Summary
Overview
Work History
Education
Skills
Timeline
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Shasmi Nisha

Walnut Creek,CA

Summary

Skilled Practice Coordinator with proven expertise in clinical support developed over 9+ years of healthcare experience. Dedicated to being efficient and effective between care teams, patients, and families. Skilled in excellent customer service, great attention to detail, hands-on learner, and superb organizational skills.

Overview

11
11
years of professional experience

Work History

Clinical Support Associate

UCSF Benioff Children's Hospital Sports Medicine
12.2021 - Current
  • Greet and respond to patients in a courteous and professional manner that reflects everyday pride principles.
  • Effectively communicate with medical staff regarding patient concerns or inquiries
  • Schedule and register patients via telephone or in person, adhering to accuracy and performance standards.
  • Schedule established appointments for patients with Apex and coordinate with multiple providers.
  • Coordinate pre-appointment tests or appointments and explain initial procedures to patients.
  • A track record of working with minimal supervision while analyzing circumstances, setting priorities, creating solutions, and making recommendations.
  • Provide support to all administrative and medical staff including CRM messages, telephone encounters, referrals, APeX in-baskets, scanning, filing, authorizations, and billing.
  • To maximize unit efficiency, provide exceptional customer service while also facilitating and ensuring the accuracy of information flow between medical and hospital workers and departments.
  • Coordinate treatment plans with providers and patients, discussing the cost of service, insurance coverage, out-of-pocket costs, and payment choices.
  • On a daily basis, review referral work queues and document activity within the referral record.
  • Demonstrate competency when scheduling and obtaining authorization using CPT codes, ICD-9, and ICD-10.
  • Monitor providers' open charts and encounters, and work alongside them to finish encounter documentation.
  • Maintain provider calendars and contribute to the delivery and maintenance of high-quality patient care.
  • Perform cash collection and deposit operations in accordance with approved policies and procedures.
  • Cross-trained in front and back office procedures in multiple departments for clerical support.
  • Previously provided assistance in accordance with job assignments, scheduling, complete prior authorizations for departments such as gastroenterology, allergy, audiology, and orthopedics.

Lead Patient Care Coordinator

Walnut Creek Naturopathic
06.2019 - 01.2022
  • Developed workflows to coordinate efficiently and effectively intake, registration, scheduling, and navigation of care for new and returning patients.
  • Triaged high-volume phone calls, communicated patient needs with staff, assess patient needs, and offered qualified support.
  • Discussed test procedures and directions approved by physicians and uploaded final lab results to patient charts for appointments.
  • Oversaw office inventory by ordering supplies, requisition forms, stocking and shipment receiving.
  • Trained newly hired patient care coordinators.
  • Ordered all pharmacy supplies and kept check on inventory levels

Acupuncturist Assistant

Natural Balance Acupuncture
06.2015 - 06.2019
  • Managed approximately 30+ incoming calls, emails, and faxes daily from patients, case managers, hospitals, veteran affairs, and workers compensation.
  • Maintained acupuncturist schedule, scheduled appointments, registered new patients, and verified insurance eligibility.
  • Assisted in discharging patients at completion of office visit while answering any final logistical questions.
  • Processed claims, resolved insurance rejections and billing issues.
  • Prepared patient invoices, co-pays, and processed electronic/cash payments at checkout.

Customer Service Representative

HonorHealth
06.2013 - 06.2015
  • Answered 30+ calls, tracked all leads, prospects and clients via Sales force, Slack and Medical Facilities.
  • Data entry into Sales force and Admin Database for new and existing clients.
  • Communicated client needs and scheduled client care visits with Care Team.
  • Worked closely with social workers from medical facilities related to client's health status, diagnosis, medications and insurance eligibility.
  • Professionally and courteously verified appointment times with care recipients.

Education

Bachelor of Science - Cellular And Molecular Biology

San Francisco State University
San Francisco, CA
12.2024

Associate of Science - Cellular And Molecular Biology

Diablo Valley College
Pleasant Hill, CA
05.2022

Some College (No Degree) - Licensed Phlebotomist

Contra Costa Medical Career College, Inc.
Antioch, CA

High School Diploma -

Armijo High School
Fairfield, CA
06.2012

Skills

  • BLS Certified
  • Licensed Phlebotomy Technician 1
  • Medical Terminology
  • EMR Systems with EPIC and APEX
  • Insurance coding (ICD-9 and CPT)
  • Insurance and Referral Verification
  • 65 wpm
  • Patient Registration and Scheduling
  • Strong Communication skills
  • Attention to detail
  • Excellent customer service
  • Strong interpersonal skills
  • Professional and mature
  • Fast learner
  • Multilingual (Hindi, Punjabi, Urdu)

Timeline

Clinical Support Associate

UCSF Benioff Children's Hospital Sports Medicine
12.2021 - Current

Lead Patient Care Coordinator

Walnut Creek Naturopathic
06.2019 - 01.2022

Acupuncturist Assistant

Natural Balance Acupuncture
06.2015 - 06.2019

Customer Service Representative

HonorHealth
06.2013 - 06.2015

Bachelor of Science - Cellular And Molecular Biology

San Francisco State University

Associate of Science - Cellular And Molecular Biology

Diablo Valley College

Some College (No Degree) - Licensed Phlebotomist

Contra Costa Medical Career College, Inc.

High School Diploma -

Armijo High School

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