NATASHA R. WILSON
Atlanta,GA
Summary
Professional with background in healthcare management, bringing valuable experience in streamlining operations and boosting clinic performance. Known for fostering collaborative team environment and driving quality improvements. Dependable and adaptable, excelling in dynamic settings with focus on patient care and staff development.
Overview
11
11
years of professional experience
Work History
Practice Manager
Arthritis Knee Pain Centers
05.2023 - 06.2024
- Create, implement, and assist in modifying workplace procedures
- Complete the hiring, on-boarding, and training of new and current administrative staff
- Administratively oversee operations within the practice such as billing, debt collections, security and occupational health and safety
- Ensure a review and comprehensive understanding of performance evaluations with administrative staff, assist with annual career development plan
- Monitor and managed the inventory for medications and medical equipment and organize for stocking and ordering
- Ensure an accurate correspondence to all patient's complaints and concerns and addresses them in a timely manner
- Manage the building maintenances and leasing contracts/agreements along with other obligations with the property
- Schedule and coordinate reoccurring staff meetings
- Work closely with medical and administrative staff for strategic planning and office improvement in patients and access to care
- Demonstrate relatable interpersonal skill, empathy, and sympathy of others
- Develop business strategies, goal setting and positive change withing the organization
- Manage a variety of schedules throughout the clinic
- Ensure that practice is compliance and within regulations (OSHA, HIPPA, National) Manage and supervise up to 12 employees
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Ordered all office supplies and kept check on inventory levels.
- Facilitated communication between staff members, fostering a collaborative work environment that improved overall team performance.
- Developed strong relationships with patients, ensuring a high level of care and satisfaction throughout their experience.
- Developed close working relationships with front office and back office staff.
- Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
- Oversaw the hiring process for new employees, selecting candidates who aligned with the practice''s mission and values.
- Addressed and remedied all patient or team member issues.
- Oversaw accounting, budgeting, and financial reporting.
- Coordinated with physicians to optimize appointment schedules and maximize daily patient flow.
- Managed office budget, reducing unnecessary expenses and allocating funds for necessary improvements.
- Provided supervision and management to team of support personnel.
- Boosted staff morale by offering constructive feedback and specific direction.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Improved practice revenue through effective financial management and strategic cost reductions.
- Ensured compliance with healthcare regulations, maintaining up-to-date knowledge on industry standards and best practices.
- Enhanced staff productivity by providing comprehensive training programs and regular performance evaluations.
- Created and implemented organizational policies and procedures.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Implemented new electronic health record system, leading to increased efficiency in patient data management.
- Collaborated with marketing teams to develop promotional materials that effectively highlighted the practice''s unique offerings.
- Identified opportunities for additional services or expansion within the practice based on market research analysis.
- Spearheaded initiatives aimed at improving community relations, including hosting events such as health fairs or seminars on relevant topics in healthcare management.
- Conducted regular staff training sessions to ensure high levels of patient service and care.
- Streamlined communication between different departments, leading to more cohesive patient care.
- Monitored and analyzed patient feedback to identify areas for improvement in service delivery.
- Developed and enforced office policies to ensure compliance with healthcare regulations, improving practice efficiency.
