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Ronald Prager
Albuquerque,New Mexico
Summary
Attentive Surgery Scheduler. Capable of organizing paperwork. Looking for a fast-paced administrative position focused on maintaining smooth and efficient scheduling services. Systematic healthcare administrative professional knowledgeable about working with facilities, patients and insurance companies to set up minor procedures and complicated surgeries. Well-organized and detail-oriented team player with good problem-solving, relationship-building and communication skills. Effective at setting up over 20 weekly procedures for a hand surgeon in a busy Orthopaedic practice. Well versed in checking coverage, obtaining authorization and collecting payments. Highly efficient Patient Registrar with administrative expertise and Epic competency. Offering over 20 years in a healthcare office. Excellent customer service and organizational skills.
Experienced scheduling professional with strong focus on patient coordination and administrative efficiency. Adept at managing complex schedules, ensuring seamless communication between medical teams, and adapting to evolving needs. Known for collaborative mindset, reliability, and achieving optimal outcomes in fast-paced healthcare environments. Proficient in medical terminology, electronic health records, and patient care coordination. Experienced with managing surgery schedules, ensuring all appointments are accurately coordinated and communicated. Utilizes strong organizational skills to handle multiple tasks efficiently and maintain smooth operations. Track record of effective communication and patient interaction, ensuring high level of service and satisfaction.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Surgery Scheduler
Lovelace Medical Group Orthopedics
06.2023 - Current
- Check patient insurance and obtained pre-certification when needed for surgeries and office procedures.
- Scheduled over 500 surgical procedures.
- Scheduled over 180 office hand procedures.
- Exhibited exceptional attention to detail.
- Maintained strict patient privacy and confidential patient information, taking care to meet all HIPPA guidelines and statutes for data security.
- Communicated extensively with patients to provide assistance, support and instructions.
- Worked with operating facilities to schedule procedures on behalf of three Orthopedic surgeons.
- Scheduled surgeries efficiently, optimizing physician and patient availability.
- Managed patient records using electronic health record systems for accuracy and confidentiality.
- Trained new staff on scheduling protocols and software systems to enhance team performance.
- Oversaw conflict resolution between patient schedules and operational changes, ensuring minimal disruption.
- Collaborated with multidisciplinary teams to align surgical schedules with resource availability and priorities.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Verified insurance coverage and obtained pre-authorizations.
- Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Customer Service Leader
Lovelace Medical Group, Contact Center
06.2022 - 06.2023
- Led 20 members of the customer service team to enhance satisfaction and retention rates through effective training programs.
- Analyzed feedback data to identify trends, driving improvements in service delivery processes.
- Mentored junior staff in best practices, fostering a collaborative environment focused on continuous improvement.
Surgery Scheduler
Lovelace Medical Group Orthopedics
01.2020 - 06.2022
- Check patient insurance and obtained pre-certification when needed for surgeries and office procedures.
- Scheduled over 500 surgical procedures.
- Scheduled over 180 office hand procedures.
- Exhibited exceptional attention to detail.
- Maintained strict patient privacy and confidential patient information, taking care to meet all HIPPA guidelines and statutes for data security.
- Communicated extensively with patients to provide assistance, support and instructions.
- Worked with operating facilities to schedule procedures on behalf of three Orthopedic surgeons.
- Scheduled surgeries efficiently, optimizing physician and patient availability.
- Coordinated with medical staff to ensure timely communication of surgical procedures.
- Managed patient records using electronic health record systems for accuracy and confidentiality.
- Trained new staff on scheduling protocols and software systems to enhance team performance.
- Oversaw conflict resolution between patient schedules and operational changes, ensuring minimal disruption.
- Collaborated with multidisciplinary teams to align surgical schedules with resource availability and priorities.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Verified insurance coverage and obtained pre-authorizations.
- Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
- Resolved scheduling conflicts to maintain high-quality patient services.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Insurance Verifier
Lovelace Medical Group Women's Health
07.2014 - 01.2020
- Successfully schedules patient appointments and place reminder calls to ensure exceptional customer experience.
- Answered phone calls and patient inquiries for 32 physicians.
- Reviewed patient cases and insurance coverage information per week.
- Schedule surgeries, office procedures as well as pre-op and post-op appointments.
- Trained seven surgery schedules.
- Verified insurance eligibility and benefits for patients, ensuring accurate coverage information.
- Collaborated with healthcare providers to resolve insurance-related inquiries and discrepancies.
- Trained new staff on insurance verification processes and best practices to enhance team efficiency.
- Monitored changes in insurance policies to ensure compliance with current regulations and procedures.
Data Analyst, Enrollment Specialist and Customer Service Representative
Lovelace Health Plan
03.2009 - 12.2013
- Ensured NM Medicaid members were enrolled or dis-enrolled as provided by the state.
- Submitted accurate enrollment monthly reports to the State of New Mexico.
- Worked with the Facets teams to ensure commercial members were loaded into the computer system.
- Ensure employer groups were loaded correctly.
- Answered patient inquiries regarding claims processing, copayments and prior authorization issues.
- Responsible for quoting medical benefits, claims status and prior authorization status to plan members.
Education
High School Diploma -
Cibola High School
Albuquerque, NM01.1979
Some college - undefined
Navy
Skills
- HIPAA Compliant
- Organization and planning
- Regulatory compliance
- Eligibility Determination
- Quality assurance standards
- Insurance pre-certification
Certification
Leadership Foundation, completed on March 27, 2025. Course through LinkedIn.
Top 10 Rules of Highly Effective Leadership, completed on April 1, 2025. Course through LinkedIn.
Customer Service: Problem-Solving and Troubleshooting, completed on April 1, 2025. Course through LinkedIn.
Customer Service: Managing Customer Expectations, completed on April 3, 2025. Course through LinkedIn.
Interests
Timeline
Surgery Scheduler
Lovelace Medical Group Orthopedics
06.2023 - Current
Customer Service Leader
Lovelace Medical Group, Contact Center
06.2022 - 06.2023
Surgery Scheduler
Lovelace Medical Group Orthopedics
01.2020 - 06.2022
Insurance Verifier
Lovelace Medical Group Women's Health
07.2014 - 01.2020
Data Analyst, Enrollment Specialist and Customer Service Representative
Lovelace Health Plan
03.2009 - 12.2013
Some college - undefined
Navy
High School Diploma -
Cibola High School
Additional Information
- Recognized as a Health Care Hero for working with our medical coder to review surgical cases prior to claim submission to ensure that only the correct code is billed.
- Recognized for process improvement.
- Coordinator for two Lovelace Health System facilities during the annual United Way Campaign.
- Coordinator of the Lovelace Medical Group Health Care Hero Program.