Summary
Overview
Work History
Education
Skills
Timeline
Generic

Valerie Raymond

Daytona Beach,FL

Summary

Thorough and proficient Admissions Coordiator/Authorizations specialist with 10+ years of experience, Excellent front desk management with optimal workflow. Experience in primary care and various specialties from Oncology, Ob-Gyn and Mental Health/AOD and Hospice. Expertise in complex scheduling, medical terminology, insurance processes, ICD-10 and CPT codes.

Overview

13
13
years of professional experience

Work History

Admissions Director

Sequoia Hospice
Milpitas, CA
04.2021 - Current

Admissions Coordinator

Heartland Hospice
Santa Rosa, Ca, CA
06.2018 - Current
  • Collected, sorted and reviewed marketing information and produced timely corporate reports.
  • Assisted in the patient admission process based on federal and state laws.
  • Confirmed all insurance benefits met standards of admissions as dictated by policy , obtained insurance authorizations, and made sure all plan's met medicare guidelines when appropriate.
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
  • Evaluated patient care needs, prioritized treatment, and maintained patient flow.
  • Interviewed patients to obtain medical information, DME needs and Family support needs.
  • Devised strategies to reduce expenses, modernize operations and revamp procedures to improve institution operations.
  • Oversaw Department as interim Regional Admissions director

MOSC III-TES

UC Davis Health Sytems
Sacramento, CA
07.2019 - 09.2019
  • Maintained current and accurate medical records for over 50 patients daily.
  • Completed skilled administrative work to support all office staff and operational requirements.
  • Built charts and prepared for nurses and doctors assessment.
  • Adhered to strict HIPAA guidelines at all times to protect patient privacy.
  • Scheduled, rescheduled and handled cancelled appointments for patients.
  • Used EPIC to schedule appointments.
  • Composed internal memos and external correspondence for senior management, and reviewed all documentation to eliminate errors.
  • Composed new patient letters with appointment dates, follow up letters and closing letters and sending them to patient's and referring providers.

Referral Coordinator/Authorizations

St. Joseph Health
Petaluma, CA
02.2019 - 07.2019
  • Build and develop functional process for incoming and outgoing referrals within EMR.
  • Provides training to 15 staff for go-lives of patient portal and processes in Allscripts.
  • Obtains RAFs and TARS for referrals, treatment, surgery and diagnostic exams.
  • Called insurance companies to get pre-certification and other benefits information on behalf of patients.
  • Identified and recommended changes to existing processes to improve accuracy, efficiency and responsiveness of customer service department.
  • Provided clerical support to company employees by copying, faxing and scanning documents.
  • Interacted with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions.
  • Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff and greeting visitors.
  • Completed up to 40 referral requests each day for medical provider of Family Practice, OB-GYN, and Oncology services.

Medical Receptionist

St. Joseph's Healthcare System
Petaluma, CA
02.2016 - 06.2018

Employed to 2/2016-6/2018

  • Complicated patient scheduling
  • Aria, Meditech and Allscripts experience
  • Input all patient data regarding claims and prior authorizations into the system accurately.
  • Participated in facility surveys and inspections.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Completed and filed financial documentation for business office purposes.
  • Scheduled appointments for doctor visits, chemotherapy and radiation therapy, and office procedures using Aria and Meditech software.
  • Ensured that every individual received a high level of service by employing dynamic communication, interpersonal and active listening skills.
  • Adeptly managed multi-line phone system and pleasantly greeted all patients.

Medical Records Technician I

Merced County Mental Health
Merced, CA
08.2013 - 10.2015
  • Chart auditing for Federal and State regulations.
  • Set-up and maintain charts and emergency services reports.
  • Chart monitoring for unauthorized visits, under billing, over billing, and delinquent reports.
  • Prepares a variety of reports, working with various computer systems and software programs.
  • Serves as a back up for the clinic's front desk area and/or Telephone Systems Operator as needed.
  • Transcribe psychiatric reports at an acceptable rate of speed without frequent reference to a medical directory.
  • Understand and use medical/psychiatric symbols, terminology and reference books and materials.
  • Develop and maintain effective working relationships with the general public, co-workers and those contacted during the course of work.

Medical Records/Registrar

Mercy UC Davis Cancer Center/CHW
Merced, CA
06.2007 - 04.2010
  • Created and maintained computerized record management systems to record and process data and generate reports.
  • Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
  • Responded to correspondence from insurance companies to verify patient's coverage.
  • Carefully wrote down all phone messages and relayed them to the appropriate personnel.
  • Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions.
  • Performed general administrative duties, including copying, faxing and filing.

Education

- General Education

Merced Community College
Merced, CA

General Studies

Sacramento City College
Sacramento, CA

Phlebotomy Technician - undefined

Contra Costa Medical Career College, Inc.
Antioch, CA
2009

Skills

  • Well-versed in insurance
  • Medical admissions process knowledge
  • Computer literacy
  • Understanding of medical terminology
  • Patient and family advocacy
  • Seasoned in medical clinical processes
  • High level of autonomy
  • Hospice/oncology philosophy understanding
  • Dosage calculation
  • Solution-based interventions
  • Medicaid statutes and regulations
  • Records maintenance
  • Patient-focused care

Timeline

Admissions Director

Sequoia Hospice
04.2021 - Current

MOSC III-TES

UC Davis Health Sytems
07.2019 - 09.2019

Referral Coordinator/Authorizations

St. Joseph Health
02.2019 - 07.2019

Admissions Coordinator

Heartland Hospice
06.2018 - Current

Medical Receptionist

St. Joseph's Healthcare System
02.2016 - 06.2018

Medical Records Technician I

Merced County Mental Health
08.2013 - 10.2015

Medical Records/Registrar

Mercy UC Davis Cancer Center/CHW
06.2007 - 04.2010

- General Education

Merced Community College

General Studies

Sacramento City College

Phlebotomy Technician - undefined

Contra Costa Medical Career College, Inc.
Valerie Raymond