Summary
Overview
Work History
Education
Skills
Hobbies and Interests
Languages
Certification
Timeline
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SUMONA CHANDA

Elmhurst,NY

Summary

Patient-focused professional with administrative and customer service expertise. Coordinates communications, referrals, and policy enforcement to ensure smooth healthcare services. Resolves conflicts and finds balanced solutions. Excels in patient care, administrative tasks, and medical procedure assistance.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Clinic Administrator

Dr. Spana Westley
New York, NY
01.2023 - Current
  • Managed relationships with 60 client accounts to ensure quality and completion of paid prescription claims. Provided support for all ad hoc reporting, summary plan description, and contract compliance, claims issues, and administrative problems.
  • Verified insurance benefits; translated and entered new or refill prescriptions into pharmacy information systems.
  • Communicated and collected co-pay amounts; obtained authorizations/re-authorizations; screened, identified, resolved, or deferred orders that have accounts receivable or clinical problems.
  • Assisted in talent acquisition and the training of over 20 new hires quarterly.
  • Possess extensive knowledge of health and group benefits needed to resolve any complaints in a variety of medical plans.

Clinic Associate

Lucid Dermatology
Queens, New York
06.2022 - 01.2023
  • Developed and maintained strong relationships with clients, ensuring their needs were met through effective communication and problem-solving.
  • Assisting with procedures, such as biopsies, cryotherapy, surgical excisions, and drainage.
  • Proficient in using EHRs to document patient information and maintain accurate records.
  • Consulting and maintaining working relationships with pharmaceutical reps and managers.
  • Schedule appointments, answer phones, and perform other administrative duties.
  • Lead and drive the successful execution of Quality and Regulatory Affairs initiatives, ensuring compliance with healthcare regulations.
  • Analyze business needs and design technical solutions to improve operational efficiency.
  • Collaborate with leadership to develop strategic plans and provide project status updates, ensuring alignment with organizational goals.
  • Manage performance improvement plans and coordinate site monitoring activities to maintain high standards of patient care.

Clinic Coordinator

Schweiger Dermatology Group LLC
New York, NY
02.2018 - 03.2020
  • Provided staff with direction, orientation, training, and mentoring, including conducting performance evaluations and managing disciplinary actions.
  • Collaborated with hiring managers to develop comprehensive job descriptions and assisted in screening candidates for pre-qualification.
  • Launched a patient experience improvement initiative, resulting in higher patient satisfaction scores through the use of Press Ganey surveys, and implemented strategic changes based on feedback and research audits.

Certified Medical Assistant and Lab Technician

Northshore Allergy & Asthma Institute
New Hyde Park, NY
04.2015 - 02.2018
  • Assisted providers in all aspects of patient-related care, such as administering shots, conducting blood work, performing tests (e.g., strep, flu, patch testing), monitoring patient charts and performing intake of clinical progress notes
  • Ordered and tracked asthma biologic medications, such as Xolair and Nucala, and facilitated prior authorization requests and corresponded with insurance carriers.

Education

Associate of Science - Health Studies

Brooklyn College of The City University of New York
Brooklyn, NY
05-2012

Skills

  • EMA (ModMed)
  • Medtrak
  • MediTouch
  • Nextech
  • CMS 1500
  • All Scripts
  • Cover My Meds
  • MS Office
  • CPR Certified (adults & children)
  • Scheduling
  • Healthcare management
  • Office Administration
  • Employee Training
  • Operations Management
  • Patient Flow
  • HIPAA Compliance
  • Appointment Scheduling

Hobbies and Interests

  • Art
  • Dance & Fitness
  • Fashion & Beauty
  • Food & Travel
  • Meditation

Languages

Bengali
Native/ Bilingual
Hindi
Native/ Bilingual
Urdu
Native/ Bilingual

Certification

Becks Consulting & Avantik BioGroup-Pinebrook, New Jersey

Certification in Mohs Micrographic Technology/Histopathology & CLIA/OSHA,2023

Sanford Brown Institute-New York, New York

Certified Medical Assistant Program,2014

Timeline

Clinic Administrator

Dr. Spana Westley
01.2023 - Current

Clinic Associate

Lucid Dermatology
06.2022 - 01.2023

Clinic Coordinator

Schweiger Dermatology Group LLC
02.2018 - 03.2020

Certified Medical Assistant and Lab Technician

Northshore Allergy & Asthma Institute
04.2015 - 02.2018

Associate of Science - Health Studies

Brooklyn College of The City University of New York
SUMONA CHANDA