Tina Klein
Randleman,NC
Summary
Dynamic Senior Clinical Administrative Coordinator at Optum Infusion Specialty Pharmacy with exceptional organizational and problem-solving skills. Proven track record in managing patient referrals and insurance verifications, ensuring documentation accuracy and confidentiality. A collaborative team player dedicated to enhancing patient care and operational efficiency through effective communication and multitasking.
Overview
18
18
years of professional experience
Work History
Senior Clinical Administrative Coordinator
Optum Infusion Specialty Pharmacy
11.2021 - Current
- Manage administrative intake responsibilities of patient referrals received at the Branch for patient care
- Work with hospital case managers, sales representatives, doctor offices, rehab facilities, clinical teams to manage request for patient services
- Process, oversee, assist in incoming and outgoing patient referrals which include entering patient demographics, insurance information, organize clinical, nursing, pharmacy, home health staff and ensure paperwork is managed correctly for patient therapy
- Handle resolutions, inquiries from members and providers such as; benefit eligibility, post benefit verification of commercial insurance and Medicare & Medicaid
- Process billing and payment issues or discrepancies
- Process payments & payment plans from patients via phone, in person, or by mail and appropriately enter data in the patients chart which reflects the above-mentioned
- Strong experience with accessing hospital’s websites to acquire patient’s charts and enter patient’s data in CPR+, Carelink, & Carelink2
- Competent with various insurance’s websites and how to navigate these websites to obtain information for performing benefit eligibility and benefit verification
- Alongside, accurately entering ICD-10, ICD-9, and diagnosis codes
- Multitask several procedures at once while communicating with the Branch team, case managers, hospitals, and patients to complete the intake process effectively and in a timely manner
- Arrange, implement, communicate all intake procedures and insurance verification to the patient, billing department, nursing & pharmacy team at the Branch to ensure patient SOC is scheduled on time
Patient Navigator
Optum Infusion Specialty Pharmacy
Kernersville, NC
02.2019 - 11.2021
- Monitored patient progress through follow-up calls and visits.
- Received patient inquiries or complaints and directed to appropriate medical staff members.
- Worked collaboratively with physicians, staff and other health care professionals to develop, implement and evaluate integrated and comprehensive plans of care for patients.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Maintained professional relationships with healthcare providers.
Coordinator
RCC Randleman Center
01.2014 - 02.2019
- Demonstrate leadership in delivering exemplary customer service to all operations of the Center
- Serve as the primary contact and provide support for employees, instructors, and students
- Manage and oversee all operations of the center and perform various administrative and purchasing duties, included but not limited to: Maintaining the Center’s records
- Implement policies & practices
- Promote RCC classes and programs
- Prepare and submit instructor’s payroll to the business department
- Ensure student and staff request, questions, and complaints are handled effectively, efficiently and accurately
- Maintain all equipment and conduct monthly inventory of equipment
- Answer telephone calls and respond to inquiries from students, staff, other departments & campuses
- Supervise, manage, and enter student registrations forms which are submitted weekly from an off-site employability lab and ensure information is recorded correctly and accurately in Colleague DataTel, Web Attendance/Advisor, and Excel
- Coordinate events, classes, and schedules that will take place at the Randleman location
- Treats others respectfully, courteously, and behaves such a way that creates a workplace environment that is marked by trustworthiness, honest & polite communication, and interactions that are both personally cordial and professionally appropriate
Instructor Developmental Mathematics
Randolph Community College
08.2010 - 12.2018
- Teaches courses in mathematics to individual students or in small groups in a community college setting
- Prepare and submit instructional records, reports, grades, and all other required paperwork in a timely, efficient manner meeting all deadlines, checking for accuracy, correctness, and completeness of all data
- Maintain proper communication and supportive relationships at all times with other units and branches at the college
- Collaborate with administrators and instructors offering suggestions concerning the improvement of curriculum in keeping with the mission of the College
- Performs a variety of non-instructional duties that include divisional or departmental meetings and/or conferences
Secondary Mathematics Instructor
Randolph County Schools
08.2007 - 05.2010
- Additional information available upon request
Education
Bachelor of Arts - Mathematics
High Point University
High Point, NC05-2007
Randleman Leadership Academy -
Randleman, NCSkills
- Organizational skills
- Mathematical skills
- Team player
- Courteous demeanor
- Problem solver
- Multitasker
- Written communication skills
- Oral communication skills
- Analytical skills
- Research skills
- Patient communication
- Customer service
- Team collaboration
- Documentation accuracy
- Patient confidentiality
Volunteer Experience
- Former Randleman Chamber of Commerce Board member
- Graduate from the Randleman Leadership Academy
Timeline
Senior Clinical Administrative Coordinator
Optum Infusion Specialty Pharmacy
11.2021 - Current
Patient Navigator
Optum Infusion Specialty Pharmacy
02.2019 - 11.2021
Coordinator
RCC Randleman Center
01.2014 - 02.2019
Instructor Developmental Mathematics
Randolph Community College
08.2010 - 12.2018
Secondary Mathematics Instructor
Randolph County Schools
08.2007 - 05.2010
Bachelor of Arts - Mathematics
High Point University
Randleman Leadership Academy -
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