Summary
Overview
Work History
Education
Skills
Timeline
Generic

Pamela Reynolds

HENDERSONVILLE,TN

Summary

Background is in Healthcare. Office Coordinator, Location Manager-Office Manager ~ Customer & Patient Care ~ Internal/External Relationship Management, Leadership, Marketing ~ Risk ~ Compliance ~ Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking and passionate with strong organizational skills. Ready to help team achieve company goals. Excellent time management and problem-solving skills.

Overview

21
21
years of professional experience

Work History

Management Program Analyst

Cigna
02.2022 - Current
  • Working Hedis projects, Retrieval
  • QSHR, Citrix, Excel in area of retrieval of Medical Records as well as intake.
  • Fax Manager
  • Download portals such as sharefiles, CIOX,MRO etc. put records into project after naming them correctly.
  • Secure messages
  • Training and onboarding contractors.
  • Webex meetings to train
  • Improved program efficiency by streamlining processes and implementing automation tools.
  • Worked remote - contractor and was hired on as full-time employee

Licensed Clinical Manager

HCA Wellness Clinic
03.2021 - 09.2021
  • Developed relationships with healthcare providers to sustain strong referral pipeline.
  • Worked as liaison between corporate and clinic
  • Worked with Workman's Comp for corporate employees
  • Worked with ECW front and back when needs arrived
  • Coordinated patient appointment times with staff hours to schedule appointments and tests appropriately, maintaining hard copy documentation and diagnostic filings.
  • Assisted with new staff orientation and training and participated in ongoing performance evaluations in collaboration with senior physicians.
  • Delivered patient information, appointment results and insurance information to other office staff for reporting and billing purposes.
  • Handled new patient intake, signed-in returning patients and advised physicians of patients present in office awaiting examination.
  • Check all patient's in, Heavy phones, Verify Insurance, Prior- Authorizations, Referrals.
  • Achieved departmental goals by developing and executing strategic plans and performance metrics
  • Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery

Office Coordinator/RMA

HCA TriStar Medical Group Legacy Health
11.2015 - 07.2019
  • Opened new office, signed up patients for concierge, Entering charges, payments, and balancing.
  • Generate and mail out monthly and yearly statements for Retainer fee, daily reports.
  • Collecting co-pays and cash from patients, getting authorization on credit cards, check patients in and out.
  • Scheduled patients appointments and physicals.
  • Calling in prescriptions and taking vitals and ordering procedures.
  • Pre-certifications, prior authorization, referrals
  • Balanced and updated computer accounting records and physical petty cash, including receipt documentation and expense tracking.
  • Earned reputation for good attendance and hard work.
  • Scheduled procedures, MRI, CT, etc.
  • Improved operations by working with team members and customers to find workable solutions.
  • Managed scheduling for multiple employees, ensuring optimal coverage during peak business hours
  • Assisted with the hiring process, conducting interviews and onboarding new employees to promote company culture.

RMA/Surgery Scheduler

O.A.T
12.2010 - 09.2015

TriStar

  • Surgery Scheduler, pre-op, post-op and follow up visits
  • Pre-certifications and prior authorizations, verifying Insurance
  • Explaining medications and safety regulations to patients
  • Roomed Patients, assist with procedures, schedule all surgeries, pre-certification, prior authorizations, calling in medications.
  • Travel between offices and set up and meet all needs of my provider.
  • Check patients in and out when needed.
  • Work in allergy clinic, giving allergy injections.
  • EMR, Blood draw, triaging, autoclave, vitals and many other MA duties.
  • Worked with Prime Suite and Phressia
  • Ensured optimal patient care by maintaining detailed records of medical histories, insurance information, and surgical consents

RMA/Derm Coordinator/Location Manager

Advanced Dermatology
02.2005 - 12.2010
  • Traveled and opened new offices, hiring, training new staff members
  • Coached employees with new policies.
  • Handling patient problems along with billing and insurance questions.
  • Worked as liaison between corporate and providers.
  • Efficient in fast paced environment managing multiple priorities
  • Prioritization of individual and office tasks
  • Assisted with biopsies, numbing, Mohs surgery, surgery, assisted in all procedures, writing scripts, pre-certification, medication prior authorizations, calling in medications.
  • Scheduled all surgeries.
  • Assisted with all cosmetics and setting up for laser.
  • Worked with NextGen EMR software.

RMA/Clinical Supervisor of Opt

Medical Interventions
01.2003 - 02.2005
  • In charge of ordering, scheduling patient procedures, making schedules, phones, faxing.
  • Assisting doctors with procedures.
  • Clinical supervisor of Opti-Fast program.
  • Patient confidentiality and organizing Opti-fast program.
  • Triaging, operating CBC machine holter monitors, BP, injections, autoclave, vitals, blood draw, ear irrigations, EKGs.

Education

High School Diploma -

Lynbrook High School
San Jose, CA

RMA

Americare School of Nursing
Orlando, Florida
04.2003

Skills

  • Internal/External Relationship Management, Leadership, Influence
  • Operation Excellence
  • Team Player
  • Excellent Organizational skills
  • Excellent teaching and communication skills
  • Next Gen
  • Phressia
  • Prime Suite
  • ECW
  • Epic
  • Organizational Development
  • Problem Solving
  • Critical Thinking
  • Time Management
  • Team Leadership

Timeline

Management Program Analyst

Cigna
02.2022 - Current

Licensed Clinical Manager

HCA Wellness Clinic
03.2021 - 09.2021

Office Coordinator/RMA

HCA TriStar Medical Group Legacy Health
11.2015 - 07.2019

RMA/Surgery Scheduler

O.A.T
12.2010 - 09.2015

RMA/Derm Coordinator/Location Manager

Advanced Dermatology
02.2005 - 12.2010

RMA/Clinical Supervisor of Opt

Medical Interventions
01.2003 - 02.2005

High School Diploma -

Lynbrook High School

RMA

Americare School of Nursing
Pamela Reynolds