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
Oakland, CA
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
Walnut Creek, CA
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
Concord, CA
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, CA12.2024
Associate of Science - Cellular And Molecular Biology
Diablo Valley College
Pleasant Hill, CA05.2022
Some College (No Degree) - Licensed Phlebotomist
Contra Costa Medical Career College, Inc.
Antioch, CAHigh School Diploma -
Armijo High School
Fairfield, CA06.2012
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