Detail-oriented with a proven track record in enhancing patient care through effective scheduling and operational oversight. Expertise in insurance verification and patient communication supports optimal workflow and patient satisfaction in fast-paced environments.
Overview
1
1
Certification
37
37
years of professional experience
Work History
Office Manager
Missouri Plastic And Hand Surgery - Gregory A Tobin Md
Cape Girardeau, Missouri
09.2025 - Current
Managed daily office operations for busy plastic surgery practice.
Coordinated patient scheduling and appointment reminders, enhancing patient flow and minimizing delays.
Scheduled surgical procedures, referrals to outside providers, and imaging studies.
Verified insurance benefits, eligibility, and authorized surgical procedures, plus outpatient imaging.
Assisted with billing processes and insurance verification, streamlining patient transactions and improving accuracy.
Oversaw inventory management of medical supplies and office materials, ensuring availability and reducing waste.
Developed office procedures to improve workflow and staff communication.
Answered phone calls, responded to emails, routed mail, and coordinated courier services.
Assisted with recruiting, onboarding, and training new employees.
AUTHORIZATION SPECIALIST
Saint Francis Medical Center
Cape Girardeau, MO
10.2021 - 09.2025
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Verified eligibility and compliance with authorization requirements for service providers.
Tracked referrals to ensure timely issuance of prior authorizations.
Input all patient data regarding claims and prior authorizations into the system accurately.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Prepared and distributed denial letters outlining reasons for denial and potential appeal options.
Collaborated with financial counselors to assist patients without coverage for planned procedures.
Communicated with people from various cultures and backgrounds on the application process.
MEDICAL ASSISTANT
Saint Francis Medical Center
Cape Girardeau, MO
01.2018 - 10.2021
Obtained client medical history, medication information, symptoms and allergies.
Collected and documented patient medical information, including blood pressure and weight, to support accurate diagnosis and treatment.
Directed patients to exam rooms, addressed inquiries, and prepared for physician examinations to ensure smooth workflow.
Coordinated patient appointments with healthcare providers to ensure timely care.
Sanitized, restocked, and organized exam rooms and medical equipment to maintain a safe and efficient environment.
Scanned documents into patient charts using EPIC system
MEDICAL TRANSCRIPTIONIST/SECRETARY
Advanced Orthopedic Specialists
Cape Girardeau, MO
09.1996 - 12.2017
Kept information confidential and followed HIPAA guidelines to maintain patient trust.
Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment or verbal direction.
Maintained current and accurate medical records for patients.
Coding using ICD-10 and CPT codes to include clinic and surgical billing.
Managed the master calendar and scheduled appointments to optimize patient loads and maximize clinician availability.
Organized charts and reports to streamline office operations and support patient care.
Scheduled patient appointments and conducted follow-up reminder calls to enhance patient attendance.
MEDICAL RECEPTIONIST (PART-TIME)
Saint Francis Medical Center
Cape Girardeau, MO
08.2014 - 03.2016
Managed incoming and outgoing communication via telephone and email, ensuring timely responses and accurate documentation.
Answered telephone calls, providing office information, addressing questions, and directing calls to appropriate staff.
Entered patient demographics and insurance information into the system.
Processed patient payments accurately at front desk, ensuring smooth financial transactions. from patients and scanned identification and insurance cards.
INSURANCE SPECIALIST
Southeast Missouri Hospital
Cape Girardeau, MO
08.1989 - 04.1996
Monitored and managed pending insurance submissions to ensure timely processing.
Coordinated follow-ups on denials and claim submissions to enhance recovery rates.
Collaborated with carriers to resolve discrepancies in insurance payments, ensuring accurate reimbursements.
Entered patient demographics and insurance information into patient accounts and submitted insurance electronically.
Responded to customer calls swiftly to resolve issues and answer questions.
Education
No Degree - Medical Transcription
Cape Girardeau Career And Technology Center
Cape Girardeau, MO
09-1980
High School Diploma - Wolf Lake, IL
Shawnee High School
Wolf Lake, IL
05-1980
No Degree - Medical Transcription
Cape Girardeau Career And Technology Center
Cape Girardeau, MO
Skills
Obtaining Authorizations
Billing Coordination
Patient Data Management
Electronic Charting
Patient information review
Patient History Documentation
History collection
Vitals documentation
Timely Processing
Compliance Management
Effective Communication Skills
Effective Listening
Critical Thinking
Patient Relations
Medical Terminology Knowledge
Certification
CMA - Certified Medical Assistant, Certified Medical Transcriptionist
Timeline
Office Manager
Missouri Plastic And Hand Surgery - Gregory A Tobin Md