Patient scheduling and pre-registration: Schedule appointments, outpatient visits, and procedures, and pre-register patients.
Information verification: Confirm patient demographic and insurance information, verify pre-certifications, and identify any financial obligations like copayments and deductibles.
Liaison duties: Act as a link between physician offices and the care site to ensure all necessary information and requirements are met.
Patient education: Inform patients about their appointments, procedure preparations, and special instructions.
Order management: Transcribe external orders from physicians and attach the correct order to the appointment.
Financial coordination: Refer self-pay patients to financial counseling and ensure the account is secured.
Quality assurance: Meet departmental productivity and quality standards, and notify supervisors of any discrepancies.
Receptionist & Authorization Specialist
Lakeside Health
03.2016 - 06.2023
May 2019-July 2023
Authorization Specialist (Promoted from receptionist to Authorization coordinator)
Obtained benefits and authorization for durable medical equipment, physical therapy along with pain management procedures such as ESI, kyphoplasty, RFA, injectable medications.
Excellent interpersonal skills with the ability to interact tactfully and diplomatically with patients, families, referring physicians' staff, and insurance plan representatives
Received authorizations from health insurance companies via direct phone calls or contacting third-party companies such as AIM or EVICORE, and ALWAYS utilized websites whenever possible, then reviewed office notes, referring doctor records, and any other pertinent documentation needed to follow the guidelines for approval.
I handled workers' compensation claimants, adjusters, and nurse case managers for consultation, follow-up visits, and office procedures.
Worked with Tricare/ TriWest and Veterans Affairs.
Auth for MRI/CT scans along with many other diagnostic imaging exams. Sent lab orders and H&Ps
Medical Receptionist
Dr. Diana L Easton, DO, Family Practice
05.2012 - 05.2013
Established excellent relationships with patients, resulting in continual compliments to management.
Provided exceptional customer service.
Accepted, posted, and reconciled patient payments.
Answering high-volume incoming calls.
Successfully responded to and followed up with patients to ensure their concerns were addressed.
Established and implemented a collections process, increasing account collections by over 70% and decreasing account write-offs.
Verified patient account balances through billing programs to ensure super bills for daily-scheduled patients were presented accurately.
Requested all medical records for new and established patients; established or updated information in the computer system.
Ordered laboratory and imaging orders and provided correct diagnostic codes.
Professionally contacted patients to communicate test results with compassion.
Researched insurance requirements to obtain authorization for patient-ordered imaging.
Referral-Authorization Coordinator
Center For Hematology/Oncology
07.2010 - 06.2011
As the first contact to newly diagnosed patients, compassionately communicated scheduling of appointments, easing fear, and ensuring exceptional care.
Recognized deficiency in submittal process resulting in insurance denial of chemotherapy coverage.
Researched files; developed a process to appeal to insurance companies; increased insurance authorization, resulting in increased revenue; decreased write-offs by $500,000 annually.
Requested authorization for paper referrals from primary care physicians, specialists, and/or insurance companies.
Received recognition for efficiency and productivity of the office, resulting in a 20% pay increase, which was the only increase for any employee in two years.
Medical Receptionist
Lake Havasu Imaging Center
09.2004 - 12.2006
Provided exceptional customer service by answering multiple phone lines with
Retrieved patient information; assembled and prepared new and established patient charts.
Performed office duties such as filing, copying, faxing.
Scheduled in-office procedures and appointments.
Downloaded and transferred patients’ transcribed reports.
Proof-read patient reports upon return from transcriber.
Loaded and unloaded patient radiology films.
Skills
Proficient in medical terminology, Knowledge with various software including, Microsoft products, Greenway, Phoenix Ortho, OPS, Varian, Mars, Medi-soft Zoom, Medi-Soft Office, Medi-Soft professional, eclinicalcs, EPIC