Mary DeBold
Bridgewater
Summary
Dedicated healthcare administrative professional with over 40 years of hands-on expertise in medical office operations.
Overview
22
22
years of professional experience
Work History
Volunteer Adoption Coordinator
PAWS New England
Remote
01.2023 - Current
- Company Overview: Support a New England-based rescue organization dedicated to rehoming dogs from southern shelters.
- Oversee the full adoption process for assigned dogs, including screening applications, interviewing potential adopters, verifying home ownership, and ensuring fit with fosters.
- Coordinate transportation logistics from southern foster homes to New England adopters, manage contracts, confirm medical records, and provide post-adoption follow-up.
- Collaborate with a remote team to ensure a smooth, ethical, and compassionate placement process for rescue dogs.
- Support a New England-based rescue organization dedicated to rehoming dogs from southern shelters.
Referral Coordinator
ATRIUS HEALTH CARE
Norwood
02.2015 - 10.2024
- Managed and coordinated all aspects of the referral process for a busy medical practice
- Reviewed patient records to determine appropriate referrals based on medical necessity and insurance requirements
- Communicated with patients, healthcare providers, and insurance companies to obtain necessary information for referrals
- Ensured timely submission of referral requests to specialists or other healthcare facilities
- Followed up on pending referrals to ensure completion within designated timeframes
- Maintained accurate and organized referral documentation in electronic health record system
- Collaborated with physicians and clinical staff to develop comprehensive care plans for patients requiring specialized services
- Provided education and support to patients regarding their referral appointments, including scheduling, transportation arrangements, and pre-visit instructions
- Coordinated communication between primary care providers and specialists to facilitate continuity of care
- Assisted in obtaining prior authorizations from insurance companies for specialty procedures or treatments
- Monitored referral trends and utilization patterns to identify opportunities for process improvement or cost savings initiatives
- Implemented strategies to increase efficiency in the referral process, resulting in reduced wait times for patients seeking specialty care
- Developed relationships with external healthcare providers and facilities to streamline the referral process and enhance collaboration across the continuum of care
- Ensured compliance with HIPAA regulations when handling sensitive patient information during the referral process
- Tracked outcomes of referred patients' treatment plans through follow-up calls or correspondence
- Maintained knowledge of insurance guidelines and requirements related to referrals, including pre-authorization criteria
Patient Advocate/Medical Biller
Plymouth Pediatric Associates
Plymouth
01.2011 - 12.2016
- Facilitated daily administrative functions, including customer service, patient scheduling, and directed incoming phone calls to correct location.
- Collected, organized, and distributed hospital mail.
- Solved scheduling, insurance billing, and medical record discrepancies and problems.
- Skilled in managing A/R processes for Managed Healthcare, Blue Cross Blue Shield (BC/BS), and Medicare payers. Proven ability to resolve claim issues, reduce aging accounts, and support revenue cycle efficiency in fast-paced environments.
- Managed high incoming call volume from patients and hospitals and managed patient portals.
Patient Advocate / Medical Biller
Plymouth Medical Group
Plymouth
11.2006 - 12.2011
- Greeted and checked-in patients, and collected personal, medical, and insurance information.
- Managed patient accounts and arranged payment plans for past-due balances.
- Scheduled and confirmed patient appointments; scheduled appointments with secondary care providers.
- Collected patient co-payments and recorded payment transactions; obtained third-party payer authorization for services provided and communicated outstanding balances to insurance companies and patients.
- Verified and researched patient insurance information though insurance companies.
- Used EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
- Managed front desk operations, including greeting patients, scheduling appointments, and answering phone calls.
- Verified patient insurance information and collected co-pays and payments for services rendered.
- Maintained accurate electronic medical records (EMR) by updating patient demographics and medical history.
- Scheduled laboratory tests, radiology exams, and specialist appointments as per physician's orders.
- Effectively communicated with healthcare providers to ensure timely delivery of test results and reports to patients.
- Assisted in the coordination of patient referrals to other healthcare facilities or specialists when necessary.
- Responded promptly to patient inquiries regarding appointment availability, clinic hours, and general inquiries about services provided.
- Collaborated with medical billing department to resolve any issues related to insurance claims or billing discrepancies.
- Managed confidential patient information according to HIPAA regulations while maintaining utmost professionalism at all times.
- Provided administrative support such as filing documents, scanning records into EMR system, and managing incoming/outgoing mail.
Medical Receptionist
Soth Shore Primary Care, Inc
Hingham
09.2003 - 02.2006
- Organized patient in-take, scheduling, insurance, and billing.
- Ordered diagnostic tests and communicated results to patients.
- Manage office and medical supply inventories; receive deliveries and organize supplies in stockrooms and exam rooms.
Education
Some College (No Degree) - General
Massasoit Community College
Brockton, MASkills
- Insurance verification and patient coordination
- Customer service and healthcare communication
- Medical terminology and electronic health records
- Referral management and compliance assurance
- Active listening and conflict resolution
- Problem solving and attention to detail
- Time management
Additional Information - Volunteer Experience
Volunteer Adoption Coordinator, PAWS New England, Remote, 2023-01-01, Present, Support a New England-based rescue organization dedicated to rehoming dogs from southern shelters., Oversee the full adoption process for assigned dogs, including screening applications, interviewing potential adopters, verifying home ownership, and ensuring fit with fosters., Coordinate transportation logistics from southern foster homes to New England adopters, manage contracts, confirm medical records, and provide post-adoption follow-up., Collaborate with a remote team to ensure a smooth, ethical, and compassionate placement process for rescue dogs.
<Enter your own>
- Title: Patient Advocate
- Visa Status: Authorized to work in the US for any employer
- Work Permit: Authorized to work in the US for any employer
Timeline
Volunteer Adoption Coordinator
PAWS New England
01.2023 - Current
Referral Coordinator
ATRIUS HEALTH CARE
02.2015 - 10.2024
Patient Advocate/Medical Biller
Plymouth Pediatric Associates
01.2011 - 12.2016
Patient Advocate / Medical Biller
Plymouth Medical Group
11.2006 - 12.2011
Medical Receptionist
Soth Shore Primary Care, Inc
09.2003 - 02.2006
Some College (No Degree) - General
Massasoit Community College
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