Nisha Smith
Humble,TX
Summary
I excel in multitasking and fostering customer satisfaction. My expertise in EMR Systems and a knack for problem-solving have significantly enhanced operational efficiency and patient care. Achievements include streamlining data processes and leading cross-functional teams to meet strategic objectives, demonstrating both technical proficiency and exceptional teamwork skills.
Highly organized professional with proven track record in coordinating complex tasks and ensuring seamless operations. Adept at managing schedules, resources, and stakeholders to achieve project goals effectively. Renowned for fostering teamwork and adapting to dynamic environments, making significant contributions to organizational success.
Overview
13
13
years of professional experience
Work History
Precertification Admission Coordinator
Banner Health, University Medical Center
01.2024 - 12.2024
- Entered data, generated reports, and produced tracking documents.
- Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
- Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
- Gathered and organized materials to support operations.
- Enhanced customer satisfaction by responding promptly to inquiries and addressing concerns professionally.
- Collaborated with department heads to develop strategic plans aligning with overall company objectives, fostering a unified approach toward shared goals.
- Coordinated cross-functional teams, resulting in seamless project execution and enhanced outcomes.
- Assisted in recruitment efforts by coordinating interviews and managing onboarding activities for new hires.
Unit Coordinator Labor and Delivery
University Health Hospital
03.2022 - 01.2024
- Handled confidential patient information with discretion, adhering to HIPAA regulations to protect privacy rights.
- Trained new Unit Coordinators on unit-specific protocols, contributing to overall team proficiency in delivering exceptional patient care experiences.
- Achieved appropriate patient flow by admitting, transferring and discharging patients in computer system and notifying appropriate personnel of patient status verbally and through signage.
- Managed medical emergencies calmly and effectively while activating appropriate codes according to hospital policy; ensuring prompt response from specialized personnel.
- Coordinated and maintained referral sources related to admissions, discharges, and follow up services to sustain daily census requirements.
- Maintained a clean and organized unit environment, adhering to infection control protocols for optimal patient safety.
- Employed effective communication with patients and families, physicians and other healthcare team members related to patient condition.
- Assisted in ordering and serving patient meals, transporting patients and performing indirect patient care duties at competent level and according to needs of patient population served.
ER Registrar
Baptist Medical Center Hospital
06.2020 - 03.2022
- Used electronic systems to enter provider orders and retrieve test results.
- Enhanced patient care by efficiently managing medical records and maintaining accurate documentation.
- Contributed to a decrease in patient complaints by implementing effective communication strategies among ER team members.
- Assisted in the development of patient education materials for ER patients by collaborating with medical staff, improving patient understanding of their treatment and care plans.
- Reduced registration errors through diligent attention to detail when gathering patient information, leading to improved data accuracy.
- Managed high-stress situations by maintaining a calm demeanor and ensuring proper procedures were followed.
Customer Service Representative
3M/KCI Healthcare
06.2019 - 06.2020
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- provided critical support in the medical healing process by proficiently applying wound VAC technology to patients, ensuring proper usage and therapeutic outcomes.
- coordinated with healthcare facilities to manage the logistics of wound VAC supply orders, billing and delivery, optimizing patient care and service efficiency
Prior Authorization Specialist/Claim Examiner
Humana
08.2014 - 12.2018
- 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.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Prior Authorization/Medical Records Specialist
Tri-West Healthcare
05.2012 - 07.2014
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Maintained patient records in compliance with security regulations.
- Improved patient care by maintaining accurate and up-to-date medical records for easy access by healthcare practitioners.
- Reviewed charts and flagged incomplete or inaccurate information.
Education
Phlebotomy Certification
Career Training Academy
San Marcos, TX04-2020
Medical Assistance Cerification
MedTech College
Atlanta07-2009
High School Diploma -
Inkster High School
Inkster, MI06-2005
Skills
- Multitasking and organization
- Customer service
- EMR Systems (Epic, E-Clinical, Cerner)
- Data entry
- Decision-making
- MS office
- Time management
- Problem-solving
- Patient registration
- Insurance verification
- Adaptability and flexibility
- Attention to detail
- Task prioritization
Timeline
Precertification Admission Coordinator
Banner Health, University Medical Center
01.2024 - 12.2024
Unit Coordinator Labor and Delivery
University Health Hospital
03.2022 - 01.2024
ER Registrar
Baptist Medical Center Hospital
06.2020 - 03.2022
Customer Service Representative
3M/KCI Healthcare
06.2019 - 06.2020
Prior Authorization Specialist/Claim Examiner
Humana
08.2014 - 12.2018
Prior Authorization/Medical Records Specialist
Tri-West Healthcare
05.2012 - 07.2014
Phlebotomy Certification
Career Training Academy
Medical Assistance Cerification
MedTech College
High School Diploma -
Inkster High School
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