Summary
Overview
Work History
Education
Skills
Timeline
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Tammy Rupp

Allentown,PA

Summary

Accomplished Precertification Specialist with a proven track record at Lehigh Valley Health Network, enhancing interdepartmental collaboration and streamlining processes to reduce patient wait times. Expert in insurance verification and HIPAA compliance, demonstrating strong communication skills and a commitment to professional development. Achieved significant improvements in efficiency and patient satisfaction through innovative solutions and teamwork.

Overview

21
21
years of professional experience

Work History

Precertification Specialist

Lehigh Valley Health Network
Allentown, PA
07.2024 - Current
  • Facilitated successful appeals for denied services by providing detailed documentation supporting medical necessity as required by insurers.
  • Enhanced interdepartmental cocollaboration through effective communication with surgical schedulers.
  • Continuously expanded personal knowledge of industry regulations and updates through ongoing professional development, ensuring accurate and up-to-date expertise in the precertification process.
  • Reduced patient wait times for approval by diligently reviewing medical records and obtaining necessary documentation.
  • Streamlined precertification processes by implementing efficient tracking systems and prioritizing urgent cases.

Clinical Assistant

LVPG Asthma, Allergy, & Immunology
Allentown, PA
10.2018 - 07.2024
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Improved patient satisfaction by handling queries and concerns with empathy and professionalism.
  • Assisted patients with basic care needs.
  • Ensured accurate documentation of vital signs, symptoms, and medical histories for informed decision-making by healthcare providers.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Utilized effective communication and active listening skills when interacting with physicians, nursing staff, and patients.
  • Reviewed physician's calendar and scheduled patient appointments by telephone and in-person.
  • Reduced wait times for patients by efficiently managing check-ins, insurance verification, and payment processing.
  • Coordinated referrals from primary care physicians to specialists as needed for comprehensive patient management plans.
  • Performed medical records management, including filing, organizing and scanning documents.

Medical Assistant Coordinator

St.Luke’s Emaus Ave Family Practice
Allentown, PA
04.2013 - 09.2018
  • Ensured accurate record-keeping by meticulously documenting patient information, medical histories, and treatment plans.
  • Strengthened interdepartmental collaboration to expedite patient care processes and minimize wait times.
  • Coordinated continuing education opportunities for medical assistants to promote professional development and improve skill sets.
  • Conducted regular performance reviews for medical assistants, setting clear expectations for growth and improvement opportunities within the team structure.
  • Ensured compliance with regulatory requirements by staying up-to-date on healthcare policies.
  • Boosted staff morale through consistent recognition of achievements, fostering a positive work environment where teamwork thrived.
  • Promoted a culture of safety among staff members through rigorous adherence to infection control protocols and proper handling of hazardous materials.
  • Supported quality improvement initiatives within the clinic through active participation in meetings focused on enhancing overall patient experiences.
  • Facilitated timely referrals to specialists by maintaining strong relationships with various healthcare providers in the community.
  • Maintained high-quality service standards by closely monitoring medical assistants'' performance and providing constructive feedback.
  • Improved patient care by coordinating medical assistant tasks and streamlining communication between departments.
  • Assisted in the recruitment and hiring process for new medical assistants, ensuring a strong match between candidates'' skills and clinic requirements.
  • Increased clinic productivity through effective delegation and supervision of medical assistant team members.
  • Enhanced department efficiency by scheduling appointments, managing patient records, and ensuring seamless workflow among staff members.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Ordered all pharmacy supplies and kept check on inventory levels.
  • Performed Phlebotomy, EKG’S, Spirometry.

Technical Partner

Lehigh Valley Health Network
Allentown, PA
10.2012 - 04.2013

• performed phlebotomy prior to physicians morning rounds for accurate assessment.

• acquired vitals at two-hour intervals.

• maintained electronic medical records.

• EKG’s performed for assessment of care.

