Paige Wagoner
Yorba Linda,CA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Compliance Clerk
Northern Inyo Healthcare District
04.2021 - 06.2022
- Investigated incidents and accidents to identify causes and potential preventive measures.
- Maintained up-to-date knowledge of applicable laws and regulations.
- Conducted periodic compliance audits and reviews to identify areas of improvement.
- Collected detailed notes on investigations and other communication to adhere to legal requirements and enhance recordkeeping.
- Managed contracts between the company and outside vendors by ensuring each contract was up to date and in compliance with policies hospital policies and procedures.
- Kept an updated employee list containing the employee name, date of hire, position/title, and signature/renewal dates for paperwork required by HR and Compliance (Conflict of Interest Forms, Letters of Findings, Management Plans, NDAs).
- Secretary of multiple hospital committees. Took down the minutes of each meeting, noted the attendees and absentees, ensured follow up tasks were completed, created agendas.
- Took patient and employee complaints over the phone or in person. Documented them correctly and took care of following up with the patient or employee based on any investigations findings.
- Kept the districts policy manager software updated and ensured all policies and procedures were up to date and in compliance.
Legal Assistant
Taylor Fitzmaurice, Esq.
06.2019 - 09.2021
- Organized documents to manage paper and electronic filing systems of clients.
- Filed court documents and legal pleadings with court clerk on behalf of attorneys.
- Prepared and drafted correspondence and legal forms to maintain smooth communications.
- Managed accounts and client records of clients, observing confidentiality, and extreme discretion.
- Handled office scheduling and made notes for deadlines, motions, and other important dates.
- Communicated pertinent information to clients via phone, email, and mail.
- Contacted clients to schedule appointments and discuss progress of cases.
- Revised and finalized letters, briefs, and memos.
Authorization and Referral Specialist
Northern Inyo Healthcare District
02.2017 - 04.2021
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Verified insurance benefits and eligibility for specialized visits and procedures before referring clients.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Built professional relationships with service providers.
- Partnered with other departments to provide top-notch service to clients.
- Scheduled appointments with specialists on behalf of clients.
- Obtained prior authorization for Diagnostic Imaging and procedures.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
- Assisted with completion of referral forms and verified data accuracy and completion
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
- Provided education and instruction to referral sources on referral processes.
- Assisted clients in locating resources that accepted various insurances.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Patient Service Representative
Northern Inyo Healthcare District
10.2016 - 02.2017
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified insurance eligibility and coverage for patients.
- Entered patient demographic and insurance data into electronic medical record system.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Managed patient registration process, confirming data accuracy and completeness.
- Built and maintained positive working relationships with patients and staff.
- Took copayments and compiled daily financial records.
- Assisted patients in filling out check-in and payment paperwork.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Used EMR systems (Athena, Centricity, and Cerner) to schedule appointments.
- Handled customer service inquiries in person, via telephone and through email.
- Balanced deposits and credit card payments each day.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Trained new staff on filing, phone etiquette and other office duties.
- Facilitated communication between patients and various departments and staff.
- Responded to inquiries by directing calls to appropriate personnel.
Education
EMT Certification - Emergency Medical Technology
Cerro Coso Community College
Ridgecrest, CAHigh School Diploma -
Bishop Unified School District
Bishop, CA06.2015
Skills
- Filing
- Microsoft Office
- Organize Files
- Customer Service
- Patient Eligibility Requirements
- Adaptable and Flexible
- EMR Systems
- Scheduling Tests and Procedures
- Confidentiality and Data Protection
- Good Judgment and Decision-Making
- Task Prioritization
- Writing and Editing
- Critical Thinking
- Time Management
- Report Filing
Certification
- EMT - Emergency Medical Technician
- Crisis Prevention Training
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
Compliance Clerk
Northern Inyo Healthcare District
04.2021 - 06.2022
Legal Assistant
Taylor Fitzmaurice, Esq.
06.2019 - 09.2021
Authorization and Referral Specialist
Northern Inyo Healthcare District
02.2017 - 04.2021
Patient Service Representative
Northern Inyo Healthcare District
10.2016 - 02.2017
EMT Certification - Emergency Medical Technology
Cerro Coso Community College
High School Diploma -
Bishop Unified School District
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