MICHELLE WILSON
Hiram,GA
Summary
Dynamic professional with a proven track record at Magnolia Place Of Roswell, adept in streamlining operations and enhancing guest satisfaction. Excelled in team supervision and leveraging exceptional communication skills for efficient problem resolution. Skilled in multitasking and proficient in EMR systems, significantly improving operational efficiency.
Overview
11
11
years of professional experience
Work History
Concierge Representative
Magnolia Place Of Roswell
04.2023 - Current
- Handled guest complaints with professionalism, resolving issues quickly to maintain high levels of satisfaction.
- Streamlined front desk operations for improved efficiency and reduced wait times for guests.
- Maintained up-to-date knowledge of area attractions and events to provide accurate information to guests.
- Efficiently handled high volumes of phone calls while maintaining a calm demeanor under pressure.
- Monitored lobby appearance, keeping it clean and welcoming at all times.
- Assisted in organizing special events, resulting in memorable experiences for hotel patrons.
- Trained new concierge staff members on hotel procedures, policies, and best practices in customer service.
- Coordinated transportation arrangements, ensuring punctual arrivals and departures for guests.
- Developed strong relationships with local vendors, securing exclusive discounts and promotions for guests.
- Created welcoming and comfortable environment for guests.
Prior Authorization Specialist
OrthoAtlanta Piedmont Orthopedics
11.2021 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Tracked referral submission during facilitation of prior authorization issuance.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Worked front desk/back desk t support check in and check out process.
- collect copay, explained benefits
- traveled to different sites to fill in as needed.
Surgery Scheduling Coordinator
AVANT GYNECOLOGY
01.2013 - 10.2020
- Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
- Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
- Enhanced patient experience by efficiently scheduling surgeries and managing appointment calendars.
- Improved accuracy in surgery scheduling, ensuring appropriate pre-operative preparations were completed.
- Contributed to the development of new scheduling protocols, enhancing overall department efficiency.
- Maintained confidentiality and compliance with HIPAA regulations while handling sensitive patient information and documentation.
- Trained new team members on best practices for surgery coordination, fostering a supportive work environment.
- Collaborated with medical teams to ensure timely scheduling of urgent and elective surgeries.
- Established strong working relationships with other departments involved in surgical care such as anesthesia, radiology and laboratory services.
- Assisted in maintaining an up-to-date surgical calendar, enabling efficient use of operating room resources.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Verified insurance coverage and obtained pre-authorizations.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Checked patients in and out and collected payments.
- Managed office bookkeeping with insurance billing and patient payments.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Received and routed laboratory results to correct clinical staff members.
- Supervised front desk/back desk
- filled in different areas as needed
- injection/vital/bp
- medical records
- Familiar with emr systems
- athena/caretracker/epic
Education
Medical Assistant/ CNA -
Sawyer School - Pawtucket
Pawtucket, RI05.2000
High School Diploma -
Central High School
Providence, RI08.1994
Skills
- Strong multitasking
- Exceptional communication
- Initiative-taking
- Upselling strategies
- Team Supervision
- Team Leadership
- Verbal and written communication
- Staff Training and Development
- Staff Management
- Schedule Preparation
- Teamwork and Collaboration
- Customer Service
- Computer Skills
- Prior Authorization Process
- ICD-10 Coding Familiarity
- Medical Terminology
- Insurance Verification
- Patient Referrals
- HIPAA Compliance Knowledge
- Electronic Health Records Proficiency
- CPT coding knowledge
- Physician order verification
- Benefit Coverage
- Medical Office Procedures
Timeline
Concierge Representative
Magnolia Place Of Roswell
04.2023 - Current
Prior Authorization Specialist
OrthoAtlanta Piedmont Orthopedics
11.2021 - Current
Surgery Scheduling Coordinator
AVANT GYNECOLOGY
01.2013 - 10.2020
Medical Assistant/ CNA -
Sawyer School - Pawtucket
High School Diploma -
Central High School
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