Najiyyah Susswell
Hackensack,NJ
Summary
Resourceful Clinical Service Representative with high-level technical skills and extensive Patient Administrative background. Excellent communication skills and attention to detail enabled superior results.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Urology Surgical Scheduler
Westmed Medical Group
White Plains , NY
01.2022 - Current
- Follow physician's orders and availability calendar to schedule tests and procedures within Athenia/Epic EMR systems.
- Code correct procedures for physician and billing purposes.
- Send daily case confirmations and check with leadership on daily basis to make emergency changes and routine schedule updates.
- Contact insurance companies to obtain authorizations and gathered all related medical records.
- Educate patients about surgeries and provide treatment plan documentation.
Clinical Service Desk Senior Associate (Remote)
NTT DATA Services
Houston , TX
09.2021 - Current
- Currently responsible to answers, evaluates and prioritizes incoming requests for assistance from users experiencing issues with Clinical related technical and application services. such as EPIC
- Appropriately identifies and handles problem research, isolation, resolution and follow-up for complex Clinical Systems problems.
- Thoroughly documents all user encounters within appropriate ticketing software, capturing pertinent user information, description of issue, troubleshooting steps and resolution notes offering user and other Support Cent future knowledge to resolve issue in future.
- Analyzes Clinical Systems incident and support requests and consults with Clinical System support teams to make recommendations to include but not limited to; software changes, training gaps, reduce call rates.
- Applies proven communication, analytical and problem-solving skills to help identify, communicate and maximize system potential by end user.
Radiology Scheduler
Hackensack Radiology Group
Hackensack , NJ
07.2020 - 08.2021
- Adeptly manage a multi-line phones system in a pleasant and timely manner. Accurately scheduling radiology imaging services for two outpatient facilities located in Hackensack/Oradell New Jersey.
- Scheduling of MRI, CT, US mammograms, fluoroscopy, and other complex procedures. Assign and enter orders and DX codes according to image protocol with accuracy.
- Within HIPAA guidelines, gather demographic and insurance information, and other pertinent information from patients, physicians' offices and insurance entities to properly schedule appointments as well as initiate pre-certification process.
- Assist patients with questions, My chart issues, update charts, communicate with IT regarding complex issues and assist with resolution process.
IR Service Specialist
Charlotte Radiology
Charlotte , NC
12.2019 - 07.2020
- Primary job function was to schedule of consultations, outpatient Interventional Radiology procedures and referral to outside specialists for seven Interventional Radiologists within an outpatient clinic.
- Performed all pre-registration, insurance verification, referrals, precertification, co pay identification, for complex interventional and diagnostic exams and outpatient procedures.
- Utilized multiple computer application and scheduling software such as EPIC, CERNER, and PACS.
- Worked in collaboration with Atrium Hospital to schedule emergency, same day and COVID testing prior to admission.
Medical Secretary
Hospital For Special Surgery
New York , NY
01.2017 - 10.2019
- Handled all delegated tasks for orthopedic primary physician practice within Hospital for Special Surgery.
- Provided excellent service and attention to customers when face-to-face or through phone conversation.
- Coordinated Physician meetings as well as scheduling of patient appointments, accurately requested outside reports and images for initial consults. Prepared charts and performed checkout procedures with patients using Epic visit summary module.
- Trained and supervised temporary staff on office workflow and proper scheduling and patient services in both New York and Stamford CT.
- Obtained prior authorization and benefit information for DME products, injectable drugs and medications when appropriate.
Authorization Specialist
Stamford Hospital
Stamford , CT
12.2015 - 06.2016
- Successfully scheduled all pre-certification and authorizations for the outpatient radiology department of Stamford hospital which included MRI, CT, US mammograms, fluoroscopy, STAT IR, and other complex and emergency procedures.
- Assigned and entered orders and DX codes according to image protocol with accuracy within the "Authorization Program" designed by Stamford Hospital.
- Executed paperwork as necessary for each patient including patient charts, financial responsibilities and follow up phone calls.
- Processed request for Prior Authorization for all radiology imaging appointments.
- Acted as a liaison between the providers and insurance company, utilize nurses for medical review
- Educated patients on eligibility and affordability options by offering insightful information.
Medical Secretary
Mount Sinai - Beth Israel
New York , NY
05.2014 - 04.2015
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Registered new and existing patients for routine visits and post-surgical visits using Eagle, IDX and MDE Verified authorizations, referrals, pre-certification for various in-office procedures, medications, and supplies
- Collected copayments for patient visits, obtained authorizations for pre-surgical testing Scheduled patient appointments and Managed medical supply inventory, insurance records, patient charts and company files using online tracking system
- Maximized office efficiency by answering more than 50 incoming calls per day to provide office information and transfer calls to desired personal
Patient Service Representative
Memorial Sloan-Kettering Cancer Center
New York , NY
11.2008 - 06.2013
- Role included working in the Patient Financial Services department assisting with the management of care for patients considering treatment at MSKCC. Coordinated peer to peer call with medical staff and insurance companies.
- Met with patients to explain cost of treatment, insurance coverage and patient financial responsibilities.
- Assisted with developing payment plans, monitored patient accounts before and after appointments.
- Worked alongside Physicians' offices and case managers to obtain out of network authorizations and letters of medical necessity when needed.
- Assisted patients with filling out applications for grants and funding sources for treatment and service
Education
Associate of Arts - Health Information Technology
DeVry University
Villa Park, IL09.2022
High School Diploma -
New Rochelle High School
New Rochelle, NY1995
Skills
- EPIC troubleshooting
- Medical Terminology Insurance Verification
- Information Collection Eligibility Determination
- Automated telephone systems
- Registration processing
- Problem-solving skills
- Time Management
- Problem-Solving Skills
- Health Information Management Applications
Certification
EMR Insurance billing
Medical Terminology Insurance Verification
Information Collection Eligibility Determination
Fee Collection Insurance verifying
Interpreting physician orders Appointment Scheduling
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Urology Surgical Scheduler
Westmed Medical Group
01.2022 - Current
Clinical Service Desk Senior Associate (Remote)
NTT DATA Services
09.2021 - Current
Radiology Scheduler
Hackensack Radiology Group
07.2020 - 08.2021
IR Service Specialist
Charlotte Radiology
12.2019 - 07.2020
Medical Secretary
Hospital For Special Surgery
01.2017 - 10.2019
Authorization Specialist
Stamford Hospital
12.2015 - 06.2016
Medical Secretary
Mount Sinai - Beth Israel
05.2014 - 04.2015
Patient Service Representative
Memorial Sloan-Kettering Cancer Center
11.2008 - 06.2013
Associate of Arts - Health Information Technology
DeVry University
High School Diploma -
New Rochelle High School
EMR Insurance billing
Medical Terminology Insurance Verification
Information Collection Eligibility Determination
Fee Collection Insurance verifying
Interpreting physician orders Appointment Scheduling
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