Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

GAIL WATSON

Jersey City,NJ

Summary

Sr. Surgical coordinator adept at verifying insurance coverage, reviewing records, scheduling exams and ICD-10 coding. Previously supported up to 10 physicians in a busy medical office and hospital setting.

Overview

24
24
years of professional experience

Work History

Patient Navigator

University Hospital
02.2021 - Current
  • Coordinated patient appointments and follow-up care to enhance patient experience.
  • Educated patients on health services and resources available within the hospital.
  • Assisted patients in navigating insurance processes to facilitate access to care.
  • Collaborated with healthcare providers to ensure timely communication of patient needs.
  • Assisted with prior authorization requests, helping patients obtain necessary medications while minimizing delays.
  • Facilitated timely processing of prior authorization requests for medical services and medications.

Surgical Coordinator

University Of Medicine & Dentistry
02.2016 - 01.2021
  • Scheduled surgeries for multiple surgeons and booked operating rooms.
  • Verified and created claim numbers by communicating with various insurance companies.
  • Contacted patients regarding unpaid and underpaid accounts to resolve any issues.
  • Located, checked in and pulled medical records for appointments and incomplete patient charts.
  • Facilitated organized record retrieval and access by maintaining filing system for both in-house and discharged residents.

Front Desk Coordinator

Health Republic Insurance of New Jersey
01.2015 - 08.2015
  • Coordinated domestic and international travel arrangements, including booking airfare, hotel and transportation.
  • Managed office supplies, vendors, organization and upkeep.
  • Greeted numerous visitors, including VIPs, vendors and interview candidates.
  • Screened applicant resumes and coordinated both phone and in-person interviews.
  • Assisted with event planning, including associated travel and logistical arrangements.

Financial Counselor

Adecco Staffing/ University Hospital
02.2013 - 04.2014
  • Verified patients’ eligibility and claims status with insurance agencies.
    • Identified and resolved patient billing and payment issues.
    • ​Maintained strict patient and physician confidentiality.
    • Pre-certified radiology procedures, researched CPT and ICD-10 coding discrepancies.
    • Medical Terminology

Juvenile Detention Officer

Hudson County Juvenile Detention Center
05.2008 - 06.2012
  • Supervised and directed juvenile movement during various activities on and off campus.
  • Oversaw 110  juveniles in a correctional residential facility setting.
  • ​Completed intake paperwork, fingerprints and searches.
  • ​Prepared, processed and maintained forms, reports, logs, records and activity journals.
  • Established healthy relationships and maintained professional boundaries with resident offenders in the institution

Patient Access Representative

Greenville Hospital (Liberty Healthcare)
07.2001 - 08.2007
  • Correctly coded and billed medical claims for various hospital procedures.
  • ​Precisely completed appropriate claims paperwork, documentation and system entry.
  • ​Verified patients’ eligibility and claims status with insurance agencies.
  • ​Entered orders into the EMR system efficiently and without errors.
  • ​Prepared patient charts, pre-admissions and consent forms as necessary.

Education

Associate of Science - Psychology

Hudson County Community College
Jersey City, NJ
2017

High School Diploma - undefined

Abraham Lincoln High
Jersey City, NJ
2000

Skills

  • Medical terminology expert
  • ICD-10 (International Classification of Disease Systems)
  • Outpatient surgery coding specialist
  • Understands insurance benefits
  • Composed and professional demeanor
  • Adept multi-tasker
  • ​Familiar with commercial and private insurance carriers

Accomplishments

  • Recipient of the U.S. Army Reserve

Timeline

Patient Navigator

University Hospital
02.2021 - Current

Surgical Coordinator

University Of Medicine & Dentistry
02.2016 - 01.2021

Front Desk Coordinator

Health Republic Insurance of New Jersey
01.2015 - 08.2015

Financial Counselor

Adecco Staffing/ University Hospital
02.2013 - 04.2014

Juvenile Detention Officer

Hudson County Juvenile Detention Center
05.2008 - 06.2012

Patient Access Representative

Greenville Hospital (Liberty Healthcare)
07.2001 - 08.2007

Associate of Science - Psychology

Hudson County Community College

High School Diploma - undefined

Abraham Lincoln High

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