Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Timeline
Generic

Theresa Kusmanick

Gloucester City,NJ

Summary

Methodical Surgical Scheduler with 24+ years of medical experience. Proficient in obtaining insurance authorizations, supporting billing and helping surgical teams be correctly prepared for each operation. Seeking challenging new role.

Overview

25
25
years of professional experience

Work History

Surgical Scheduler

Cooper University Hospital
Camden, NJ
12.2022 - Current
  • Responsible for scheduling and coordinating procedures and appointments for multiple modalities.

Lead Authorization Specialist

Cooper University Hospital
Camden, NJ
08.2019 - 12.2022
  • Provided customer service to internal and external customers related to authorization requests.
  • Verified insurance authorizations with payers via telephone or web-based systems.
  • Processed prior authorization requests in accordance with departmental guidelines.
  • Assisted in the development of new processes and protocols to improve operational efficiency.
  • Tracked authorization statuses using electronic databases or manual filing systems.
  • Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
  • Responded to client inquiries and concerns and escalated complex problems to department supervisors.
  • Managed intake of new claims and performed routine follow-ups.

Lead Admitting Officer

Cooper University Hospital
Camden, NJ
01.2016 - 08.2019
  • Processed incoming patient admissions and provided necessary paperwork to patients and families.
  • Verified insurance eligibility for all patients admitted to the hospital.
  • Coordinated with ancillary departments to ensure timely registration of patients.
  • Ensured compliance with HIPAA regulations by maintaining confidentiality of patient records at all times.
  • Checked patient information and insurance coverage.
  • Coordinated patient paperwork and charts.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.

Admitting Officer

Cooper University Hospital
Camden, NJ
12.2002 - 01.2016
  • Verified insurance eligibility for all patients admitted to the hospital.
  • Ensured compliance with HIPAA regulations by maintaining confidentiality of patient records at all times.
  • Performed data entry tasks related to patient registration such as entering insurance information into the computer system.
  • Checked patient information and insurance coverage.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Communicated with patients with compassion while keeping medical information private.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Ordered and maintained supply inventory for medical office.
  • Assigned Bed

Emergency Room Unit Secretary

Cooper University Hospital
Camden, NJ
05.2002 - 12.2004
  • Maintained patient records and charts, ensuring accuracy and completeness of information.
  • Answered incoming calls from patients, physicians, family members and other hospital personnel; responded to inquiries or directed callers to appropriate contacts.
  • Coordinated with other departments to ensure smooth operations within the ER unit.
  • Monitored inventory levels of medical supplies in the ER unit; placed orders when needed.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.

Insurance Verification Specialist

Cooper University Hospital
Camden, NJ
07.2001 - 05.2002
  • Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Communicated with patients with compassion while keeping medical information private.

Emergency Room Registrar

Cooper University Hospital
Camden, NJ
07.1999 - 07.2001
  • Greeted patients and visitors in a professional manner.
  • Assisted with registering incoming ER patients into the computer system.
  • Answered phone calls promptly and directed them to the appropriate person or department as needed.
  • Accurately documented patient information according to hospital policies and procedures.
  • Maintained confidentiality of all medical records in accordance with HIPAA regulations.
  • Performed administrative tasks such as filing documents, scanning charts, photocopying forms.
  • Kept track of patient wait times in order to ensure timely treatment was provided.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.

Education

High School Diploma -

Gloucester Catholic High School
Gloucester City, NJ
06-1979

Business Communications

Camden County College
Blackwood, NJ

Skills

  • Medical Terminology
  • Medical coding understanding
  • Patient Relations
  • Schedule oversight
  • Scheduling expertise
  • Insurance Verification
  • Verifying insurance
  • Educating patients
  • Schedule Coordination
  • Office workflow support
  • Patient Scheduling
  • Pharmacy Correspondence
  • Multitasking
  • Problem-solving abilities
  • Analytical Thinking
  • Epic Systems
  • Problem-Solving

Affiliations

  • Traveling, crafting, dogs

Accomplishments

  • HCA employee of the quarter 2024
  • Instrumental in Epic development for different Departments
  • Epic Super User
  • Provation

Timeline

Surgical Scheduler

Cooper University Hospital
12.2022 - Current

Lead Authorization Specialist

Cooper University Hospital
08.2019 - 12.2022

Lead Admitting Officer

Cooper University Hospital
01.2016 - 08.2019

Admitting Officer

Cooper University Hospital
12.2002 - 01.2016

Emergency Room Unit Secretary

Cooper University Hospital
05.2002 - 12.2004

Insurance Verification Specialist

Cooper University Hospital
07.2001 - 05.2002

Emergency Room Registrar

Cooper University Hospital
07.1999 - 07.2001

High School Diploma -

Gloucester Catholic High School

Business Communications

Camden County College

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Theresa Kusmanick