Wendy Funk
Indiana,PA
Summary
Highly organized and efficient healthcare professional with experience in all aspects of a busy heart and vascular surgery practice . Skilled in scheduling surgeries, obtaining insurance prior authorizations, and managing the submission and appeals process for denied cases. Proficient in coordinating the daily operations of the surgery teams, while also providing excellent patient interaction, scheduling, CPT coding and insurance support. Proactive multitasker with exceptional interpersonal, communication, and planning skills. Maintains strong working relationships with multiple healthcare organizations to ensure seamless collaboration and service delivery.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Procedure Scheduler
Penn State Health Milton S. Hershey Medical Center
12.2023 - Current
Surgery Scheduling Coordinator
PSHMG Milton S. Hershey Medical Center
09.2018 - 12.2023
- Plans diagnostic tests and surgeries related to designated responsibilities.
- Arranges appointments for surgery, invasive and non-invasive procedures.
- Obtains insurance prior authorizations for inpatient and outpatient surgical procedures utilizing the following multi-payor platforms: Navinet, Availity, Evicore, UPMC Insurance, AIM Specialty Health, Humana-Tricare, CMS Medicare, PA Health and Wellness, My Ability – Medicare, Aetna Better Health, Others as needed
- Authored and processed appeals denial letters, overseeing each case to conclusion.
- Conveyed clinical details to Clinical Review Team Member to secure prior authorization.
- Develops ultrasound, cardiology, and surgery appointment templates.
- Coordinated procurement of office materials.
- Coordinates bed assignments for scheduled surgeries and outpatient procedures.
- Utilized scheduling software to ensure availability of reserved rooms.
- Organizes surgery schedules effectively using iQueue platform.
- Works with external teams to optimize scheduling for surgical patients.
- Prioritizes scheduling for critical vascular surgeries.
- Coordinated daily activities and appointments within the surgical practice.
- Coordinate patient post-operative COVID testing appointments.
- Executed numerous additional duties to support organizational goals.
- Ensures completeness before provider review.
- Coordinates with department Registered Nurse to identify referrals needing immediate review.
- Ensures ongoing patient access by managing hemodialysis intake issues alongside the dialysis unit.
Patient Access Representative
Geisinger
10.2016 - 07.2018
- Greeted and registered incoming patients
- Supported patient check out process and scheduled future appointments
- Provided front line support to six different departments (Neurology, Oncology, Family Medicine, Internal Medicine, Dermatology and Anti-coagulation)
- Trained and served as a mentor to all incoming new patient access hires and health profession interns
- Performed cash posting following department guidelines
- Processed multi-channeled messages related to patient and/or physician requests
- Opened and prepared entire building prior to start of days operations
- Closed entire building at conclusion of days operation
- Requested and obtained patients medical records as appropriate
- Reviewed and maintained all incoming and outgoing faxes to include preparing documents for scanning and scanning
Patient Access Representative
Mount Nittany Medical Center
06.1994 - 06.2010
- Fulfilled all patient access functions including, but not limited to patient registration, inpatient, outpatient and physician practice appointment scheduling
- Accurately identified patients
- Recorded patient demographic and insurance information
- Verified and monitored insurance authorization
- Admitted patients to the hospital
- Attended clinical report meetings at beginning of shift
- Maintained and updated hospital census
- Arranged non-emergent transport, Unit Coordinator - Labor and Delivery
- Coordinated communication and organization in Labor & Delivery Depart
- Recorded medical histories
- Processed patients' insurance
- Scheduled appointments
- Prepared forms and certificates
- Answered phones and directed to appropriate personnel
- Greeted patients
- Admitted patients and newborns
Education
Human Development and Family Studies - undefined
The Pennsylvania State University
State College, PAPhysician Assistant - undefined
Pennsylvania College of Technology
Williamsport, PACPC Coding Certificate - Medical Coding
American Academy of Professional Coders
06.2023
CPC Coding Training Course Certificate - undefined
American Academy of Professional Coders (AAPC)
08.2022
Skills
- Customer service
- Definitely and E-faxing
- Imaging Requests
- Super User Templating Capabilities
- Medical software applications
- Knowledge of HIPAA regulations
- Advanced knowledge of medical terminology
- Problem resolution
- Computer skills
- Multitasking
- CPT Coding Experience
- ICD 10 coding experience
- Cerner/REV Cycle
- Microsoft Office
- EPIC
- Insurance verification
- EHR systems expertise
- Documentation scanning
- Following up with patients
- HIPAA compliance
- Scheduling expertise
- Pre-operative review
- EMR updating
- Calendar management
- Updating charts
- Maintaining confidentiality
- Verifying insurance
- Remote work Currently
Certification
Eligible to sit for the CPC CERTIFICATION EXAM.
Completed AAPC Professional CPC Coding Certification preparation course with a final score of 93.56%. In addition, to 7 years of on the job experience coding patient procedures and diagnoses, I am approved by the AAPC to drop the -A (for Apprentice) from my certification when I pass my certification exam. I am presently studying to sit for the certification test this summer.
Timeline
Procedure Scheduler
Penn State Health Milton S. Hershey Medical Center
12.2023 - Current
Surgery Scheduling Coordinator
PSHMG Milton S. Hershey Medical Center
09.2018 - 12.2023
Patient Access Representative
Geisinger
10.2016 - 07.2018
Patient Access Representative
Mount Nittany Medical Center
06.1994 - 06.2010
Human Development and Family Studies - undefined
The Pennsylvania State University
Physician Assistant - undefined
Pennsylvania College of Technology
CPC Coding Training Course Certificate - undefined
American Academy of Professional Coders (AAPC)
CPC Coding Certificate - Medical Coding
American Academy of Professional Coders
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