Sunita T Dolan
Franklin Park,NJ
Summary
Organized scheduling coordinator with proactive attitude regarding production scheduling coordination. Several years of experience in production and materials management. Consistently builds upon existing skills and learns new skills while completing projects within established timeframes. Primary coverage for Behavioral Health LPN.
Overview
19
19
years of professional experience
8
8
years of post-secondary education
Work History
SURGICAL SCHEDULING SPECIALIST
PENN MEDICINE PRINCETON PHYSICIANS
Plainsboro, New Jersey
09.2021 - Current
- Manage Plastic Surgeon’s schedule for 3 locations
- Main coverage for Behavioral Health LPN
- Schedule Patients for Initial Consults, Pre-op, Post-op and Follow-Up appointments
- Insurance verifications and obtain required referral
- Obtain Referrals and Prior Authorization from various insurance companies
- Set Surgery Dates for University of Philadelphia and Princeton Locations
- Ensure all the medical clearances are obtained
- Ensure Pre-Admission Tests are completed
- Manage incoming calls/faxes
- Work alongside Philadelphia and Princeton nurses to ensure patient’s care
- Stay connected with University of Philadelphia staff remotely to ensure all the needs for the Plastic Surgeon is fulfilled and patient receive best care and customer care
- Work with University of Pennsylvania and Penn Affiliated Breast Surgeons to schedule combined cases for breast reconstruction for breast cancer patients.
MEDICAL RECEPTIONIST FLOAT
PENN MEDICINE PRINCETON PHYSICIANS
11.2019 - 09.2021
- Supported multiple offices within Penn Medicine physicians’ group
- Completed necessary task for each location based on demand and protocol for each location
- Collaborate with team members to manage incoming calls, faxes, schedule appointments for new and existing patients
- Collaborate with various payors to secure prior authorizations for surgeries and outpatient tests with goal to mitigate claim denial.
SENIOR ADMINISTRATIVE ASSISTANT
RUTGERS
06.2018 - 10.2019
- Deliver stellar administrative clerical and reception support for more than eight Endocrinologist and Nephrologist
- Setup up new patient charts and demographics including obtaining necessary medical records for appointments
- Schedule patients for test and procedures and ensure all proper testing and results are in patient’s charts
- Manage incoming faxes for all providers and distribute and scan accordingly to patient’s charts
- Optimize scheduling for fellow clinics and all of the doctors in the group to increase patient access and schedule utilization
- Obtain referrals for specialty consults to facilitate accurate billing and reduce claim denials
- Manage incoming calls with focus on optimizing first contact resolution rate
- Collaborate with Endocrinology and Nephrology RNs and APNs to support day to day operations.
PATIENT ACCESS REPRESENTATIVE
ROBERT WOOD JOHNSON BARNABAS HEALTH
07.2016 - 06.2018
- Scheduled and pre-registered Outpatient Endoscopy procedures
- Provide administrative support for physicians in the practice
- Schedule outpatient Special Procedures with priority of utilizing providers within Robert Wood Johnson Barnabas network to support organizational financial goals of sustainability and growth
- Interview patients to complete documents, case histories and insurance forms
- Collaborate with external departments to enhance patient experience while ensuring patient’s test are scheduled timely
- Ensure each Gastrointestinal procedure and outpatient tests are linked with all necessary medical records and patients’ demographics
- Confirmed patient information, collected copays and verified insurance
- Posted charges, payments, and adjustments
- Prepared charts for the following day
- Answered and managed multiple phone lines with high volume of incoming and outgoing calls
- Emphasis on low average abandoned rate, low average caller hold time, low average calls in queue and speed of answering incoming calls within seconds.
CLAIM BENEFIT SPECIALIST
AETNA
04.2007 - 03.2016
- Adjudicated claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members, adjustments, worker’s compensation, or motor vehicle accidents
- Processed Inpatient, Outpatient and Specialist, Hospital, Medicaid claims
- Reviewed ICD9, ICD10 and CPT codes to determine claim resolution
- Familiarity with contract pay methods of DRG rates
- Met and exceeded production and quality standards for processing and followed documented policies and procedures
- Pended claims to proper department if claims needed further review before adjudication
- Researched, resolved, and responded to inquiries and problems of moderately complex nature
- Research any discrepancies found in claims
- Reviewed claims for precertification
- Mentored new associates
- Demonstrated interpersonal skills in addressing questions and troubleshooting claim and billing problems.
Education
Bachelor of Social Work - Social Work
Aurora University
Aurora, IL 09.2022 - 08.2026
Health Administration Management -
Aurora University
Aurora, IL 09.2022 - 08.2026
Raritan Valley Community College
Somerville, NJCertification -
ChI Insitiute
CERTIFICATION -
NAHM-THE NATIONAL ASSOCIATION OF HEALTHCARE ACCESS MANAGEMENT
Skills
- Interpersonal Relationships
- Quality Assurance
- Staff Coordination
- Program Organization
- Strong Work Ethic
- Calendar Management
- Teamwork and Collaboration
- Schedule Management
- Project Scheduling
- Calendar coordination
- Problem-Solving
- Telephone Etiquette
- Customer Relationship Management
- Verbal and written communication
- Effective Multitasking
- Administrative Support
- Insurance Verification
- Attention to Detail
- Scheduling proficiency
- Patient Registration
- Critical Thinking
- Time management skills
Languages
Hindi
Professional
Gujrati
Professional
Bengali
Limited
Timeline
Bachelor of Social Work - Social Work
Aurora University
09.2022 - 08.2026
Health Administration Management -
Aurora University
09.2022 - 08.2026
SURGICAL SCHEDULING SPECIALIST
PENN MEDICINE PRINCETON PHYSICIANS
09.2021 - Current
MEDICAL RECEPTIONIST FLOAT
PENN MEDICINE PRINCETON PHYSICIANS
11.2019 - 09.2021
SENIOR ADMINISTRATIVE ASSISTANT
RUTGERS
06.2018 - 10.2019
PATIENT ACCESS REPRESENTATIVE
ROBERT WOOD JOHNSON BARNABAS HEALTH
07.2016 - 06.2018
CLAIM BENEFIT SPECIALIST
AETNA
04.2007 - 03.2016
Raritan Valley Community College
Certification -
ChI Insitiute
CERTIFICATION -
NAHM-THE NATIONAL ASSOCIATION OF HEALTHCARE ACCESS MANAGEMENT