre-op instructions, I make sure that all necessary blood work is done. Tell the patients what to do if they are having anesthesia with their procedures and how many days they needs to come off blood thinners.
Surgery Scheduler
OrthoAtlanta
Fayetteville, GA
06.2014 - 07.2015
- Coordinated with the clinic schedulers to schedule all surgeries in a timely matter.
- Checked the patient's ASC benefits and contacted patients via phone or by letter to let them know what they would owe for the procedures
- Facilitated timely check-in by greeting visitors and going over all required paperwork and collected amounts due.
- Established surgery schedules based on facility needs and equipment availability.
- All paperwork in the chart was current and had correct location for surgery
- Lab results and operative notes scanned into charts
Medical Assistant
Ankle & Foot Centers of Georgia
Newnan, GA
06.2013 - 06.2014
- Monitored vital signs, such as blood pressure and pulse.
- Assisted physicians in follow-through of care.
- Supported duties for treatment procedures, such as setting up and assisting physician during treatment.
- Prepared patients for X-rays, suture removal and dressing changes.
- Ensured collection of lab specimens by appropriate lab courier.
- Offered age-appropriate patient care before, during and after exams.
- Maintained detailed records of test results by entering data and patient information into computer.
- Tailored care to meet the specific needs of each patient.
- Oriented and trained new staff on proper procedures and policies.
- Collected, organized and restocked supplies in all units.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Assisted the physician with wound care for pressure ulcers, bed sores, and surgical site wounds.
- Documents objective data and routine aspects of patient care.
- Escorted patients to examination rooms.
- Collects patient specimens and data, including vital signs, input/output and other delegated measurements.
Resident Assistant
Benton House of Newnan
Newnan, GA
01.2013 - 04.2013
- Encouraged a community atmosphere by implementing social programs.
- Performed several administrative duties, including incident reports and maintenance requests.
- Helped residents with personal care skills and housekeeping chores.
- Transported residents to and from the dining room, living room, and any outside activities.
- Answered and managed incoming and outgoing calls while recording accurate messages.
- Set up the dining room for all meals and clean up once residents were done.
- Handed out medications to residents at different hours of the day.
- Check on the residents every hour or two.
- Make sure all the needs of residents were being met.
- Screened all visitors and directed them to the correct resident or office.
Physical Therapy Aide
Piedmont Newnan Hospital
Newnan, GA
08.2011 - 08.2012
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
- Administered job knowledge assessments and competency testing for certification-level training.
- Ensured efficacy of treatments by assisting the physical therapist with treatment.
- Certified that equipment and supplies were properly maintained for quality patient care and safety.
- Implemented necessary changes based on evaluation of staffing requirements and floor assignments.
- Used EMR to schedule and manage patient appointments.
- Worked both inpatient and outpatient
- Helped the physical therapist managed care for post-operative patients through discharge.
- Treated patients with strokes, head traumas, comas, and intracranial hematomas.
- Provided patient education.
- Facilitated timely check-in by greeting visitors and establishing the purpose of their visit.
- Evaluated patient care needs, prioritized treatment, and maintained patient flow.
Education
Bachelor of Science - Rehabilitation Sciences
Armstrong State University
Savannah, GA2011
High School Diploma -
East Coweta High School
Sharpsburg, GA2006
Associate of Science - physical therapy
Gordon State College
Barnesville, GASkills
- Self-Motivated
- Ability to work under Pressure
- Multi-task
- Adaptability
- Proficient in Epic
- Verbal and written communication
- Benefits interpretation
Timeline
Surgery Benefits Coordinator
Ankle and Foot Centers of Georiga
06.2020 - Current
Procedure Scheduler
Georgia Pain and Spine Care
07.2015 - Current
Surgery Scheduler
OrthoAtlanta
06.2014 - 07.2015
Medical Assistant
Ankle & Foot Centers of Georgia
06.2013 - 06.2014
Resident Assistant
Benton House of Newnan
01.2013 - 04.2013
Physical Therapy Aide
Piedmont Newnan Hospital
08.2011 - 08.2012
Bachelor of Science - Rehabilitation Sciences
Armstrong State University
High School Diploma -
East Coweta High School
Associate of Science - physical therapy
Gordon State College
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