Diligent Healthcare professional known for high standards and impactful results. Background includes, but is not limited to, managing patient interactions, resolving complex inquiries, and enhancing overall patient satisfaction. Proven team collaborator with flexible approach to changing needs and commitment to achieving objectives. Skilled in communication, problem-solving, and adaptability. Strong work ethic with desire to grow within the company.
Overview
1
1
Certification
14
14
years of professional experience
Work History
Branch Coordinator / Patient Services Coordinator
CenterWell Home Health
Pingree Grove, IL
09.2022 - Current
Effectively maintains Branch Coordinator and Patient Services Coordinator daily workflow tasks in HomeCare HomeBase, including scheduling for 20+ clinicians to keep patients appropriately staffed on a daily and weekly basis, with maintaining coverage also for emergencies, holidays, and PTOs.
Serves as a point of contact for both clinicians and patients to mitigate various office concerns.
Ensures compliance with company policies, consents, and regulatory requirements at all times.
Collaborates with team members and upper management to achieve branch goals and objectives.
Reviews and submits billing claims, working daily to resolve any outstanding obstacles in order to release the claim.
Implemented process improvements that enhanced operational workflows.
Reviews billing audit reports to resolve outstanding claim issues.
Runs daily and weekly reports to ensure corporate metrics are being met, working daily to resolve any areas of unmet status.
Assists parent branch in regaining control over outstanding billing tasks and working to improve corporate metrics.
Obtained provider orders and sufficient documentation to successfully order DME for patients.
Successfully operates e-fax to send, receive and process physician orders in a timely fashion and investigate delays to help resolve any outstanding issues.
Obtains, reviews, and processes appropriate clinical notes to satisfy Face-to-Face requirements, utilizing facility contacts and use of the EPIC system.
Facilitates medical record requests with patients, attorneys, and insurance companies to ensure timely results.
Manages branch inventory, ensuring adequate supply levels for daily operations, including ordering and organizing supplies.
Reviews and processes payroll for all clinicians.
Maintains HR employee files, including onboarding of new hires and assuring all HR requirements of current employees stay up-to-date.
Remains calm and professional in stressful situations with the ability to successfully multitask between completing workflow tasks timely and managing clinician communication requests.
Certified Ophthalmic Assistant
Illinois Retina Associates
Skokie, IL
10.2014 - 09.2022
Quickly scribe with doctor in patient exams to maintain accurate charting and patient flow
Assist ophthalmologist with testing and standard procedures
Clinical operations team lead with emphasis in staff development by creating training materials and programs
Mentored new and existing staff to achieve their goals
Worked closely with managerial teams to streamline clinic workflow
Receive patient history, ability to test and measure eye function; applied drops to anesthetize, dilate, or medicate eyes, test patient's far acuity, near acuity, peripheral vision, depth perception, and color perception, patient's field of vision, including central and peripheral vision, for defects, and charted all test results
Offers instructions to patients concerning eye care
Ability to stay focused, keep composure, and maintain speed while working in a fast paced environment
Ability to receive and make outbound calls helping patients with complex questions and ideas
Schedule surgeries, planned and emergent, and maintain a working surgical calendar
Schedule appointments and meetings
Knowledgeable with All Scripts and MDI/ICP software
Ability to work administrative roles - check in/out patients, take payments, check insurance/authorizations using multiple platforms including Availity, and bill/resolve claims
Medical Transcription / Medical Biller
Retina Consultants
Des Plaines, IL
08.2012 - 06.2014
Highly skilled in reviewing clinical notes to translate information into ICD-10 codes to satisfy insurance company's preferred guidelines
Able to perform charge review, claim submission, claim follow-up, payment posting and patient statements
Obtained physician referrals and pre-authorizations through multiple insurance companies, including Medicaid and ERMA systems.
Proficient in assigning correct medical codes to diagnoses and services
Follow up with insurance companies and ensure that all claims come to fulfillment
Transcribed clinical dictations for an 8-doctor practice
Recognized inconsistencies, identify mistakes, and obtain correct information
Scanned patient information into chart, faxed to corresponding doctors, and responded to medical record requests
Education
College of Dupage
Glen Ellyn, IL
High School Diploma -
Bolingbrook High School
Bolingbrook, IL
06-2007
Illinois State Univeristy
Bloomington-Normal, IL
Skills
Knowledge of medical terminology and ICD-10 / CPT coding
Experienced user in multiple EMR systems, including EPIC
Clinical experience, including patient triage
Proficient user of Microsoft Office applications with 100 WPM typing skill
Outstanding work ethic with ongoing determination to always learn and improve
Takes initiative and is driven by results
Strong attention to detail with excellent time management skills
Remarkable multi-tasker as a team player and independently