Vanika Vaughn
Harper Woods,MI
Summary
Detailed Medical Administrative Assistant with 10 +years of experience in the medical field. Strong command of claimant information intake processes, records documentation and fraudulent investigation protocols. Impactful skills , patient education, follow up care, billing,and prior authorization process
Overview
17
17
years of professional experience
1
1
Certification
Work History
Wesley Berry Flowers
09.2012
- Processed orders provided refunds checked / confirmed shipping on orders operated multlined phone systems
Disability Examiner
Sedgwick CMS Claims
07.2023 - Current
- Assessed applicants rehabilitation potential and make appropriate referrals for service plan provisions based on disability to determine if approved or denied
- Provide proper breakdown of policy to employees
- Management of time off work
- Review policies to insure coverage ,damages and supporting documentation provided support employees and policy guidelines.
Seamstress/Instructor
Sew Ettiquette
10.2010 - Current
- Providing alteration services Coaching and training Customizing, and coordinating Designs Negotiating cost for services Obtaining and maintaining professional/ personable rapport with clients provided embroidery services
Procedure Scheduler
Digestive Health Associates
Warren, MI
05.2019 - 06.2023
- Improved office workflow by collaborating with colleagues on best practices for scheduling processes.
- Assisted in improving overall patient satisfaction through timely and accurate schedule management.
- Provided consistent support to physicians by managing their schedules, ensuring availability for necessary procedures, and prioritizing urgent cases when needed.
- Contributed to revenue growth by efficiently filling procedure slots, minimizing cancellations, and reducing noshows.
- Facilitated a positive work environment by addressing concerns promptly and fostering open communication among team members about scheduling issues or challenges.
- Fostered strong relationships with referring physicians and their office staff, leading to increased satisfaction and smoother scheduling processes.
- Developed an organized filing system to facilitate easy access to important documents and records pertaining to scheduled procedures.
- Maintained up-to-date knowledge of insurance requirements, enabling smooth billing processes and avoiding delays in payment collection.
- Assisted in reducing patient anxiety by providing clear communication about upcoming procedures, including necessary preparations and post-procedure care instructions.
- Streamlined coordination between departments by proactively identifying opportunities for improvement within procedure scheduling workflows.
- Reduced wait times for patients by optimizing the scheduling process and eliminating doublebookings.
- Implemented a user-friendly electronic scheduling system, resulting in increased productivity and reduced errors.
- Coordinated with medical professionals to ensure seamless communication regarding patient appointments and procedures.
- Enhanced patient scheduling efficiency by streamlining appointment booking procedures.
- Enhanced team collaboration by sharing knowledge of the latest industry trends in procedure scheduling techniques.
- Trained new employees on software systems, policies, and best practices related to procedure scheduling tasks.
- Ensured accuracy of medical records by verifying critical information before inputting into the database system during patient registration.
- Demonstrated flexibility in adapting to changing priorities while maintaining excellent attention to detail in processing complex schedules.
- Contributed to the development of department goals focused on improving patient experience throughout the entire scheduling process.
- Managed high call volumes while maintaining exceptional customer service standards for patients and staff members.
- Coordinated with other departments to facilitate seamless operation and excellent patient care.
- Followed up with patients to reschedule missed appointments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
- Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
- Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
- Maintained accurate patient records for proper tracking of patient history and treatment.
- Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
- Answered phone calls and messages for Number-physician Type medical facility, scheduling appointments, and handling patient inquiries.
- Managed complex calendars for multiple medical practitioners, verifying accuracy of all appointments.
- Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
- Managed patient flow and triage calls to prioritize patient needs and put efficient use of clinic resources.
Medical Receptionist
Risser Thomas Eye Clinic
06.2018 - 04.2019
- Answered multiline phones scheduled appointments collect copays and any balances due schedule office surgeries insurance verification
- Patient education EMR proficient Medical Records management Patient registration/Patient check in Check out/ medical records Scanning/ Referral Coordination
Claims Analyst
ARSERVICES
04.2018 - 06.2018
- Provides second review of bills on which providers question the appropriateness of payments authorized
- Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary.
Surgical Scheduler
Comprehensive Woman's Care PC
05.2012 - 03.2018
- Scheduling patients for surgery, completing facility paperwork Scheduling patients for appropriate Medical and Cardiac Clearances Scheduling patients for follow up appointments and tests
- Reviewing patient's meds and health history to determine preadmission testing EHR management
Medical Administrative Assistant
Advantage Health Centers
07.2007 - 05.2011
- Scheduled appointments answered phones collected copays reconciled accounts medical file clerk Call center representative
Education
Diploma -
Macomb Community College
Warren, MI01.2016
Diploma - Administrative Assistant
Everest Institute - Detroit
Detroit11.2008
Diploma - Medical Billing
Clintondale Adult Education Center
Clinton Township, MI06.2000
Osborn High school
Detroit, MI01.1992
Skills
- Front Desk
- Epic
- Front Office
- Par8do (3 years)
- Reception
- Medical Billing
- Athena (1 year)
- Customer Service (7 years)
- Medical Receptionist
- Insurance Verification
- Medical Office Experience
- Medical Scheduling
- EMR Systems
- Salesforce
- HIPAA
- Phone etiquette
- Medical terminology
- ICD-10
- Microsoft Office
- Computer skills
- Medical records
- Administrative experience
- Quality assurance
- Customer relationship management
- Juris (1 year)
- Clerical experience
- EMR systems
- Customer service
- Typing
- Records management
- ICD-9
- Microsoft Access
- Front desk
- Order entry
- Medical coding
- Windows
- Analysis skills
- Conflict management
- ICD coding
- Help desk
- Training & development
- Supervising experience
- Leadership
- CPT Coding
- Patient monitoring
- Sales
- Software troubleshooting
- Technical support
- Live chat
- FMLA
Certification
Certified Notary Public
Additional Information
Skills Microsoft Office, Prime suite Medical Program, EPIC, Customer service
Strong Problemsolving skills
Timeline
Disability Examiner
Sedgwick CMS Claims
07.2023 - Current
Procedure Scheduler
Digestive Health Associates
05.2019 - 06.2023
Medical Receptionist
Risser Thomas Eye Clinic
06.2018 - 04.2019
Claims Analyst
ARSERVICES
04.2018 - 06.2018
Wesley Berry Flowers
09.2012
Surgical Scheduler
Comprehensive Woman's Care PC
05.2012 - 03.2018
Seamstress/Instructor
Sew Ettiquette
10.2010 - Current
Medical Administrative Assistant
Advantage Health Centers
07.2007 - 05.2011
Diploma -
Macomb Community College
Diploma - Administrative Assistant
Everest Institute - Detroit
Diploma - Medical Billing
Clintondale Adult Education Center
Osborn High school