Summary
Overview
Work History
Education
Skills
Timeline
Generic

Porcia Pritchard

Seattle,WA

Summary

Versatile Administrative professional well-versed in healthcare practices, billing ,compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality. Advanced abilities in Epic.

Overview

12
12
years of professional experience

Work History

Craniofacial Plastic Surgery Scheduler

The PolyClinic/Optum
08.2021 - Current
  • Collated pre-operative lab and imaging results to facilitate surgery planning.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
  • Coordinated with facilities to set up surgeries for my specific Craniofacial Surgeon .
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Communicated surgery requirements to nursing teams for smooth operation delivery.
  • Expertly managed planning, scheduling, and coordination of outpatient procedures.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Educated patients about surgeries and provided treatment plan documentation.
  • Received and routed laboratory results to correct clinical staff members.
  • Processed medical insurance claims and payments.
  • Arranged pre-operative and post-operative appointments for surgical patients.
  • Resolved scheduling conflicts to maintain high-quality patient services.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • Verified insurance coverage and obtained pre-authorizations.
  • Coordinated with Hospital OR and inner ASC to set up surgeries for 1-3 patients per day .

Lead Patient Services Coordinator

The Polyclinic
05.2017 - 08.2021
  • Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
  • Collected patient co-pay and issued receipt to confirm payment.
  • Used Epic to maintain electronic patient files, successfully maintaining all incoming patient files.
  • Answered over multiple telephone calls per day to handle rescheduled, missed and reassigned visit requests.
  • Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
  • Verified patient's insurance eligibility and benefits coverage.
  • Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
  • Verified timekeeping records and handled any discrepancies with employees.
  • Responded to employee questions and requests for information in timely and knowledgeable fashion.
  • Checked accrued hours against listed hours for leave time.
  • Researched and resolved time discrepancies.
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability
  • Resolved customer complaints and issues to drive satisfaction and loyalty
  • Coordinated and monitored service activities to confirm work met all requirements
  • Prepared reports on service performance metrics and key indicators for management review
  • Monitored and reported trainee progress, introducing new learning tools to address individual needs
  • Analyzed team performance and identified opportunities for additional training

Medical Billing Specialists

Institute Of Complementary Medicine
01.2012 - 04.2017
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Generated monthly billing and posting reports for management review.
  • Responded to customer concerns and questions on daily basis.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Processed payment via telephone with focus on accuracy and efficiency.
  • Processed and verified invoices to secure accuracy of billing information.
  • Generated monthly invoices for customers in multiple formats to provide transparency.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Monitored outstanding invoices and performed collections duties.
  • Used data entry skills to accurately document and input statements.
  • Provided excellent customer service, developing and maintaining client relationships

Education

Bachelor of Applied Arts And Science - General Business

City University of Seattle
Seattle, WA
06.2013

High School Diploma -

Benjamin Franklin High School
Seattle, WA
05.1997

Skills

  • Facility Coordinating
  • Obtaining Authorizations
  • Reviewing Medical Histories
  • EHR Systems Expertise
  • Schedule Coordination
  • Pre-Authorization Management
  • Patient Referral
  • Insurance Verification
  • Payment Collection
  • Educating Patients
  • Medical Recordkeeping
  • Provider Order Placement
  • Payment Plan Options
  • Patient Eligibility Requirements
  • Patient Interviews
  • Account Monitoring
  • Account Balancing
  • Correspondence Writing
  • Account Reconciliation Abilities

Timeline

Craniofacial Plastic Surgery Scheduler

The PolyClinic/Optum
08.2021 - Current

Lead Patient Services Coordinator

The Polyclinic
05.2017 - 08.2021

Medical Billing Specialists

Institute Of Complementary Medicine
01.2012 - 04.2017

Bachelor of Applied Arts And Science - General Business

City University of Seattle

High School Diploma -

Benjamin Franklin High School

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Porcia Pritchard