Healthcare professional with solid foundation in patient care coordination, consistently ensuring smooth operations and patient satisfaction. Proven ability to collaborate effectively with medical teams and adapt to dynamic healthcare environments. Known for excellent organizational skills and patient-focused approach.
Overview
8
8
years of professional experience
Work History
Patient Care Coordinator
Cancercare NorthWest
Spokane valley, WA
11.2023 - Current
1. Performs review of all treatments to be given to determine patient responsibility. keeping up with drug regimens and current authorizations.
2. Assists patients, as needed, in applying for financial assistance.
3. Extensive Insurance knowledge, performs eligibility and drug authorization.
4. Interaction with insurance companies for drug authorization, denials, appeals, and peer to peers.
5. Chart maintenance, Obtains and maintains accurate patient demographics.
6. Referral management. Applying for electronic and paper (as necessary), faxing and retaining records of..
7. Knowledge of external websites to perform daily duties. Use of Availity, OneHealthPort, Nordian, state Medicaid; and numerous other individual sites to advocate in patient care.
8. Use of Epic and Other EMR App’s, pertinent to job efficacy.
9. Setting up peer to peer’s, gathering information for appeals for denials.
10. Researches and responds to routine and non-routine inquiries in a timely and professional manner. Requests assistance from more seasoned coworkers & supervisor on complex issues in order to discuss resolution & learn.
Care Coordinator
Valley OB/GYN
Spokane valley, WA
09.2023 - 10.2023
1. First line in patientcare, Greet and welcome guests in a professional and friendly manner.
2. Check-in and outpatients, scan insurance cards and check eligibility for current appointment.
3. Understanding of insurances for eligibility, IUD and prescription management.
4. Understanding of EMR (Athena), (Epic)
5. Schedule appointments in advance and out, multiple for OB patients due to availability and need.
6. Answer phones, delegate, and route as needed.
7. Tally and deposit cash intake.
8. Manage incoming and outgoing mail, emails, and faxes.
9. Work with providers’ schedules and on-call schedules.
Office Assistant/Front Desk Associate
CalvertHealth Medical Center
Prince Frederick, MD
03.2018 - 05.2021
1. Creates a welcoming and professional environment for patients and visitors by demonstrating exceptional customer service.
2. Uses technology systems to manage a wide range of patient requests including appointment scheduling and patient registration. Controls daily/weekly appointment schedule, calling, scheduling, and rescheduling patients, confirming, screening, and reminding of appointments.
3. Answers general questions and meeting needs, while reducing financial loss and ensuring compliance with various requirements and regulations. Corrects time-sensitive errors associated with appointments, and/or billing to prevent further issues with insurance. Follows up on medical record requests. Handles payments, updates to accounts and closes daily batches.
4. Trusted patient advocate. Provides a comprehensive and proactive patient experience while performing point of service activities. Enters and maintains sensitive/confidential patient information including Electronic Health Records. (HIPPA)
5. Projects a cooperative and helpful demeanor, using excellent interpersonal and strong oral/written communication skills in order to communicate effectively.
6. Position requires the ability to multi-task, utilizing strong organization skills, adapting and working independently under stressful conditions to prioritize schedules/workload.
Payment Poster
CalvertHealth Medical group
Prince Frederick, MD
03.2018 - 06.2018
1. Reconciled admissions cash, petty cash and checking cashing boxes daily against receipts. (Processing patient and insurance payments to accounts).
2. Worked closely with management to resolve balance discrepancies in a timely fashion.
3. Quickly became proficient with multiple medical billing/accounting software systems as well as typical office software (Word, Excel, etc.)
Education
General Education AA -
College of Southern Maryland
Prince Frederick, MD
Skills
Critical thinking skills
HIPAA compliance
Organizational skills
Appointment scheduling
Attention to detail
Insurance verification
Patient confidentiality
Customer service
Patient relations
Patient care
Additional Information
Medical coding specialist CE., via College of Southern Maryland