Patient Access Supervisor
Emory University Hospital (Midtown)
11.2021 - 01.2022
- Managed the Scheduling/Access portion of the organization
- Completed Access Audits randomly and as required
- Trained Staff and ensured recertifying and up to date on all directive, changes and regulations concerning patients access to care
- Assisted the director in the overall direction and control of the registration functions, operations, and personnel with the Patient Access department
- Ensured, encouraged, and promoted a warm, welcoming environment
- Collaborated with a variety of key stakeholders (internal and external customers)
- Oversaw the daily activities of the Emergency Services department to ensure quality standards are being met
- Assist with responses and updates to Patient Satisfactory reports concerning Access to care
- Always adhere to HIPPA Rules and Regulations
- Provided on-going performance feedback, addresses problems, orients, and trains employees, verifies competency, and identifies and suggests ways to develop skill
- Coached staff not meeting department accuracy standards and process improvement initiatives
- Participated in the development and attainment of team, departmental, and hospital goals; and communicate with staff in an effective and persuasive manner to obtain those goals
- Facilitated weekly staff huddle to include training on new procedures and updates on various registration related issues
- Vast knowledge and competency in variety of services area pertaining to access to care
- Demonstrated great customer service, presentation, analytic, problem-solving, team building and organization skills
- Skills and knowledge in using Epic System and Cerner Millennium Software
- Very attention to detail for accuracy and revision
- Managed and supervised up to 15-20 employees
Insurance Manager
Summit Joint & Spine Center
10.2018 - 03.2020
- Documented eligibility, benefit, and authorization information in accordance with established guidelines, verifies prior authorizations and/or pre-service requirements are met prior to date of service for each service type
- Initiated all insurance requirements for specific admission type in accordance with established guidelines, refers self-pay patients to Patient Accounts in accordance with established guidelines
- Reviewed and resolved denial issues in a timely manner in accordance with established guidelines, verifies current eligibility, benefits, and plan coverage in accordance with established guidelines
- Tracked and submitted retro-authorization requests, working closely with referring physician offices to resolve issues, utilizes available tools and on-line resources to create efficiencies in the process
- Maintained ability to effectively utilize Microsoft Office (Outlook) and department specific software applications to perform work
- Researched information to resolve authorization clearance prior to scheduled procedures
- Maintain knowledge and skills pertaining to required pre-certification protocol
- Completed auditing sessions for scheduling errors, inaccuracy, and incomplete verification
- Maintained vast skills and knowledge in using E-clinical database
- Provided answers to staff, patients, and insurance companies about insurance related concerns
- Responded to complaints and correspondence concerning to patient concerns
- Communicated effectively and cooperatively in the workplace, actively contributes to the achievement of Quality Improvement and Lean Process Improvement activities
- Completed all mandatory learning requirements in a timely manner, maintains current licensure and/or certification as required
- Explained benefits, patients right and responsibilities to patients and caregivers
- Completed insurance verifications
- Provided training and assistance for staff to understand insurance verification and eligibility
- Maintained insurance plan request database; ensuring data is entered accurately and in a timely manner, as determined through facility processes
- Managed and supervised up to 20 employees
Central Intake Coordinator
BIOSCRIP INFUSION SERVICES
10.2013 - 10.2018
- Portrayed strong, excellent communication skills (non-verbal, verbal)
- Responsible for processing all new patient referrals, managing current patient base, and providing support to all levels of management internally and externally
- Implemented mechanisms and controls to ensure appropriate coding, billing and payment cycles are accurately and timely in accordance with established internal and external payer requirements
- Reviewed structured clinical data matching it against specified medical terms, diagnosis codes or procedure codes and follow established guidelines for authorizing requests or referring request for further review
- Processed referrals (incoming and outgoing) prior to authorization and scheduling of services
- Made sure all documents and information was received in order to process referrals correctly with no delays
- Communicate the needs and patient's treatment plan to clinical professionals
- Coordinate with internal and external customers to manage requests for services from the clientele or clinicians
- Assist the clinical team with administratively preparing for Case for review of coverage
- Ensure accuracy and efficiency in the verification process
- Maintained patient confidentially as defined by the state, federal and company regulations
- Completed call-back providers with precertification authorization obtained from insurance payer and file completed referrals as per established procedures
- Actively supported departmental and corporate strategic plans to ensure successful implementation
Education
Theology Certification -
Maranatha Bible Institute
01.2013
Certified Medical Assistant -
National Health Career Association
01.2004
Business Administration -
East Orange High School
01.1995
Skills
- Strategic & Creative Thinker
- Results-Oriented Professional
- Performance-Driven
- Team Player
- Policy and procedure development
- Marketing
- Referral management
References
- LaTasha Simmons, Prosthetics Purchasing Agent, 478-662-1600
- Latoya Lebby, Summit Spine, 404-454-7569
- Nicole Williams, Knee Pain Center, 678-467-3411
Timeline
Practice Manager
Arthritis Knee Pain Centers
05.2023 - 06.2024
Patient Access Supervisor
Emory University Hospital (Midtown)
11.2021 - 01.2022
Insurance Manager
Summit Joint & Spine Center
10.2018 - 03.2020
Central Intake Coordinator
BIOSCRIP INFUSION SERVICES
10.2013 - 10.2018
Certified Medical Assistant -
National Health Career Association
Business Administration -
East Orange High School
Theology Certification -
Maranatha Bible Institute
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