CM

CAITLIN MORAN

Professional Summary

Medical Office Receptionist. Seeking to take next career step with a highly respected healthcare organization dedicated to producing positive patient outcomes/delivering exceptional customer service. Experienced customer service professional with over 4 years' experience working within the private sector's retail and services industry. Skilled in optimizing customers' experience by exercising active listening, critical thinking, paying attention to details, understanding customers' needs, and overseeing customers' reservations. Strong administrative skills including processing medical insurance eligibility & claims, inventory management, scheduling, records management, and organizing special events. Demonstrated effectual junior-level experience collaborating with colleagues, supervisors, medical staff and mid-level managers for problem solving to ensure compliance with various industries' policies and applicable government regulations.

Work History

Tucson Orthopaedic Institute - Insurance Specialist Tucson, AZ

01/2021 - Current

Tucson Orthopedic Institute - Inbound Receptionist Tucson

01/2021 - Current

Reviews provider schedules 2-3 days in advance to ensure demographic and insurance information are accurate.

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Ensures documentation is in patient chart, including but not limited to, referrals as per insurance guidelines and various test results,

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In coordination with appointment scheduling, clerk contacts patient prior to scheduled appointment to obtain accurate demographic information, authorizations and/or referrals as required by insurance guidelines.

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Verifies insurance eligibility through Allscripts, Payer Path, Mod Med and/or various insurance websites.

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Can submits pre-authorization requests to various insurances for scheduled services

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Notifies Patient Account Representative of any self-pay patients, all insurance contract questions and patients that have terminated their insurance

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● Maintains all patient demographics and HIPAA rules and regulations Worked closely with HR to maintain, update, and organize patients' records to ensure compliance with clinic and government policies and procedures

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Liaised between medical staff and patients; registered patients and monitored patients accounts for scheduling, insurance eligibility and billing in accordance with applicable insurance and government laws and regulations.

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Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.

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● Obtains all necessary patient referrals

Preps, scans, and allocates appointment charts, and sorts and scans faxes to patient charts

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● Follows Medical Record policies and procedures

ad4y0q@r.postjobfree.com

520-***-****

Tucson, Az 85756

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Skills

● COMPUTER SKILLS

Proficient in Mod Med, All Scripts PM,

Microsoft Word, Excel and Outlook; as

well as social network sites like

Facebook, Twitter, Snapchat, and

Instagram. Open to learning new skills

as well as perfecting set skills.

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● OTHER SKILLS

Networking: Developed and managed

relationships with managers,

customers, to include some

international customers,

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To facilitate successful employees and

customers conflict resolution.

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Soft Skills: Professional; Critical

Thinking; Written and Verbal

Communication; Time Management;

Multitask;

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Quick Learner and Reliable with

minimal level of supervision; Customer

Confidentiality; Events

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Planning; Organization; Loyal; Honest;

Obliging; Teamwork; Diversity of

thought and inclusion.

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Education

05/2017

Cienega High School

Vail, AZ

High School Diploma

Participated in various extracurricular

activities, such as volleyball. Developed

team building and leadership skills.

Learned time management and social

skills. Volunteered/had some work

experience observing at University

Medical Center's Labor and Delivery

department. Worked with patient service

and care, handled healthcare equipment,

and learned invaluable lessons on how to

effectively work within the healthcare

industry setting.

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