Victoria Lang
Medical Assistant/ Pre-certification Specialist
Oklahoma City,OK
Summary
Personable Medical Assistant bringing 20 years of hands-on experience balancing problematic administrative and clinical duties to achieve patient satisfaction. Offering thorough understanding of medical registration process and procedures to streamline client processing. Compassionate and respectful collaborator recognized for delivering high-quality healthcare and excellent customer service. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Pre-Certification Coordinator
Oklahoma Spine Hospital
Oklahoma City, Oklahoma
05.2024 - Current
- Educated patients on their insurance benefits and coverage limitations.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Facilitated communication between provider offices, health plans, and other entities regarding pre-certification issues.
- Worked collaboratively with colleagues across departments to resolve any discrepancies or issues that arise during the course of pre-certification process.
- Participated in audits and quality assurance activities related to insurance verification.
- Documented details of all interactions with patients and clients in the appropriate system.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Researched patient's medical history, insurance coverage, and other relevant data.
- Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
- Managed multiple tasks simultaneously while meeting deadlines consistently.
- Analyzed and interpreted insurance coverage policies to determine patient eligibility for services.
- Developed strategies for problem solving complex cases that require additional research or analysis before approval can be granted.
- Resolved customer complaints or answered customers' questions.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Utilized electronic medical records (EMR) systems for documenting verification processes.
- Analyzed medical necessity criteria within each payer's guidelines to determine appropriateness of requested services.
- Conducted quality assurance reviews for accuracy of completed pre-certifications.
- Researched and prepared reports required by management or governmental agencies.
- Resolved insurance-related issues and discrepancies to prevent claim denials.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Maintained records of all precertified services and related information.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Participated in subordinates' tasks to facilitate productivity or help overcome difficulties.
- Initiated prior authorizations using electronic systems or paper forms as required by third party payers.
- Performed other duties as assigned by supervisor or manager.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Ensured compliance with applicable regulations such as HIPAA Privacy Standards and CMS guidelines.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Liaised between physician, site of service and billing department to obtain appropriate documentation.
- Participated in training sessions regarding new procedures or changes in policies related to precertification activities.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Registered Medical Assistant
Mercy Hospital Oklahoma City
Oklahoma City, OK
08.2011 - Current
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
- Educated patients about medications, procedures and physician's instructions.
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Recorded vital signs and medical history for 25 patients each shift.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Responded to patient callbacks and phone-in prescription refill requests.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Documented notes during patient visits.
- Cleaned and maintained medical equipment following procedures and standards.
- Incorporated outside records into charts and EHR.
- Organized charts, documents and supplies to maintain team productivity.
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Administered rapid tests for COVID and strep to help clinical staff assess conditions.
- Labeled and completed lab requisitions using ICD and CPT coding.
- Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Performed preliminary physical tests to accurately record results in patient history summary.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Followed principles of asepsis and infection control to meet patient safety guidelines.
- Measured vital signs and took medical histories to prepare patients for examination.
Registered Medical Assistant
Integris Hospital
Oklahoma City, OK
05.2005 - 08.2011
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
- Educated patients about medications, procedures and physician's instructions.
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
- Recorded vital signs and medical history for 30 patients each shift.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Responded to patient callbacks and phone-in prescription refill requests.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Documented notes during patient visits.
- Cleaned and maintained medical equipment following procedures and standards.
- Incorporated outside records into charts and EHR.
- Organized charts, documents and supplies to maintain team productivity.
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Administered rapid tests for COVID and strep to help clinical staff assess conditions.
- Labeled and completed lab requisitions using ICD and CPT coding.
- Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Performed preliminary physical tests to accurately record results in patient history summary.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Followed principles of asepsis and infection control to meet patient safety guidelines.
- Measured vital signs and took medical histories to prepare patients for examination.
Education
Associate of Science - Health Information Management
Rose State College
Oklahoma City, OK05-2026
Associate of Science - Medical Assisting
Vatterott College - Oklahoma City
Oklahoma City, OK05.2004
Skills
- Medical Records Management
- Updating Medical Records
- Operating EKG Equipment
- Cleaning and Sanitizing
- Medication Administration
- Clinical and Operational Judgement
- Pharmacy Relations
- Clear Communication
- Dictation and Transcription
- Time Management
- Wound Care
- Blood and Tissue Collection
- Social Perceptiveness
- X-Ray Processing
- Treatment Room Preparation
- Patient Relations
- Supply Management
- Critical Thinking
- Check-In and Check-Out Procedures
- Multitasking and Prioritization
- Decision Making
- Coordinating Drug Refills
- Examination Preparation
- Procedure Assistance
- Routine Laboratory Testing
- Cleaning and Organizing
- Appointment Scheduling
- Problem Anticipation and Resolution
- Regulatory Compliance
- Conflict Resolution
- Mathematical Reasoning
- Managing Medical Laboratory Equipment
- Remote Video Conferencing
- Flexibility and Adaptability
- Data Analysis
- Data Entry
- Electronic Charting
- Vitals Collection and Documentation
- Injury Treatment
- Patient Chart Tracking
- Pulmonary Function Measurement
- Sanitizing and Cleaning
- Willingness to Learn
- Mobility Assistance
- Microsoft Office
- Medical Coding
- Venipuncture Expertise
- Mobile Device Operation
- Information collection
- Patient scheduling
- Customer service
- Medical billing
- Verbal and written communication
- Decision-making
- Medical terminology
- Problem-solving
- Schedule coordination
- Attention to detail
- Multitasking and organization
- Case coordination
- Self motivation
- Multitasking Abilities
Certification
- Registered Medical Assistant (RMA)
- CPR Training - 2022
- Billing and Coding
- Medical Terminology
- Anatomy and Physiology
- HIPPA
- Medical Law and Ethics
- Medical Transcription
Timeline
Pre-Certification Coordinator
Oklahoma Spine Hospital
05.2024 - Current
Registered Medical Assistant
Mercy Hospital Oklahoma City
08.2011 - Current
Registered Medical Assistant
Integris Hospital
05.2005 - 08.2011
Associate of Science - Health Information Management
Rose State College
Associate of Science - Medical Assisting
Vatterott College - Oklahoma City
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