Trina Davis-Thomas, RMA(AMT)

• Verified insurance coverage and obtained pre-authorizations.
• Educated patients about surgeries and provided treatment plan documentation.
• Reviewed medical histories and current information to provide accurate information to surgeons.
• Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments
• Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments
• Coordinated with facilities to set up surgeries for two Orthopedic Surgeons.
• Reviewed medical histories and current information to provide accurate information to surgeons
• Expertly managed all surgery services, including planning, scheduling and coordination, determination of procedures and procurement of supplies and equipment
• Documented vital signs and health history for patients in clinic and hospital environments.
• Sanitized, restocked, and organized exam rooms and medical equipment.
• Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
• Obtained client medical history, medication information, symptoms, and allergies.
• Performed medical records management, including filing, organizing and scanning documents.

Assisted with routine checks and diagnostic testing by collecting and processing specimens.

• Directed patients to exam rooms, fielded questions and prepared for physician examinations
• Collected and documented patient medical information such as blood pressure and weight
• Assisted with routine checks and diagnostic testing by collecting and processing specimens
• Called and faxed pharmacies to submit prescriptions and refills
• Maintained detailed records of test results by entering data and patient information into computer
• Updated inventory, expiration and vaccine logs to maintain current tracking documentation
• Prepared and administered medications to alleviate patient symptoms
• Documented vital signs and health history for 25 patients every 15 minutes
• Sanitized, restocked and organized exam rooms and medical equipment
• Obtained client medical history, including medication information, symptoms and allergies

• Document patient encounters properly in accordance to company compliance guidelines in electronic medical record software in a timely manner
• Obtain patient vitals including: Pulse, Respirations, Blood Pressure, Height, Weight and Neck Circumference
• Manage lab reports, procedures, office notes and outsides documentation pertinent to patient care
• Provide clinical assistance for provider when appropriate (exam office procedure, refill prescribed medications
• Provide educational and triage information to patient and their families
• Coordinate surgical services including: verification of insurance coverage, Collect fees such as co-pays, coinsurance and/or deductibles
• Prepare and have all necessary paperwork signed and completed and submitted to the appropriate parties prior to surgery
• Provide necessary information to the insurance company to expedite the pre qualification process

• Provide clerical assistance in reception/front office area
• Verified patients insurance coverage and demographic information
• Pull daily/weekly charts for appointments
• Perform insurance prior-authorizations for office/out patient procedures
• Took co-payments and compiled daily financial records
• Explained plans for treatment and payment options
• Balanced deposits and credit card payments each day
• Assisted patients in filling out check-in and payment paperwork
• Handled 45 calls per day to address customer inquiries and concerns

• Provided non-clinical customer service within physician practice
• Reconciled daily/monthly reports and preparations of bank deposits
• Communicated with primary care offices and insurance companies to obtain authorization
• Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment
• Answered over 50 telephone calls per day to handle rescheduled, missed and reassigned visit requests
• Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan
• Demonstrated exceptional customer service to foster welcoming and professional environment for patients

• Enhanced patient satisfaction by efficiently scheduling appointments and handling registration tasks.
• Streamlined communication between patients and medical staff, ensuring timely responses to inquiries and concerns.
• Maintained accurate patient records by diligently updating information in the electronic health record system.
• Reduced wait times for patients through effective coordination of appointment schedules with providers.
• Assisted in improving overall clinic efficiency by managing patient flow during peak hours and high-volume situations.
• Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
• Supported billing department efforts by accurately collecting co-payments, verifying insurance coverage, and addressing financial concerns for patients.
• Promoted a culture of continuous improvement through active participation in staff meetings, trainings, and professional development opportunities.
• Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.

• Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
• Reduced patient wait times for approval by diligently reviewing medical records and obtaining necessary documentation.
• Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
• Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
• Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
• Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
• Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
• Responded to inquiries from healthcare providers regarding prior authorization requests.