Raven Raines
Maplewood,NJ
Summary
Proven track record at Mount Sinai Health System, adept in patient coordination and medical office efficiency. Spearheaded scheduling logistics, ensuring HIPAA compliance and enhancing patient care through meticulous documentation and education. Excelled in healthcare compliance, demonstrating a blend of strong data entry skills and empathetic patient engagement. Achieved significant improvements in operational workflows.
Overview
8
8
years of professional experience
Work History
Surgical Coordinator
Mount Sinai
10.2020 - Current
- Efficiently managed high volume caseloads while maintaining meticulous attention to detail in scheduling logistics and documentation.
- Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times.
- Served as a liaison between patients, families, clinicians, and hospital staff throughout the entire surgical process.
- Provided comprehensive education materials for patients regarding their upcoming surgery, answering questions and alleviating concerns related to the procedure itself or recovery expectations afterward.
- Collaborated with insurance providers to verify coverage and obtain necessary authorizations for surgical procedures.
- Verified insurance coverage and obtained pre-authorizations.
- Resolved scheduling conflicts to maintain high-quality patient services.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Prior Authorization Specialist
Mount Sinai Health System
04.2019 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Medical Assistant
Mount Sinai Health System
09.2016 - Current
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Education
Bachelor of Arts -
VIRGINIA UNION UNIVERSITY
Richmond, VA05.2007
Skills
Medical Office Experience
Patient coordination
Data Entry Efficiency
Healthcare Compliance Understanding
Timeline
Surgical Coordinator
Mount Sinai
10.2020 - Current
Prior Authorization Specialist
Mount Sinai Health System
04.2019 - Current
Medical Assistant
Mount Sinai Health System
09.2016 - Current
Bachelor of Arts -
VIRGINIA UNION UNIVERSITY
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