QUIANA M. BALAAM
Brooklyn,NY
Summary
Versatile professional well-versed in healthcare practices, compliance standards and operations. Utilizing professional interpersonal skills and problem-solving with positive and upbeat personality.
Overview
11
11
years of professional experience
Work History
Prior Authorization Coordinator
Weill Cornell Imaging
03.2023 - 11.2023
- Verified eligibility and compliance with authorization requirements for service providers.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Processed and contacted patients regarding lacking coverage for planned procedures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Answered telephone calls to offer office information, answered patient's questions, and direct calls to staff.
- Maintained spreadsheets detailing medical procedures and insurance denials and approvals.
- Verified pre-certifications and obtains upgrades if needed. If pre-certification is not obtained for next day, notifies the referring doctor's office and contacts the patient to find out if they would rather reschedule.
Scheduling Coordinator
Mount Sinai Hospital-FPA Access Center
01.2022 - 03.2023
- Scheduled patient appointments and update in practice management system, EPIC
- Collected patient demographics and insurance information
- Verified patients’ insurance coverage prior to patient’s appointment and advise patients of any insurance referrals or authorization needed
- Communicated with appropriate staff regarding patient’s lateness to Physician and their team
- Communicated with appropriate staff regarding patient's questions, concerns, medications, and procedures that may need return phone calls or urgent correspondences.
- Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
- Managed complex calendars for multiple medical practitioners, verifying accuracy of all appointments.
Administrative Secretary/Surgical Coordinator
St. Francis Hospital/ISK Orthopedic Institute
01.2018 - 12.2021
- Greeted patients with a positive and helpful attitude
- Scheduled and confirm patient appointments, check-ins and physician referrals
- Received insurance co-pay payments and post amounts paid to patient accounts
- Interviewed patients to complete demographics, patient medical history and privacy forms
- Protected patients' rights by maintaining confidentiality of personal and financial information
- Kept patient appointments on schedule by notifying provider of patient's arrival via EMR
- Sorted and filed mail to various doctors and their correspondence
- Corresponded with insurances for patients MRI and Visco supplementation injections
- Booked surgeries through EPIC Portal
- Corresponded with insurances for precertification/ authorization for surgery and other Radiology Services
- Corresponded messages between MDs, Physician Assistants and their patients.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Educated patients about surgeries and provided treatment plan documentation.
- Collated pre-operative lab and imaging results to facilitate surgery planning.
Medical Office Assistant
St. Francis Hospital/ISK Orthopedic Institute
01.2013 - 01.2018
- Triaged patients, obtain vital signs and record them into their charts via EMR
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Assisted physicians with preparation for physical exams, aspirations and post-op procedures
- Assisted physicians with elective procedures such as PRPs, Bone Marrow Aspiration, and Fat Adipose-Scaffold Graft injections
- Performed medical care such as cleaning surgical wounds, removing sutures, staples and casts
- Assisted patients with DME
- Supported diagnostic treatment procedures such as setting up ultrasound guidance machine for Visco supplementation and cortisone injections
- Provided necessary supplies and assistance to medical staff and patients for specific procedures
- Performed blood work and aspiration, sent out guidelines in reference to infection protocols
- Performed light cleaning duties such as sanitizing exam rooms and medical equipment’s
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Received and routed laboratory results to correct clinical staff members.
Education
Medical Assistant Certification Program -
Sandford Brown Institute
01.2011
Timeline
Prior Authorization Coordinator
Weill Cornell Imaging
03.2023 - 11.2023
Scheduling Coordinator
Mount Sinai Hospital-FPA Access Center
01.2022 - 03.2023
Administrative Secretary/Surgical Coordinator
St. Francis Hospital/ISK Orthopedic Institute
01.2018 - 12.2021
Medical Office Assistant
St. Francis Hospital/ISK Orthopedic Institute
01.2013 - 01.2018
Medical Assistant Certification Program -
Sandford Brown Institute
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