The way to get started is to quit talking and begin doing.
Walt Disney
Summary
Spirted Scheduling Coordinator versed in planning and coordinating workflow. Supervises schedules and projects for timely completion. Excellent interpersonal, leadership, communication and organizational skills.
Overview
24
24
years of professional experience
Work History
Verification Specialist, Scheduling Coordinator
Patient Relation Memorial Hermann
10.2021 - Current
Aetna)
Knowledge of the processes for patient insurance eligibility and benefits for a variety of payers to include but not limit to: Aetna, Cigna, BCBS, Humana, Worker’s Comp, Medicare, and Medicaid Direct communication with doctors and nurses in regards of patient’s progress
Detailed and accurate entry of insurance and authorization information into EHR systems per Standard Operation Procedures
Completes follow-up on pending or expired authorizations, referrals as assigned
Interacts with others in a positive, respectful, and considerate manner
Maintains a broad range of knowledge of insurance plans, medical terminology, and billing
Nurses, and physicians on
Intake, (LifeStance Health))
Assist new patients with establishing care
Take the initial assessment scheduling, collection of necessary demographic information, handling of referrals and clinical history to match a patient
Communicate regularly with key referral sources to ensure proper placement
Communication with patient and provider regarding delays in processing referral or prior authorization
Reaching out to patients to initiate new services and complete assessment
Handle intake department interactions via phone (Inbound and Outbound), email, voicemail, faxes, and chat
Admissions (Lone Star Behavioral)
Worked closely with Intake, answers phones and assist with patient flow
Responsible for complete and accurate patient demographic information, verifies insurance, collects co-pays and deductibles
Attention to detail, follow through on tasks, problem solve, trouble shoot and be able to multi-task in a fast-paced environment
Responsible for accepting admissions and pre-admitting these patients
Responsible for preregistering patients for scheduled admissions and outpatient programs, obtaining authorization and checking insurance eligibility.
Verification Specialist
HealthCare
01.2000 - 03.2017
Verified client information by analyzing existing evidence on file.
Determined appropriateness of payers to protect organization and minimize risk.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Complied with HIPAA guidelines and regulations for confidential patient data.
Intake/Scheduling Coordinator LifeStance
02.2014 - 01.2017
Managed daily scheduling conflicts to reduce operational backlogs and support full shift-coverage.
Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
Communicated scheduling changes to staff members, implementing proof-of-receipt to reduce errors.
Developed strong working relationships with management and executive team through effective scheduling and communication skills.
Admissions
Lone Star Behavioral
12.2010 - 01.2014
Confirmed all insurance benefits met standards of admissions as dictated by policy.
Managed admissions processes for incoming students, promptly collecting and processing necessary documents.
Collaborated with admissions team to develop and implement strategies to improve admissions process.
Assisted in patient admission process based on federal and state laws.
Education
High; Diploma -
Houston Community College- Some, Houston
09.2011
Skills
HIGHLIGHTS OF QUALIFICATIONS
6 years Training experience
7 years Healthcare experience
20 years customer service experience
3 years Accounts Receivable
Ability to work well under pressure and deadlines
Microsoft Office (Word 70, Excel 70, Power Point 70, Access 70)
Expert phone, interpersonal, organization, and managerial skills
Highly organized and ability to balance multiple tasks simultaneously
Ability to solve customer queries as well as set goals and meet objectives efficiently
EMR System/ Care4/Firstnet/Healthquest/ BMA
Accomplishments
Supervised team of 15 staff members.
Collaborated with team of 3 in the development of Simulation TRAINING System.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Verification Specialist, Scheduling Coordinator - Patient Relation Memorial Hermann