• blood glucose monitoring performed routinely for best practices on diabetic patients.

• bladder ultrasounds obtained per physician request for accurate assesment of patient care.

• yankauer suctioning to maintain clear airways.

• catheterer removal per physician orders.

• emptying foleys to maintain safety of patients health.

Allergy Technician

Lvpg Ear, Nose, and Throat Specialists
Allentown, PA
03.2004 - 08.2012
  • Reduced patient wait times through efficient scheduling and streamlined check-in processes.
  • Maintained up-to-date knowledge on allergy testing methodologies, treatments, and research advances through regular professional development activities.
  • Supported physicians in creating personalized treatment plans for patients with allergy related conditions.
  • Developed strong relationships with patients by providing empathetic care and support throughout the allergy testing process.
  • Increased patient satisfaction by addressing concerns and answering questions related to allergy testing procedures.
  • Provided training for new staff members on proper skin test administration techniques, ensuring consistent service delivery across the clinic.
  • Enhanced patient comfort by conducting thorough allergy testing procedures and providing clear explanations.
  • Assisted in the accurate diagnosis of allergies by performing skin prick tests, intradermal tests, and patch tests on patients.
  • Educated patients on allergen avoidance strategies and self-management techniques for allergic reactions, improving overall quality of life.
  • Achieved high standard of infection control practices by adhering to strict guidelines during the preparation, administration, and disposal of allergens used in tests.
  • Managed inventory of allergenic extracts used for testing purposes, ensuring adequate supply levels at all times while reducing waste.
  • Cleaned and sterilized instruments, equipment and surfaces.
  • Monitored patient vital signs, lab results and other indicators of health.
  • Maintained accurate patient charts and medical records.
  • Utilized medical software to document and track patient progress.
  • Evaluated patient histories and medical records for accuracy and completeness.
  • Triaged patients in office or by phone to assess severity of conditions.

Education

Bachelor Of Administrative Studies - Health Administration With Focus On Leadership

Capella University
Minneapolis, MN

Certificate - Health Administration

Lincoln Technical Institute
Allentown, PA
03.2004

Skills

  • Prior Authorization Knowledge
  • Strong Communication Skills
  • HIPAA compliance awareness
  • Patient Confidentiality Adherence
  • Insurance Verification Expertise
  • Professionalism and Ethics
  • Medical Billing Familiarity
  • Documentation and paperwork
  • Data Entry
  • Interviewing
  • Appointment Scheduling
  • Medicaid and commercial insurance knowledge
  • Telephone Etiquette
  • Benefits Administration
  • Cultural Competency
  • Teamwork and Collaboration
  • Customer Service
  • Problem-Solving
  • Time Management
  • Attention to detail
  • Multitasking
  • Collaboration and Teamwork
  • Adaptable and Flexible
  • Reliability
  • Excellent Communication
  • Critical Thinking
  • Cash Handling
  • Detail Oriented
  • Electronic Health Records
  • Clinical Documentation
  • Office Administration
  • Patient Scheduling
  • Computer Proficiency
  • Patient Registration
  • Insurance Authorizations
  • Insurance Verification
  • Staff Leadership
  • Scheduling Tests and Procedures
  • CPR Certified
  • Clerical skills
  • Clinical skills

Timeline

Precertification Specialist

Lehigh Valley Health Network
07.2024 - Current

Clinical Assistant

LVPG Asthma, Allergy, & Immunology
10.2018 - 07.2024

Medical Assistant Coordinator

St.Luke’s Emaus Ave Family Practice
04.2013 - 09.2018

Technical Partner

Lehigh Valley Health Network
10.2012 - 04.2013

Allergy Technician

Lvpg Ear, Nose, and Throat Specialists
03.2004 - 08.2012

Bachelor Of Administrative Studies - Health Administration With Focus On Leadership

Capella University

Certificate - Health Administration

Lincoln Technical Institute
Tammy Rupp