Summary
Overview
Work History
Education
Timeline
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Pamela Wainer

Rochester

Summary

Dynamic Authorization and Referral Coordinator at Advanced Pain Management & Rehab, skilled in pre-authorizations and insurance verification. Proven ability to enhance patient experiences through effective scheduling and strong communication. Recognized for meticulous records maintenance and critical thinking, ensuring seamless operations and timely authorizations in a fast-paced healthcare environment.

Overview

22
22
years of professional experience

Work History

Authorization and Referral Coordinator

Advanced Pain Management & Rehab
09.2018 - Current
  • Obtain all authorizations for procedures and surgeries. Obtain all referrals for follow ups. Obtain all authorizations for DME and Radiology exams.
  • Worked closely with staff and patients to ensure timely and accurate authorizations.
  • Insurance verification and eligibility.
  • Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patients
  • Responded to patient inquiries to offer timely updates regarding referral and authorization status
  • Developed and maintained strong working relationship with referral sources to streamline processing.
  • Maintained accurate records on in-progress and completed referrals/authorizations, ensuring full data integrity throughout process.
  • Submit and schedule all appeals and peer to peer appointments.

Surgery Scheduling Coordinator

Rochester Regional Breast Center
01.2012 - 01.2015
  • Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
  • Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
  • Enhanced patient experience by efficiently scheduling surgeries and managing appointment calendars.
  • Contributed to the development of new scheduling protocols, enhancing overall department efficiency.
  • Maintained confidentiality and compliance with HIPAA regulations while handling sensitive patient information and documentation.
  • Coordinated complex surgical cases, including multi-disciplinary surgeries, to optimize patient outcomes.

Office Manager/Chiropractic Assistant

Rochester Chiropractic Associates PC
01.2004 - 03.2006
  • Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
  • Resolved office disputes swiftly and equitably, maintaining harmonious workplace.
  • Managed scheduling and coordination of all office meetings to ensure smooth operations and minimal conflicts.

Education

Biology

SUNY College At New Paltz
New Paltz, NY
05-2001

Timeline

Authorization and Referral Coordinator

Advanced Pain Management & Rehab
09.2018 - Current

Surgery Scheduling Coordinator

Rochester Regional Breast Center
01.2012 - 01.2015

Office Manager/Chiropractic Assistant

Rochester Chiropractic Associates PC
01.2004 - 03.2006

Biology

SUNY College At New Paltz

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Pamela Wainer