Dedicated Healthcare professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Care Navigator
Optum
Maryland Heights, MO
11.2020 - Current
Identified gaps in care and assisted in closure of gaps.
Assisted members with social determinants of health and linked to appropriate community resources.
Maintained confidential health information according to state and federal regulations.
Utilized Microsoft Word to edit, create and save confidential documents.
Recommended service improvements to minimize recurring patient issues and complaints.
Facilitated communication between patients and various departments and staff.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Followed document protocols to safeguard confidentiality of patient records.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Developed and maintained courteous and effective working relationships.
Participated in team-building activities to enhance working relationships.
Assisted with training of newly hired Care Navigators.
Office Manager
Clarkson Eyecare
St Louis, MO
07.2019 - 11.2020
Completed daily audits of patient services and material purchases, to ensure coding and material were sold.
Ensure achievement of office goals.
Train and develop employees.
Ensure patient satisfaction.
Maintain steady office pace when there are lot of patients present.
Update Reports daily.
Answer 30+ incoming calls daily in call center like environment. Place out bound calls.
Verify insurance benefits.
File some insurance claims.
Schedule patients for medical and routine appointments.
Register patients.
Order office supply.
Make office business plans.
Balance office books daily.
Solve problems quickly and professionally.
Collect patient co-pays and deductibles.
Call for patient referrals.
Experienced with Medicaid and Medicare insurance.
Trained new employees on accounting principles and company procedures.
Reviewed accounts, resolved coding and office error with billing.
Patient Experience Representative
Banner University Medical Center
Phoenix, AZ
01.2019 - 06.2019
Took copayments and compiled daily financial records.
Assisted patients in filling out check-in and payment paperwork.
Experience with Cerner, Revenue Cycle, Power Chart and Clear IQ.
Facilitated timely check-in by greeting visitors and establishing purpose of visits.
Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Utilized computer programs to create invoices, letters and other documents.
Posted payments and processed refunds.
Contacted patients after insurance was calculated to obtain payments.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Continually maintained and improved company's reputation and positive image in markets served.
Verified insurance coverage and obtained pre-authorizations. Confirmed patient appointments day before scheduled.
Reviewed new patient paperwork before scheduling appointments.
Gathered forms, scanned insurance cards and ID to collect patient information for billing and insurance filing.
Performed clerical duties, such as word processing, data entry, answering phones and filing
Office Manager
Clarkson Eyecare
St Louis, MO
09.2005 - 07.2018
Completed daily audits of patient services and material purchases, to ensure coding and material were sold.
Ensure achievement of office goals.
Train and develop employees.
Ensure patient satisfaction.
Maintain steady office pace when there are lot of patients present.
Update Reports daily.
Answer 30+ incoming calls daily in call center like environment. Place out bound calls.
Verify insurance benefits.
File some insurance claims.
Schedule patients for medical and routine appointments.
Register patients.
Order office supply.
Make office business plans.
Balance office books daily.
Solve problems quickly and professionally.
Collect patient co-pays and deductibles.
Call for patient referrals.
Experienced with Medicaid and Medicare insurance.
Trained new employees on accounting principles and company procedures.
Reviewed accounts, resolved coding and office error with billing.
Optician
LensCrafters
Crestwood, MO
01.2003 - 09.2005
Help patients make informed decision on eye wear.
Double check accuracy and quality of glasses.
Set up attractive displays, shared current promotions and offered excellent customer service to increase satisfaction.
Contacted patients when eyeglasses or contact lenses arrived in store and assisted with final fitting.
Calibrated seg heights, vertex and pupillary distance and pantoscopic tilt to customize eyeglass orders and create perfect fit.
Suggested optional items such as lens coatings and lightweight lenses to improve patient experience with eyeglasses.
Education
High School Diploma -
Penn Foster Career School
Scranton, PA
11.2003
Skills
Resolving Problems
Clerical support (10 years)
Documentation (10 years)
Customer Service (10 years)
Computer Literacy
Microsoft Applications
Medical Terminology
Time Management
Data Entry
Medical Records
HIPAA
Employee training
Online training experience
Awards
Vision Award
Million Dollar Office Award
Employee Retention Award
Certification
Retail Pharmacy Customer Service
Assessments
Customer Focus & Orientation — Highly Proficient
August 2020
Responding to customer situations with sensitivity.
Full results: Highly Proficient
Teamwork: Interpersonal Skills — Proficient August 2020
Responding to challenging team situations at work.
Full results: Proficient
Office Manager — Highly Proficient
September 2020 Scheduling and budgeting.
Full results: Highly Proficient
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