Versatile professional serves as a point of contact for patients by verifying insurance, handling paperwork and preparing records. A very patient-oriented and a helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care. Organized and dedicated with a proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments. Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality.
Overview
25
25
years of professional experience
Work History
Surgery Coordinator
Clayton Eye Center
02.2021 - Current
Counseled patient about personal financial responsibility and collaborated with billing to resolve patient accounts.
Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
Documented and collected patient data to maintain accuracy and security.
Maintained professional and technical knowledge by attending educational workshops, reviewing publications and participating in professional societies.
Communicated with patients on phone and in person to enter and update medical history in database.
Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts.
Resolved scheduling conflicts to maintain high-quality patient services.
Fostered collaborative relationships among health care team by communicating, responding to requests and building rapport.
Updated daily operating room calendars with accurate appointment schedules.
Updated patient records to reflect upcoming surgeries and medical histories.
Coordinated testing, labs and other diagnostic data for proper clearance prior to surgery.
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Collaborated with patient, referring physician and surgical specialist to coordinate pre- and post-operative care for surgical procedures.
Verified pre-authorizations and pre-certifications before scheduled surgeries.
Communicated surgery requirements to nursing teams for smooth operation delivery.
Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Arranged pre-operative and post-operative appointments for surgical patients.
Educated patients about surgeries and provided treatment plan documentation.
Checked patients in and out and collected payments.
Abided by state and federal healthcare guidelines and laws and reported non-compliance issues.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
Checked patients in and out and collected payments.
Registered and verified patient records before triage with most up-to-date information.
Resolved scheduling conflicts to maintain high-quality patient services.
Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Educated patients about surgeries and provided treatment plan documentation.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Managed office bookkeeping with insurance billing and patient payments.
Prepared and processed patient referrals and transfer requests.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Placed new supply orders, managed inventory and restocked clerical spaces.
Verified insurance coverage and obtained pre-authorizations.
Updated daily operating room calendars with accurate appointment schedules.
Greeted visitors and initiated triage processes for clients to streamline patient flow.
Assisted with medical coding and billing tasks.
Conducted patient intake interviews, recording and documenting relevant information.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Obtained payments from patients and scanned identification and insurance cards.
Coordinated with facilities to set up surgeries for.
Performed various administrative tasks by filing, copying and faxing documents.
Communicated surgery requirements to nursing teams for smooth operation delivery.
Arranged pre-operative and post-operative appointments for surgical patients.
Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
Updated patient records to reflect upcoming surgeries and medical histories.
Answered phone calls and messages for medical facility, scheduling appointments, and handling patient inquiries.
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Received and routed laboratory results to correct clinical staff members.
Medical Records Clerk/Insurance Clerk/Authorization Specialist
Hendry Regional Medical Center.
12.1997 - 10.2007
Verified client information by analyzing existing evidence on file.
Input all patient data regarding claims and prior authorizations into system accurately.
Analyzed medical records and other documents to determine approval of requests for authorization.
Notified insurance agents and accounting departments of policy cancellations and changes.
Coordinated with contracting department to resolve payer issues.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Collected premiums and issued accurate receipts.
Processed patients lacking coverage for planned procedures.
Responded to inquiries from healthcare providers regarding prior authorization requests.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Maintained confidentiality of patient finances, records, and health statuses.
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Communicated effectively with staff members of operations, finance and clinical departments.
Verified eligibility and compliance with authorization requirements for service providers.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Tracked referral submission during facilitation of prior authorization issuance.
Communicated verification and authorization status updates with department to facilitate decision-making for patient admissions and insurance coverage.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Posted payments to accounts and maintained records.
Developed and maintained productive working relationships with healthcare providers.
Checked documentation for accuracy and validity on updated systems.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Education
Associate of Science - Nursing
Palm Beach Community College
Belle Glade, Fla 33430
Master of Science - Public Health Education
South University
Savannah, GA
Bachelor of Science - Public Health Education
South University
Savannah, GA
08.2016
Associate of Science - Public Health Education
South University College
Savannah, GA
04.2012
High School Diploma -
Clewiston High School
Clewiston, FL 33440
05.1988
Skills
Co-Pay Collection
Surgery Preparation
Route Messages
Payment Collection
Data Entry Software
Obtaining Authorizations
Operational Requirements
Compassionate Care
Accurate Recordkeeping
Staff Meetings
Insurance Pre-Certification
Exceptional Attention to Detail
Cost Advising
Prescription Refills
CPR Certified
Taking Client Histories
Pre-Authorization Management
Assisting with Procedures
Call Transfers
Team Goals
BLS Certified
Patient Engagement
Patient Health Information Access
Online Systems
Maintain Records
Following Up with Patients
Surgical Log Maintenance
Office Supplies and Inventory
Medical Records Verification
Reminder Calls
Organization and Time Management
Adaptable and Flexible
Administering Medications
Reading Comprehension
Updating Charts
Answer Telephones
Checking in Patients
Direct Patient Care
Documentation Scanning
Patient History Collection
Payment Plan Options
Reading, spending time with family and traveling
I am very family oriented. I love spending my time with my husband, children and grandchildren. In my spear time I love to read. I try and travel to a new destination once a year.
Senior Team Leader, Operations Support at Convera, Western Union Business Solutions (WUBS)Senior Team Leader, Operations Support at Convera, Western Union Business Solutions (WUBS)