Michele Seamster
Hurt,VA
Summary
Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and 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.
Overview
9
9
years of professional experience
Work History
Referral Specialist
Ortho Virginia
08.2022 - Current
- Used insurance portals daily to get precertification and other benefits information on behalf of 35-40 patients.
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Supported clinical staff by providing timely updates on status of prior authorizations for various services.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
Credit Manager
Schewels Homes
07.2021 - 07.2022
- Negotiated payment plans with delinquent customers to minimize losses while maintaining positive client relationships.
- Performed semi-annual account credit limit reviews and credit increase review requests from financial service and sales teams.
- Evaluated complex customer profiles using financial statements, credit reports, and industry data to make informed lending decisions.
- Obtained and reviewed credit reports, credit references, credit insurance and financial statements to establish credit limits for new accounts.
- Negotiated settlements and payment terms with customers and delivered customized payment plans.
- Optimized credit approval and collection processes, improving operational efficiencies by over 65%.
Insurance Specialist
Rehab Associates of Central Virginia
07.2020 - 07.2021
- Processed eligibility and benefits verification and authorization requests for 13 different offices.
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Maintained high standards of customer service by building relationships with clients through email and phone.
- Communicated effectively with members of operations, finance, and clinical departments in weekly meetings.
- Streamlined policy management by regularly updating client information and tracking policy changes.
Medical Office Associate II
Centra Health Stroobants Cardiovascular Office
04.2016 - 01.2020
- Ensured compliance with HIPAA regulations through diligent management of patient information and strict adherence to confidentiality policies.
- Enhanced patient satisfaction by efficiently managing appointment scheduling and maintaining accurate medical records.
- Elevated patient experience with friendly interactions at check-in/check-out while diligently verifying about 60 patients' demographic information daily for accuracy during each visit.
Health Unit Coordinator
Centra Specialty Hospital
08.2015 - 04.2016
- Enhanced communication between medical staff by promptly answering phone calls, relaying messages, and responding to inquiries.
- Assisted nursing staff with daily tasks, contributing to well-organized and efficient unit environment.
- Assisted with processing patient admissions, transfers and discharges.
- Assembled and maintained about 25 patient medical records and other documents related to patient care.
- Responded to about 15-20 patient call lights to expedite appropriate follow-through.
Education
Associate of Applied Science - Administrative Assistance And Secretarial Science
Central Virginia Community College
Lynchburg, VA05.2005
Skills
- Insurance Verification
- Data entry proficiency
- Pre-authorizations
- Medical terminology knowledge
- Patient confidentiality
- Follow-up skills
- Organizational abilities
- HIPAA Regulations
- Customer Service
- Insurance Authorizations
- Administrative Support
- Adaptable and Flexible
Timeline
Referral Specialist
Ortho Virginia
08.2022 - Current
Credit Manager
Schewels Homes
07.2021 - 07.2022
Insurance Specialist
Rehab Associates of Central Virginia
07.2020 - 07.2021
Medical Office Associate II
Centra Health Stroobants Cardiovascular Office
04.2016 - 01.2020
Health Unit Coordinator
Centra Specialty Hospital
08.2015 - 04.2016
Associate of Applied Science - Administrative Assistance And Secretarial Science
Central Virginia Community College