Theresa Dluhos
Medical office professional
Cordova,TN
Summary
Skilled medical office professional offering several years of experience cultivating seamless office operations. Personable and detail-oriented with proven track record of warmly welcoming patients and supporting needs. Quick learner proficient in office equipment operations and job-related software. Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care. Accosate of since degree and BLS certification
Overview
30
30
years of professional experience
Work History
Medical Office Assistant/scheduler
Methodist Medical Group
Cordova, TN
02.2023 - 06.2024
- Communicated effectively with other healthcare staff members regarding patient care plans.
- Scheduled patient appointments, answered incoming calls, and assisted with inquiries.
- Performed basic clerical duties such as filing documents, entering data into the computer system, photocopying forms and documents.
- Maintained a clean work environment by adhering to infection control protocols.
- Collected payments from patients for services rendered.
- Followed HIPAA guidelines to ensure confidentiality of patient information.
- Verified insurance coverage for each patient visit.
- Greeted patients and visitors in a professional and friendly manner.
- Managed medical records using an electronic health record system.
- Assisted with scheduling follow-up appointments for patients after discharge from hospitalization.
- Registered patients and scheduled appointments.
- Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
- Collected co-pays and insurance data, applying full and proper payment to patient accounts.
- Collected information, verified insurance and collected co-payments for patients as part of check-in process.
- Scheduled appointments for patients via phone and in person.
Medical Receptionist/MRI Technician Asst.
Neurology Clinic
Cordova, TN
05.2021 - 12.2022
- Maintained highest levels of quality, safety and patient confidentiality by following hospital and regulatory guidelines when collecting patient information and conducting imaging procedures.
- Explained MRI procedures to patients, representatives and family members.
- Reduced patients' anxiety.
- Collected patients' medical histories and documented important information in medical records.
- Checked patients in and out for appointments and collected co-payments.
- Called patients to confirm scheduled appointments and obtain additional details.
- Processed patient payments and scanned identification and insurance cards.
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Took messages from patients and promptly relayed to appropriate staff.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Greeted each patient pleasantly and offered desk sheet for easy sign-in.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
- Straightened up waiting room to maintain neat and organized spaces for patients.
Referral Coordinator
Semmes-Murphey Clinic
Memphis, TN
10.2020 - 12.2022
- Verified documents and associated records to catch and resolve discrepancies.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Managed up to 10-20 patient referrals daily through multi-line telephone system.
- Gathered community resources and coordinated referrals to obtain services.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Referral Coordinator
Baptist Medical Group
Collierville, TN
08.2019 - 04.2020
- Assisted clients in locating resources that accepted various insurances
- Built professional relationships with service providers
- Verified insurance benefits and eligibility for out patient procedures before referring clients
- Notified and reminded clients of appointments
- Worked with multiple insurance companies to obtain prior authorization for out patient procedures
- Entered authorization data using Crimson and Epic to document referrals and results
- Supported providers in outpatient medical office through coordinating all administrative operations
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments
- Obtained PA for services such as diagnostic imaging.
- Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
Prior Authorization Specialist
Gastro One
Germantown, TN
11.1997 - 05.2019
- Reviewed insurance coverage for patients to determine which party was liable for payment
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
- Contacted multiple insurance companies to obtain prior authorization for medical procedures
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Notified ordering providers of denied authorizations.
Education
Associate of Science - Medical Assisting/Office Tecnology
West Virginia Career College
Daytona Beach, FL 09.1993 - 12.1995
High School Diploma -
Spruce Creek High School
Port Orange, FL 08.1984 - 05.1988
Skills
- Understanding of insurance details
- Organizational Skills
- Patient information verification
- Verification processes
- Medical Records
- HIPAA education
- Medical Terminology
- Charting and clinical documentation
- Efficient and reliable team player
- Insurance Verification
- Telephone Skills
- Benefits
- Managing deadlines
- Prioritizing stat orders
- Communication Skills
- Patient scheduling
- Patient safety
- Multitasking
- Customer service
- Reliable & trustworthy
- Proficient in E-Clinical, Epic and G-Med
- Certified in Basic Life Support (BLS)
- Appointment confirmation
- Attention to Detail
- OSHA Compliance
- Filing and data archiving
- Prior Autherization (Gastrointerology)
- Positive Attitude
- Emergency Procedures
- Patient Scheduling
- Understanding of medical ethics
- Understanding of insurance details
- Multi-line phone proficiency
- Documentation
- Decision making
- Health records review
- HIPAA and HITECH requirements
- Team Building
- Medical terminology
- Accurate documentation
- Recordkeeping proficiency
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeTimeline
Medical Office Assistant/scheduler
Methodist Medical Group
02.2023 - 06.2024
Medical Receptionist/MRI Technician Asst.
Neurology Clinic
05.2021 - 12.2022
Referral Coordinator
Semmes-Murphey Clinic
10.2020 - 12.2022
Referral Coordinator
Baptist Medical Group
08.2019 - 04.2020
Prior Authorization Specialist
Gastro One
11.1997 - 05.2019
Associate of Science - Medical Assisting/Office Tecnology
West Virginia Career College
09.1993 - 12.1995
High School Diploma -
Spruce Creek High School
08.1984 - 05.1988