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Skills

  • Implementation of tracking systems
  • Process improvement
  • Business operations
  • Conflict resolution
  • Mastery of office productivity software (Tableau)
  • Priority scheduling negotiation
  • Referral coordination
  • Healthcare regulatory compliance
  • Quality improvement initiatives
  • Appointment scheduling

Work Experiences

  • Established professional connections with service providers.
  • Collaborated with other departments, including metric, to provide excellent customer service.
  • Advocated for patient needs.
  • Built and maintained relationships with over 14 medical specialists.
  • Brought down recurring errors in referral authorizations by 46% in collaboration with insurance representatives.
  • Achieved an error rate below 67% per two years.
  • Worked with medical staff and patients to come up with cost-effective system service options.
  • Collaborated with Medical Referral Specialist to secure prior approval for framework procedures.
  • Helped clients find resources that accepted a variety of insurances.
  • Was in charge of patient scheduling, check-in, check-out, and billing payments.

Summaries

  • Working with insurance companies and other medical professionals to obtain prior authorization and schedule important client appointments has proven to be successful.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Achieved a 36% reduction in referral rejections.
  • Achieved an error rate below 20% per two years.
  • Trained in QuickBooks and possesses exceptional process improvement abilities.
  • Tableau advanced abilities
  • Strengths in project management and data analysis backed up by Healthcare training.
  • Adhered to HIPAA standards.
  • Achieved this within two years.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the process business.

Accomplishments

  • Trained and mentored new administrative staff in referral handling, contributing to a 62% increase in department productivity.
  • Implemented standardized referral tracking systems that reduced referral backlogs by 62% within the first 18 months.
  • Documented and resolved method which led to initiative.
  • Successfully appealed over 3 denied medical referrals, recovering $12 in lost reimbursements while ensuring compliance with healthcare regulations.
  • Assisted in reducing referral-related patient wait times by 81%, enhancing the overall patient experience.
  • Created detailed customer service scripts for referral inquiries, improving patient satisfaction ratings by 44% within several months.
  • Reduced referral processing backlog by 8 days by optimizing internal workflows and staff scheduling in 2022.
  • Partnered with cross-functional teams to identify bottlenecks in referral workflows, improving overall process efficiency by 38%.
  • Provided seamless support in verifying insurance for system, reducing billing issues by 48%.
  • Interfaced with over 10 insurance providers to validate patient coverage, reducing pre-authorization delays by 82%.

Affiliations

  • American Health Information Management Association (AHIMA)
  • International Association of Medical and Referral Coordinators (IAMRC)
  • Association of Information Technology Professionals
  • International Council of Nurses
  • Medical Office Management Association of America (MOMAA)
  • Healthcare Financial Management Association (HFMA)
  • Medical Administrative Assistants Association (MAAA)
  • Society for Healthcare Strategy and Market Development (SHSMD)
  • Association of Health Care Office Management (AHOM)
  • National Association of Personnel Services (NAPS)

Certifications

  • Project Management Professional (PMP)
  • Health Insurance Portability and Accountability Act (HIPAA) Certification
  • Certified Professional in Insurance Reimbursement (CPIR)
  • EMR Specialist Training and Certification (Adobe Creative Suite, 2019)
  • Certified Patient Account Representative (CPAR)
  • SHRM Certified Professional (SHRM-CP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • CompTIA A+ Technician
  • Medical Billing and Coding Certification with Cedar Works
  • Medical Insurance Specialist Certification

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