Samantha Wise
Cincinnati,OH
Summary
Detail-oriented Healthcare Administrative Professional with 15 years of experience in healthcare operations and patient services. Skilled in managing confidential medical records in compliance with HIPAA standards and optimizing electronic health records (EHR) systems. Expertise includes claims administration, scheduling, and front-desk operations, ensuring efficient support in fast-paced environments.
Overview
21
21
years of professional experience
Work History
Medical Assistant
CareFirst Urgent Care
Cincinnati, Ohio
10.2024 - Current
- Perform venipuncture, injections, EKGs, specimen collection, and specimen processing while maintaining accurate documentation and proper handling procedures.
- Support high-volume clinical operations by preparing patients for examinations, obtaining vital signs, performing diagnostic testing, and accurately documenting clinical information.
- Prepare and process laboratory specimens for transport, ensuring information is accurately documented and specimens are handled according to established procedures.
- Process and handle confidential patient information in accordance with HIPAA, infection-control standards, and organizational procedures.
- Maintained organized examination and supply areas through inventory monitoring, restocking supplies, and ensured operational readiness.
- Supported front-desk operations by managing patient check-in, covering telephone inquiries, assisting with medical records, collecting payments, and coordinating patient information.
- Collaborated with clinical and administrative staff to resolve patient-service and documentation issues, enhancing workflow efficiency.
Patient Services Representative
UC Health Orthopaedics & Sports Medicine
Cincinnati, Ohio
05.2018 - Current
- Managed patient scheduling, telephone inquiries, written and verbal correspondence, medical records, and other administrative documentation with accuracy and confidentiality.
- Provided front-desk and administrative support in fast-paced orthopedic healthcare environment while coordinating communication among patients, physicians, clinical staff, and administrative teams.
- Supported communication among patients, physicians, and medical staff to resolve inquiries, coordinate services, and maintain continuity of care.
- Reviewed and analyzed medical charts and records to support patient service activities and keep information documented and accessible.
- Processed and maintained electronic health record information using computerized systems, including Epic, while protecting sensitive patient information.
- Trained new front-desk personnel on departmental procedures and customer service expectations, improving team readiness and efficiency.
- Prioritized multiple administrative responsibilities independently while maintaining accuracy, professionalism, and timely completion of assigned work.
- Performed audits on patient records and registration data for insurance billing and compliance.
- Reviewed office notes to confirm required items were included for authorization requests.
- Completed pre-authorizations and pre-certifications using care management protocols.
- Used payer portals to complete case, procedure, and visit authorizations.
- Coordinated peer-to-peer reviews for pending case authorization.
- Retrieved CPT codes for surgical and procedural cases and submitted for authorization.
- Obtained retro authorizations as needed.
- Coordinated with utilization review on authorization status to reduce financial risk.
- Updated referral tab documentation with authorization changes and status updates.
Assistant Retail Manager
MAC Cosmetics
Cincinnati, Ohio
03.2017 - 03.2018
- Coordinated daily retail operations by monitoring activities and aligning employee responsibilities with operational priorities.
- Trained and oriented new employees on procedures, customer service expectations, and daily responsibilities.
- Facilitated employee performance evaluations and clarified operational expectations to enhance team accountability.
- Prepared and maintained daily reports to support management visibility into store operations.
- Addressed customer inquiries and concerns effectively, fostering positive relationships and enhancing customer satisfaction.
Administrative Specialist
WellPoint NextRx
Cincinnati, Ohio
07.2007 - 04.2017
- Provided comprehensive administrative support for management and department operations, including scheduling, correspondence, documentation, expense reporting, and office coordination.
- Coordinated travel arrangements and meeting logistics for upper management, enhancing scheduling accuracy and ensuring timely communication.
- Prepared employee schedules and coordinated administrative logistics to support daily departmental operations.
- Compiled and processed expense reports with attention to accuracy, completeness, and organizational requirements.
- Maintained organized office records and documentation while supporting ongoing administrative projects.
- Acted as liaison between executives, employees, and external contacts, facilitating effective communication and resolving routine issues.
- Responded diplomatically to customer concerns and administrative inquiries, maintaining positive relationships and supporting timely resolution. Processed and reviewed patient and physician information to support prior authorization activities within a high-volume healthcare environment.
- Translated and interpreted patient and physician information for accurate entry into company systems, supporting efficient administrative workflows.
- Transcribed reports and maintained accurate information within computerized data systems, supporting documentation quality and operational efficiency.
- Managed inbound and outbound telephone communications while addressing questions and coordinating information between healthcare stakeholders.
- Handled sensitive healthcare information with discretion and attention to confidentiality and accuracy.
- Applied established procedures and documentation requirements when processing healthcare-related information and resolving routine issues.
Insurance Claims Clerk
Kelly Services, Inc.
Cincinnati, Ohio
03.2006 - 07.2007
- Reviewed insurance claims and investigated questionable provider-network statuses to support accurate claims processing.
- Maintained accurate documentation while processing insurance-related information and supporting departmental records.
- Sorted and routed claims to appropriate departments based on established criteria and related circumstances.
- Worked with confidential insurance and healthcare information while maintaining accuracy and attention to detail.
- Provided clerical and administrative support, including document handling, data processing, and general office assistance.
Education
Some College (No Degree) - Nursing Program — Clinical Coursework
Fortis College
Cincinnati, OHGeneral Education Diploma (GED) -
Scarlet Oaks Community
Cincinnati, OHSkills
- Records Management
- Document Processing
- Electronic records
- Epic
- Medical Records
- Document scanning
- Data entry
- Records Requests
- Sensitive information
- HIPAA Compliance
- Document archiving
- Clinical Coordination
- Patient Support
- Patient Check-In
- Message management
- Calendar coordination
- Document preparation
- Mail distribution
- Report Preparation
- Insurance Verification
- Problem Resolution
- Onboarding New Staff
- Microsoft Office
- Cross-functional teamwork
- Epic EHR
- Health records management
- Confidentiality & HIPAA Compliance
- Accuracy & Attention to Detail
- Records Management
- Patient Support
- Written & Verbal Communication
- Organization, Multitasking and Problem Solving
- Team Collaboration
- Independent Work
- Training & Mentoring
Timeline
Medical Assistant
CareFirst Urgent Care
10.2024 - Current
Patient Services Representative
UC Health Orthopaedics & Sports Medicine
05.2018 - Current
Assistant Retail Manager
MAC Cosmetics
03.2017 - 03.2018
Administrative Specialist
WellPoint NextRx
07.2007 - 04.2017
Insurance Claims Clerk
Kelly Services, Inc.
03.2006 - 07.2007
Some College (No Degree) - Nursing Program — Clinical Coursework
Fortis College
General Education Diploma (GED) -
Scarlet Oaks Community