Michelle Redick
Beloit,KS
Summary
Dynamic patient advocate with significant experience in a variety of settings. Excelling in electronic medical records and prior authorization coordination. Proven ability to enhance patient onboarding processes while ensuring accurate insurance verification. Strong communicator dedicated to improving operational efficiency and patient sanctification in fast paced medical environments.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Admissions and Social Services Director
Hilltop Lodge Health and Rehab
Beloit, KS
11.2024 - Current
- Developed and implemented individualized care plans for residents, ensuring alignment with their social and emotional needs.
- Coordinated community outreach programs to enhance resident engagement and promote awareness of services offered.
- Oversaw case management processes, facilitating communication between residents, families, and healthcare providers.
- Trained and mentored social services staff on best practices in care delivery and documentation standards.
- Collaborated with multidisciplinary teams to ensure holistic care solutions tailored to each resident's unique situation.
- Conducted comprehensive assessments to identify residents' psychosocial needs and appropriate interventions.
Patient Access Representative
Broadlawns Medical Group
Des Moines, IA
12.2022 - 12.2024
- Front-End Registration-Prior Authorization Department
- Coordinated patient check-in processes to enhance workflow efficiency.
- Managed insurance verification and eligibility checks to ensure accurate patient records.
- Verify insurance through the EMVES system and initiate prior authorizations
- Assisted patients with appointment scheduling, improving access to care services.
- Educated patients on financial responsibilities, fostering transparent communication regarding billing procedures
- Educate providers on missing documentation and needs for prior
- authorization approvals with the different insurance companies.
- Collaborated with clinical staff to streamline patient flow and reduce wait times.
- Resolved patient inquiries and concerns, promoting a positive experience within healthcare services.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Reduced financial loss through diligent monitoring of outstanding balances and proactive collection efforts with patients and insurers.
- Boosted team morale and productivity by sharing knowledge and best practices in patient access processes.
- Increased efficiency in billing process by accurately capturing chargeable services during patient registration.
Medical Receptionist
Trinity Medical and Pulmonary of WNY
Orchard Park, NY
12.2020 - 09.2021
- Managed patient scheduling and appointment confirmations to enhance clinic workflow.
- Assisted in maintaining accurate patient records using electronic health record (EHR) systems.
- Communicated effectively with patients, providing information on services and procedures.
- Coordinated insurance verification processes to ensure coverage for patients' visits.
- Trained new reception staff on office procedures and software utilization for efficiency.
- Collaborated with medical staff to streamline communication regarding patient needs and follow-ups and initiated prior authorizations to assist
- clincal staff
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed multi-line phone system and pleasantly greeted patients.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Implemented improvements in patient check-in processes to reduce wait times significantly.
- Monitored front desk operations, ensuring a welcoming environment for all visitors.
- Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
- Maintained current and accurate medical records for patients.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
- Streamlined office communication by effectively coordinating between doctors and nurses.
Resident Service Clerk
The Pines of Machias Nursing and Rehabilitation Center
Machias, NY
06.2020 - 12.2020
- Organization and maintenance of C.N.A. assignment schedules for two, thirty bed units
- Organization and maintenance of onsite Primary Care Physician schedule, lab draws, podiatry, and dental visits
- Scheduling of external medical appointments for residents and arranging medical transportation as needed
- Maintenance and inventory of nursing supplies
- Facilitation of insurance prior authorization for procedures, surgeries, and medications
- Improved resident satisfaction by addressing concerns promptly and providing compassionate care.
Administrative Assistant
Jenny B. Nursing Home
Springville, NY
12.2019 - 06.2020
- Managed scheduling and coordination of appointments for nursing staff and residents.
- Facilitated communication between departments to enhance operational efficiency and service delivery.
- Streamlined filing systems, improving document retrieval speed and accuracy.
- Assisted in maintaining inventory of office supplies, ensuring availability for daily operations.
Medical Assistant
Bufalo Medical Group
Western N.Y.-Various Locations Through The Years
10.2008 - 12.2019
- Assisted in patient intake, ensuring accurate data entry and verification of medical records.
- Administered vaccinations and performed basic laboratory tests to support clinical operations.
- Coordinated appointment scheduling and managed patient follow-ups to optimize workflow efficiency.
- Educated patients on treatment plans, medication usage, and health maintenance strategies.
- Prior authorizations, pre-certifications, and Insurance Verification for Colon-Rectal, Cardiology, and Primary Care
Education
High School Diploma -
Niagara Falls High School
Niagara Falls, NYCertificate of Completion - Social Services
We Care Online
Beloit04-2025
Skills
- Written and verbal communication
- Client needs assessments
- Client advocacy
- Interviewing skills
- Proficient in Cover My Meds, Epic, PCC, Sorian, Health E-Net
- Client meetings
- Onsite facility tours
- Teamwork and collaboration
- Effective customer communication
Certification
Social Service Certificate
Timeline
Admissions and Social Services Director
Hilltop Lodge Health and Rehab
11.2024 - Current
Patient Access Representative
Broadlawns Medical Group
12.2022 - 12.2024
Medical Receptionist
Trinity Medical and Pulmonary of WNY
12.2020 - 09.2021
Resident Service Clerk
The Pines of Machias Nursing and Rehabilitation Center
06.2020 - 12.2020
Administrative Assistant
Jenny B. Nursing Home
12.2019 - 06.2020
Medical Assistant
Bufalo Medical Group
10.2008 - 12.2019
High School Diploma -
Niagara Falls High School
Certificate of Completion - Social Services
We Care Online