Porsha M. Anderson
Greenville,SC
Summary
Organized Clinical Coordinator with excellent scheduling, coordination and documentation talents as part of clinical teams. Skilled at admitting patients, managing patient services, providing thorough reports and ensuring patient satisfaction. Detail and patient-oriented with proficiency in handling emergency situations.
Overview
12
12
years of professional experience
Work History
Senior Clinical Administrative Coordinator
United Health/ Optum
11.2021 - Current
- Open member cases from referrals, verify benefit and eligibility information and update during routine checks, Review and forward clinicals to assigned nursing staff, Enter/update medication list; Data Entry; calling provider office to obtain information; Assist team with checking MTP mailbox, Running hospital report and updating patient’s chart accordingly
Central Support Operations Coordinator
NaviHealth, Inc
09.2020 - 11.2021
- Process inbound and outbound data and communication (i.e
- Faxes, emails and electronic communication) according to productivity and quality standards, Enter and review member information, Complete administrative documentation, creating authorization shells, and attaching documents, Run and/or review reports to monitor assigned team duties are completed
Patient Financial Services Legal Specialist
Prisma Health, Greenville Heath
11.2019 - 09.2020
- Process estate accounts, review self-pay and insurance balances for accuracy, file Creditor’s claim to probate court, post payments, negotiate settlements with personal reps/legal attorney, send release once account is satisfied, Customer service, call center, Revenue Cycle
Physician Practice Specialist/ Pharmacy Technician
Greenville Health System
05.2015 - 04.2019
- Patient registration, Precertification, File insurance claims, Schedule new patient/follow-up
- Appointments, Order entry, Schedule New Patient & Follow up appointments Interpret and prepare medication orders, make deliveries to nursing units, compound medications, restock Omni cells, return and pull expired medications.
Billing Specialist/ Certified Pharmacy Technician
Omnicare
10.2012 - 05.2017
- Work rejected real time claims with full utilization of label suppression, Manage prior authorization, Work backlog of denied claims for resubmission, Fills daily drug orders accurately. Data Entry
Certified Pharmacy Technician
CVS Pharmacy
12.2011 - 04.2013
- Translate SIG codes, Count and measure medication, and Resolve Third Party rejections, perform register transactions, prescriptions, Data Entry, Claims, Customer Service
Education
Certification - Pharmacy Technology
Virginia College
Greenville01.2012
Skills
- Proficient with Microsoft Office applications, Experience in healthcare setting, Familiarity with medical terminology and HIPAA laws, organized and able to prioritize, plan, and handle multiple tasks/demands, detail-oriented and able to correctly interpret data
- Form Updating
- Utilization Management
- Creative Thinking
- HIPAA
- Electronic Medical Record Software
- Managing Patient Cases
- Establish Policies
- Healthcare System Resources
- Manage Records
- Patient Records Administration
- Clinical Documentation
Timeline
Senior Clinical Administrative Coordinator
United Health/ Optum
11.2021 - Current
Central Support Operations Coordinator
NaviHealth, Inc
09.2020 - 11.2021
Patient Financial Services Legal Specialist
Prisma Health, Greenville Heath
11.2019 - 09.2020
Physician Practice Specialist/ Pharmacy Technician
Greenville Health System
05.2015 - 04.2019
Billing Specialist/ Certified Pharmacy Technician
Omnicare
10.2012 - 05.2017
Certified Pharmacy Technician
CVS Pharmacy
12.2011 - 04.2013
Certification - Pharmacy Technology
Virginia College
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