Monica Roland
Suffolk,VA
Summary
Dedicated Registrar II, & Medical Assistant skilled with technical, clerical and patient support. Strong interpersonal communication with talent effectively dealing with patients and staff alike. Detailed understanding of medical sector and regulatory obligations concerning it. Dedicated and empathetic medical assistant offering 23 years in direct patient care and medical office management experience. Committed to obtaining highest level of patient satisfaction by ensuring regulatory compliance and adherence to practice standards. Documented ability to cultivate trust and rapport with patients and maintain strong relationships. Excellent communication and interpersonal skills with patients, families and other healthcare professionals. Resourceful medical assistant with 23 years of experience in medical and administrative assistance. Comprehensive background in accurately recording patient health information, taking vital signs, and processing client needs. Gathers complete patient insurance information quickly to streamline patient appointments. Resourceful medical assistant with proven expertise in organizing efficient medical office environments and assisting with diagnostic efforts for new and established patients. Proficient at collecting specimens, conducting basic assessments and monitoring vitals. Expert with EHR system and skilled at learning new processes to meet unique office requirements. Hardworking and reliable medical assistant with strong ability in obtaining prior authorizations for medication and outpatient testing. Knowledgeable administrative professional with expertise in medical records management, coding and data entry. Proven ability to review and document clinical data, ensuring accuracy and compliance. Well-versed in ICD-10, CPT and HCPCS coding systems. Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Registrar II position. Ready to help team achieve company goals.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Registrar II
Chesapeake Regional Hospital
04.2021 - Current
- Updated computer system with latest information to keep records current and accurate.
- Improved data integrity by conducting regular audits of student records and making necessary corrections.
- Verified paperwork accuracy and checked for completion prior to processing.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Checking in and registering patients
- Verifying insurance
- Obtain authorization
- Self-motivated, with a strong sense of personal responsibility.
- Skilled at working independently and collaboratively in a team environment.
- Worked effectively in fast-paced environments.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Passionate about learning and committed to continual improvement.
- Developed and maintained courteous and effective working relationships.
Medical Assistant
Gastroenterology Associates
10.1997 - 01.2021
- Partnered with healthcare and administrative staff to create patient-centered, inviting and supportive environment for patients and families.
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
- Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions.
- Performed preliminary physical tests, such as taking blood pressure, weight and temperature, accurately recording results in patient history summary.
- Printed and filed examination data records according to HIPAA patient standards.
- Kept facility stocked with necessary supplies, equipment and instruments.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Performed, validated and reported laboratory tests for prognosis, diagnosis, treatment and research.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Administered rapid tests such hemoccult to help clinical staff assess conditions.
- Used Allscripts, Citrix, Epic and GMED software to process patient payments and update accounts.
- Assisted back office patient processes to reduce customer wait time by approximately 50%.
- Assessed, documented and monitored vital signs for more 50 patients per day.
- Efficiently performed insurance verification and pre-certification and pre-authorization functions.
- Prepared prescription refill requests on behalf of physician to prevent lags.
- Batch-scanned and indexed patient charts to improve data availability while maintaining security.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment.
- Reviewed treatment sheets for consistency, completeness and accuracy.
Prior Authorization Specialist
Gastroenterology Associates
10.1997 - 01.2021
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
- Notified ordering providers of denied authorizations.
- Coordinated resolutions for issues and appealed denied authorizations.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Gathered data to formulate appropriate replies for information requests.
Prior Authorization Pharmacy Technician
Gastroenterology Associates
10.1997 - 01.2021
- Verified insurance benefits to refill medications and upheld fantastic customer service standards.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Verified and filled over 30 prescriptions per day.
- Entered and processed patient prescriptions in company system.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality.
- Communicated extensively with patients to provide assistance, support and instructions.
- Compiled customer demographic, allergy and medical history background.
- Liaised with other pharmacies to eliminate denial issues.
- Efficiently responded voicemails to promote assistance and service to customers.
- Resolved third-party rejection claims.
- Answered customer questions regarding medication.
Education
Associate of Science - Medical Assisting
Tidewater Tech
Norfolk, VASkills
- Understands medical procedures
- Charting expertise
- Documentation procedures expert
- Patient scheduling
- Customer Service
- Medical terminology knowledge
- Using a scale
- Medical terminology
- Data entry
- Reliable transportation
- Diagnostic procedures
- Work in an administrative service role, helping patients
Certification
- Virginia Department of Health Certification
- Medica Assistant, Gastroenterology Associates - 1997
Timeline
Registrar II
Chesapeake Regional Hospital
04.2021 - Current
Medical Assistant
Gastroenterology Associates
10.1997 - 01.2021
Prior Authorization Specialist
Gastroenterology Associates
10.1997 - 01.2021
Prior Authorization Pharmacy Technician
Gastroenterology Associates
10.1997 - 01.2021
- Virginia Department of Health Certification
- Medica Assistant, Gastroenterology Associates - 1997
Associate of Science - Medical Assisting
Tidewater Tech
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