Lori Harper

• Performed preliminary physical tests to accurately record results in patient history summary.
• Checked patient insurance and collected pre-authorizations from providers.
• Worked with operating facilities to schedule procedures on behalf of 5 plastic and Mohs surgeons.
• Gathered current medical information and reviewed histories to gather details for surgeons.
• Distributed treatment and procedural information to patients.
• Managed patient check-in and check-out procedures and processed payments.
• Set up equipment, tools and supplies for procedures and organize instruments as directed in surgeons' preference cards.
• Created and maintained sterile operating fields to minimize infection risks.
• Communicated with professionalism and compassion when interacting with surgical team and patients.
• Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
• Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
• Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
• Notified ordering providers of denied authorizations.
• Coordinated resolutions for issues and appealed denied authorizations.
• Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
• Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
• Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
• Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
• Maintained files for referral and insurance information, entering referrals into system.
• Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
• Used medent to input claim, prior authorization and other important medical data into system.
• Organized charts, documents and supplies to maintain team productivity.
• Assessed, documented and monitored vital signs for patients within outpatient setting.
• Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
• Collaborated with local pharmacies to resolve and clarify issues with patient medication.
• Conducted insurance verification and pre-certification and pre-authorization functions.
• Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
• Followed principles of asepsis and infection control to meet patient safety guidelines.
• Labeled and completed lab requisitions using ICD and CPT coding.
• Measured vital signs and took medical histories to prepare patients for examination.
• Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
• Prepared treatment rooms for patient examinations.
• Supported administrative staff by processing payments.
• Collected, labeled and stored laboratory specimens properly prior to testing.
• Ordered medical supplies, maintained inventory logs and restocked exam rooms
• Assisted doctors in various surgical procedures
• Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
• Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
• Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
• Responded to patient callbacks and phone-in prescription refill requests.
• Processed orders for medical supplies and lab equipment.
• Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
• Registered new patients into practice management software program accurately entering demographic information.
• Changed dressings on wounds to prevent infection and check for healing.
• Administered injections, medications and treatments as directed by the physician.

. Familiar with Medent, Epic and Citrix Workspace

• Worked with operating facilities to schedule procedures on behalf of 8 Cardiovascular surgeons.
• Created and maintained accurate and confidential patient files according to regulatory mandates.
• Maintained office supplies inventory by checking stock and ordering new supplies.
• Prepared new charts, updated existing charts and managed records transfers between offices.
• Coordinated office schedules for new patients, diagnostic assessments and procedures.
• Managed incoming telephone calls, took messages and directed callers to personnel.
• Helped patients complete paperwork and explained processes and procedures.
• Communicated with patients to gather intake data and verify chart information.
• Kept office spaces well-stocked with administrative and medical supplies.
• Completed claims forms for different types of appointments and worked on resolutions for denials or other insurance issues.
• Worked with Cardiologist , Cardiovascular doctors to prepare correct equipment and supplies for all surgical appointments.
• Booked surgeries according to physician volume and maintained prompt turnaround times.
• Routed laboratory or diagnostic results to appropriate staff.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Maintained surgical schedule by monitoring changes in patient needs, doctor schedules, and facility resources.
• Assisted with hospital admissions and paperwork.
• Called patients to schedule Cardiovascular,
• appointments, consistently double-checking information and availability.
• Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
• Managed medical practice administrative needs to provide patient satisfaction.
• Performed preliminary physical tests to accurately record results in patient history summary.
• Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
• Scheduled appointments for patients via phone and in person.
• Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
• Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
• Educated patients about medications, procedures and physician's instructions.
• Organized charts, documents and supplies to maintain team productivity.
• Contacted pharmacies to submit and refill patients' prescriptions.
• Secured patient information and maintained patient confidence by completing and safeguarding medical records.
• Assessed, documented and monitored vital signs for patients within outpatient setting.
• Collaborated with local pharmacies to resolve and clarify issues with patient medication.
• Conducted insurance verification and pre-certification and pre-authorization functions.
• Followed principles of asepsis and infection control to meet patient safety guidelines.
• Responded to patient callbacks and phone-in prescription refill requests.
• Measured vital signs and took medical histories to prepare patients for examination.
• Documented notes during patient visits.
• Cleaned and maintained medical equipment following procedures and standards.
• Arranged hospital admissions for patients as required.
• Processed insurance authorizations prior to booking surgeries in order to guarantee payment coverage.
• Resolved any conflicts that arose between surgeon's schedules, patient requests, and hospital policies.