Skilled Medical Office professional offering 12 years of experience cultivating seamless office operations. Personable and detail-oriented with proven track record of warmly welcoming patients and supporting needs. Quick learner proficient in office equipment operations and job-related software.
Overview
10
10
years of professional experience
Work History
Front Office Supervisor
Apex Medical Center
Las Vegas, NV
11.2022 - Current
Kept close eye on front desk to promptly address and resolve issues.
Implemented strategies to increase efficiency within the practice's workflow processes.
Provided customer service to patients by addressing inquiries, concerns, and complaints in a timely manner.
Assigned tasks to front office staff members and monitored their performance.
Coordinated with other departments within the healthcare facility regarding patient care initiatives.
Enforced safety protocols at all times while interacting with patients or visitors in the reception area.
Tracked patient satisfaction surveys to assess quality of care provided by physicians.
Scheduled appointments for patients in accordance with office guidelines.
Developed policies for patient check-in and check-out procedures.
Prior Authorization Specialist
Apex Medical Center
Las Vegas, NV
03.2017 - 11.2022
Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
Notified ordering providers of denied authorizations.
Maintained accurate records of all authorization activities in the database system.
Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
Processed appeals in a timely manner as per policy guidelines.
Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Clarified patient inquiries and questions to update patient account information in computer system.
Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
Used CoverMyMeds and SureScript to input prior authorization and other important medical data into system.
Strong understanding of insurance requirements for medication, referral, DME and imaging approval.
Experience in completing over 100 authorizations for both medications, radiology and procedures daily.
Office Manager
Integrative Family Medicine
LAS VEGAS, NV
01.2014 - 03.2017
Handled telephone inquiries from patients regarding appointment scheduling or general questions about the practice's services.
Supervised patient billing, collection and financial counseling and assisted with cash posting.
Oversaw day-to-day operations of the front desk area to ensure efficient flow of patients through check-in and checkout processes.
Answered phone calls, responded to emails, routed mail and coordinated courier services.
Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
Education
DIPLOMA - Medical Assisting
UEI
El Monte, CA
09-2012
High School Diploma -
HAWTHORNE HIGH SCHOOL
Hawthorne, CA
06-1998
Skills
Scheduling and Calendar Management
Complaint Handling
Staff Supervision
Coverage and Authorizations
Attention to Detail
Insurance Coverage Verification
Customer Service
Strong Knowledge of CoverMyMeds and Sure Scripts
HIPAA Compliance
Strong Organization
Medical Terminology Knowledge
Patient Scheduling
Flexible and Responsible
Medical Coding
Insurance Procedures
Patient Referrals
Data Entry
Understanding of Medical Terms
Insurance Verification
Strong Work Ethic
75 WPM with 98% accuracy
Exceptional Leadership Skills
Great Team Player
Timeline
Front Office Supervisor
Apex Medical Center
11.2022 - Current
Prior Authorization Specialist
Apex Medical Center
03.2017 - 11.2022
Office Manager
Integrative Family Medicine
01.2014 - 03.2017
DIPLOMA - Medical Assisting
UEI
High School Diploma -
HAWTHORNE HIGH SCHOOL
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