Dynamic healthcare professional with proven expertise in medical billing and ICD-10 coding, and a knack for leading teams to operational excellence. Enhanced patient satisfaction and streamlined care workflows. Excel in fast-paced environments, driving significant improvements in patient care and billing processes.
Work History
New Patient Referral Coordinator
Dallas Regional - Greater Therapy Centers
04.2024 - Current
Handle a high volume of new patient referrals, on average 80 per week. and giving priority to urgent cases while keeping records well-organized.
Guarantee the prompt processing of referrals, leading to enhanced patient satisfaction and shorter wait times.
Improved the patient referral system by refining communication methods and improving scheduling practices.
Work in close partnership with clinical staff, resulting in streamlined and effective patient care workflows.
Provide exceptional customer service, swiftly and adeptly responding to patient inquiries.
Built solid relationships with referring doctors, establishing trust and promoting continued cooperation.
Address concerns through attentive listening and comprehensive questioning, referring significant issues to the manager.
Patient Account Representative
Family Medicine Associates Of Texas, PA
10.2020 - 05.2023
Posted insurance and patient payments, and processed refunds.
Collaborated with external parties to address billing, claims, and payment issues.
Addressed inquiries from patients, their families, and external payers.
Boosted patient satisfaction by swiftly resolving inquiries and account issues. Informed patients about financial policies, enhancing their understanding of responsibilities within the practice.
Remained composed under pressure and adeptly handled challenging situations.
Developed debt repayment plans with patients based on their financial status.
Input client information and notes into the system for cross-departmental access and review.
Supported colleagues during busy times or in their absence, demonstrating teamwork while efficiently managing personal workload.
Office Manager / Medical Billing Supervisor
Liberty Pain Associates
11.2017 - 04.2020
Boosted team productivity by effectively assigning tasks and managing daily operations.
Confirmed patient eligibility, benefits, and pre-certification requirements through phone and online systems.
Processed claims once the provider recorded charges in Athena, the practice management system.
Resolved rejected claims by updating CPT codes, modifiers, and ICD-10 codes when needed.
Handled patient billing and balance queries in person and over the phone.
Oversaw patient balance aging reports and conducted collection calls as needed.
Referred overdue patient accounts to the collections agency.
Processed payments and allocated them to patient accounts.
Generated daily accounting reports and managed bank deposits.
Assisted front office personnel with scheduling appointments, managing phone calls, and facilitating patient check-ins and check-outs.
Monitored employee timesheets to avoid excess overtime.
Custodian of Medical Records.
Office Manager / Surgery Scheduler
Dr. Christopher Vesy / Texas Digestive Disease Consultants
02.2002 - 06.2016
Implemented pre-collection policies for office visits and procedures
Verified patient's eligibility and pre-certified office visits, radiology and out patient procedures via telephone calls and online applications
Precisely completed appropriate claims paperwork, documentation and system entry
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation
Liaised with patients and addressed inquiries, appointment requests and billing questions
Maintained professional demeanor by staying calm when addressing unhappy or angry patients.
Compiled daily accounting reports and prepared deposit
Scheduled appointments, radiology, procedures registered patients, and distributed sample pharmaceuticals as prescribed
Enhanced patient satisfaction by providing clear explanations of surgical procedures, provided treatment plan documentation and addressing concerns promptly.
Streamlined operational efficiencies by collaborating with surgeons, anesthesiologists, and nursing staff to coordinate timely surgeries.
Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
Elevated patient experience by providing empathetic support throughout the entire surgical journey-from initial consultation to post-operative follow-up appointments.
Utilized advanced software tools to optimize appointment availability and efficiently manage surgeon calendars.
Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
Developed relationships with referring physicians' offices, fostering strong communication channels that benefited both parties in coordinating patient care.
Professionally and courteously confirmed appointment times with patients
Entered monthly recall letters for follow-up procedures and correspondence follow-up letters to referring physicians for non-scheduled recommended procedures and canceled procedures
Assisted in maintenance of medical charts and/or electronic medical record (filing, Op Reports, Pathology reports, test results)
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Contributed to workplace safety by ensuring compliance with established emergency protocols and conducting regular equipment inspections.
Custodian of Medical Records
Education
High School Diploma -
The Episcopal School of Dallas
Dallas, TX
1985
Skills
Medical billing and ICD-10 coding (International Classification of Disease Systems)
Claims investigation and research
Appointment Scheduling
Billing and collection procedures expert
Healthcare industry understanding
Staff leadership and supervision
Adept multi-tasker
Close attention to detail
Excellent verbal and written communications
Timeline
New Patient Referral Coordinator
Dallas Regional - Greater Therapy Centers
04.2024 - Current
Patient Account Representative
Family Medicine Associates Of Texas, PA
10.2020 - 05.2023
Office Manager / Medical Billing Supervisor
Liberty Pain Associates
11.2017 - 04.2020
Office Manager / Surgery Scheduler
Dr. Christopher Vesy / Texas Digestive Disease Consultants
Assistant Club Director at Boys & Girls Club of Greater Dallas / Dallas Independent School DistrictAssistant Club Director at Boys & Girls Club of Greater Dallas / Dallas Independent School District