Radha Patel
Apopka,FL
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Lead Ambulatory Service Rep
Texas Children’s Hospital
09.2023 - Current
- Manages the waitlist for the developmental pediatrics and autism center, overseeing over 4000 patients
- Coordinates with Centralized Scheduling, reviews new referrals with providers, and assists in scheduling appointments
- Contributed to a positive work environment by maintaining open communication with team members and supporting cross-functional tasks as needed.
- Prepared comprehensive daily reports on patient volume, revenue collected, outstanding balances, and other pertinent data for management review.
Supervisor of Corporate Scheduling
Baptist Health Care
04.2021 - 08.2023
- Oversee all aspects of outpatient diagnostic and physician enterprise for Baptist Healthcare within Centralized Scheduling and associates
- Monitor daily operating activity of the call center, making adjustments in work assignments to ensure timely processing of patient accounts
- Facilitated collaboration between team members on projects requiring cross-functional expertise for successful outcomes.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Medical Staff Coordinator
Baptist Health Care
03.2020 - 04.2021
- Process and follow up on referrals/orders/authorizations for patients that are generated by the provider or sent to the practice
- Confirm and schedule appointments, collect copayments, and verify patient demographics/insurance information
- Ensure billing and coding is completed by the end of the day to ensure proper charges are inputted for every patient.
- Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
- Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
- Contributed to the development of standard operating procedures for medical coding staff to ensure consistency across the organization.
Scheduler
Baptist Healthcare
01.2019 - 04.2020
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained patient confidentiality by strictly adhering to HIPAA regulations while handling sensitive personal information.
- Assisted with medical coding and billing tasks.
- Prepared and processed patient referrals and transfer requests.
- Processed payments and managed financial records to facilitate proper billing and tracking of payment history.
- Verified, coded and added modifiers to diagnoses.
- Conducted ongoing self-audits to identify areas requiring additional education or resources in order to maintain a high level of coding accuracy and proficiency.
Education
MS Science - Health Promotion & Worksite Wellness
University of West Florida
01.2022
BS Science - Health Sciences
University of West Florida
01.2018
Skills
- Benefits Explanation
- Schedule Coordination
- Health Information Access Management
- Medical Coding
- Medical Billing
- Insurance Authorizations
- Revenue Cycle Management
- ICD-10 Coding
- Diagnostic Coding Accuracy
- HIPAA Compliance
- Certified Professional Coder (CPC)
Certification
- AAPC CPC, 2024
- NHAA CBCS Medical Billing & Coding, 2023
- NAHAM CHAA, 2023
Timeline
Lead Ambulatory Service Rep
Texas Children’s Hospital
09.2023 - Current
Supervisor of Corporate Scheduling
Baptist Health Care
04.2021 - 08.2023
Medical Staff Coordinator
Baptist Health Care
03.2020 - 04.2021
Scheduler
Baptist Healthcare
01.2019 - 04.2020
MS Science - Health Promotion & Worksite Wellness
University of West Florida
BS Science - Health Sciences
University of West Florida
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