PAMELA ROSITA
Kent,WA
Summary
Seasoned Health Professional with background in both the public and private healthcare sectors. Experience includes working with Dept. of Defense and state Government,managing daily operations, coordinating medical services, implementing health policies, and ensuring compliance with regulations. Notable strengths include strategic planning, team leadership, budget management and efficiency improvements. Prior work resulted in improved patient satisfaction rates, reduced operational costs, and enhanced healthcare delivery systems. Effective at improving revenue, team productivity and policies to keep the facility operating at a sustainable and profitable level. Well-versed in motivating and retaining employees, building relationships with residents and families and achieving the requirements for continued accreditation. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
7
7
years of professional experience
Work History
Plan Enrollment Coordinator
Providence Health & Services
Renton, WA
10.2024 - Current
- Prepared and submitted monthly progress reports to the government contracting office.
- Reviewed existing processes and procedures related to DoD contracts.
- Maintained records of all changes made during the life cycle of a DoD contract.
- Ensured that all documents were properly completed before submission.
- Created detailed reports summarizing patient accounts receivable activity for management review.
- Prepared invoices for submission based on approved charges provided by the physician's office.
- Performed data entry of information into electronic health record systems for accurate tracking of patient records.
- Reviewed patient insurance eligibility and coverage details to ensure accuracy of medical billing.
- Responded promptly and professionally to all inquiries from patients, insurers, or other stakeholders.
- Provided customer service support to internal staff members in regards to insurance verification procedures.
- Managed a high volume of telephone calls from patients, physicians, and other healthcare providers related to insurance coverage issues.
- Collaborated with team members to improve existing workflows related to insurance claim submissions.
- Maintained up-to-date knowledge of changing government regulations pertaining to healthcare reimbursement processes.
Care Coordinator
UW Medicine - Northwest Hospital & Medical Center
05.2023 - 10.2024
- Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
- Communicated with patients with compassion while keeping medical information private.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Maintained communication and transparency with governing boards, department heads and medical staff.
- Maintained accurate records of services provided during each visit or procedure.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Scheduled patient appointments and procedures.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Documented and managed patient information in computer system.
- Coordinated with patients and healthcare professionals to meet patient needs.
- Obtained insurance verification and authorization to submit financial clearance of patient accounts.
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Patient Service Specialist
UW Medicine - Northwest Hospital & Medical Center
05.2022 - 05.2023
- Provided assistance with completing paperwork, such as insurance forms and medical history.
- Answered incoming calls and responded to inquiries in a timely manner.
- Scheduled appointments and managed patient records using electronic health record software.
- Processed payments from patients, including cash, check, or credit card transactions.
- Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.
- Provided general customer service support by answering questions about services provided by the practice.
- Maintained knowledge of current insurance requirements for billing purposes.
Appointment Coordinator
Sterling Medical Corporation
Lakenheath Royal Hospital, United Kingdom
08.2021 - 12.2021
- Managed approximately 100 customer calls daily, made reservations and addressed concerns or inquiries customers had.
- Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
- Answered telephones and directed calls to appropriate staff members.
- Maintained daily calendars, set appointments with clients and planned daily office events.
- Sorted incoming mail and directed to correct personnel each day.
- Provided clerical support to team members to improve office performance and enhance productivity.
- Assisted in resolving conflicts with conflicting schedules or double bookings.
- Collaborated with clinical teams in order to provide timely access for new referrals.
Supervisor
Starbucks; RAF
Lakenheath, United Kingdom, United Kingdom
05.2019 - 04.2021
- Resolved customer complaints and adjusted policies to meet changing needs.
- Established and enforced clear goals to keep employees working collaboratively.
- Provided ongoing training to address staff needs.
- Strengthened operational efficiencies and traceability, developing organizational filing systems for confidential client records and reports.
Sales Representative
Apple GET Marketing, RAF
Lakenheath, United Kingdom, United Kingdom
03.2020 - 10.2020
- Monitored customer order process and addressed customer issues.
- Fostered relationships with customers to expand customer base and retain business.
- Developed and implemented restructuring solutions, training programs and process improvement initiatives to boost performance.
- Placed orders and answered customer questions in-person, through email and over phone to maximize customer service.
Assistant Manager
Michael Kors
Oxon Hill, Maryland
03.2018 - 06.2018
- Collaborated with store manager to develop strategies for achieving sales and profit goals.
- Enforced company policies and procedures to strengthen operational standards across departments.
- Allocated resources, materials and documentation to management staff and respective departments to accommodate needs.
- Leveraged skills and expert policy knowledge to find solutions to issues and promote positive conflict resolution.
Education
Some College (No Degree) - Health Management
Cornell University
Ithaca, NY06-2025
CNA Certification -
Divine CNA Training
Federal Way, WA03.2018
High School Diploma -
Sumner High School
Sumner, WA06-2017
Skills
- Clerical duties
- Customer service experience
- EPIC system experience
- Data entry documentation
- Sensitive material handling
- Appointment scheduling
- Bahasa Indonesia skills
- Healthcare knowledge
- Scheduling
- Policy Adherence
- Claims Processing
- Healthcare operations
- File and data retrieval systems
- Documentation proficiency
- Data entry
- Health literacy
- Case management
- Claims processing
- Accounts receivable
- Claims
- Microsoft office
- Insurance verification
- Medical terminology proficiency
Relevant Experience
-AMERICAN RED CROSS AT RAF LAKENHEATH
Military spouse volunteer
04/2019 to 11/2021
20hr/wk
greet and register patients according to established protocols
assist patients to complete all necessary forms and documentation
Triage patients
move patients through appointments as scheduled
answer incoming calls and deal with inquiries
transfer calls as required
respond and comply to requests for information
deal with incoming and outgoing post
complete other clerical duties as assigned
maintain stock of forms and office supplies
ensure reception area is well maintained, neat and clean
participated in event organization within the USAF base
Accomplishments
- UW MEDICINE CARES AWARD 2024
Languages
English
Professional
Indonesian
Professional
References
References available upon request.
Timeline
Plan Enrollment Coordinator
Providence Health & Services
10.2024 - Current
Care Coordinator
UW Medicine - Northwest Hospital & Medical Center
05.2023 - 10.2024
Patient Service Specialist
UW Medicine - Northwest Hospital & Medical Center
05.2022 - 05.2023
Appointment Coordinator
Sterling Medical Corporation
08.2021 - 12.2021
Sales Representative
Apple GET Marketing, RAF
03.2020 - 10.2020
Supervisor
Starbucks; RAF
05.2019 - 04.2021
Assistant Manager
Michael Kors
03.2018 - 06.2018
CNA Certification -
Divine CNA Training
High School Diploma -
Sumner High School
Some College (No Degree) - Health Management
Cornell University
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