Physician Medical
Resume:
Debra E. McCain
Richmond, Texas 77407
********@*****.***
(C) 832-***-****
(H) 281-***-****
Objective Statement
As individual with administrative skills complemented by proven organizing and coordinating skills looking to promote value to clients, support business success and contribute to exceptional customer service.
BACKGROUND
Billing & Scheduling
Budgeting & Invoicing
Risk Management
Claims & Litigation
Legal Transcription
Medical Transcription
Medication Pre-Authorization
Title 19 Preparation
Education Coordinator
International Patient Coordinator
Credentialing Support
Physician Curriculum Vitae
Sharepoint
Typing 80 WPM
Microsoft Suite
Claims Pro software
Risk Pro Software
Notary
Selected Accomplishments
Provided direct support to high levels of the organization including the Chief Risk Executive and Dispute Claims Managers.
Maintained concurrent budgets for multiple agencies and groups including Physician Services, Operator Services and Health Referral Services.
Sustained high interaction with social workers, attorneys, clinicians, nurses, rehab centers, families and case management to resolve clinical issues.
Managed high volume of current and forecast calendars and scheduling appointments for up to five (5) physicians including routine work, travel arrangement and reimbursements.
Maintained the full business cycle including processed invoices, expense reports; check request and open and closing of all Purchase Orders for the department.
Managed patient screening and scheduling responsibility across dental functions including myo-therapist, osteopath and hygienist related to infant and pediatric surgeries and general office visits.
Streamlined patient referrals flow by collecting patient and insurance documentation to facilitate interaction with SPG/PCG providers.
Coordinated timely Physician credentialing by receiving the packet, flagging and verifying physician’s status, adding and verifying additional information needed such as CV, licenses, insurances, and the like, and processing files forward to corporate.
Led training effort as Training Lead for new patient access (PA) team members through PA process and systems.
Served as Learning Coordinator preparing all materials needed for CME lectures, physician seminars and symposiums, new physician orientation, women’s physician luncheons and conferences, and other functions.
Selected as Department Super User and User Trainer to various platforms and tools including Kyruus ProviderMatch reporting and workflow.
Employment Experience
Kidstown Dental, Katy, TX Sept 2018 – Present
Scheduling Coordinator
Patients scheduled for myo-therapist and osteopath dentistry, and several hygienists on staff.
Addressing, responding to and resolving all customer incoming calls and emails.
Screen patients for specific services and provider insurance.
Schedule infant and pediatric surgeries and general office visits.
Act as first response to urgent dental crisis such as emergencies, accidents and injury.
Houston Methodist, Houston, TX May 2016 – Sept 2018
Patient Access Coordinator
Trained new team members in the Patient Access (PA) workflow.
Ensured policy and procedure adherence through performing quality assurance audits
Coordinated and aligned Clinical and Physician schedules to internal and external customers.
Portal managed for HIPPA compliant enrollment of new patients.
Patient referral flow managed from collection of patient and insurance documentation through assigned SPG/PCG provider.
Maintained, updated and created daily reports and uploaded into Sharepoint,
Department Super User and User Trainer assigned to various platforms and tools including Kyruus ProviderMatch.
ACD/CISCO phone system managed to ensure high patient and physician service and rapport.
Texas Children’s Hospital-TMC, Houston, Texas May 2015 – May 2016
Department Administrative Coordinator
Core training curriculum delivered as Education Coordinator.
Physician patient relations directly managed for five (5) spinal cord specialty and rehab physicians.
Coordinated physician credentialing through receipt of the packet, verifying physician’s supporting documentation, and adding additional information needed such as CV, licenses, insurances, and performed record submittal per corporate guideline.
Maintained calendars and scheduling appointments for five (5) physicians on a daily and weekly basis.
Worked directly with vendors to address and resolve all incoming vendor inquiries.
TIRR Memorial Hermann -TMC, Houston, Texas Apr 2014 – May 2015
Office Assistant II
Provided physician patient relations support four (4) brain injury physicians.
Patient prescription issues addressed through regular pre-authorizations and meeting certification requirements.
Clinical issues resolved through cross-functional interaction with social workers, attorneys, clinicians, nurses, rehab centers, families and case management.
Backed-up doctor billing requirements by completing the physicians’ billing sheet when billing support is out of the office.
Ensured physicians’ various licenses are current and address gaps as needed.
Acted as backup for other physicians whenever their office support is unavailable.
Northwestern Memorial Hospital, Chicago, IL
General Counsel, Claims & Litigation – Legal Secretary/Notary July 2004 – Apr 2014
Physician Services Department - Administrative Assistant, Secretary II Feb 2001 – July 2004
Provided direct administrative support to the Chief Risk Executive, Claims Managers, and for Director and Manager of Physician Services, duties included calendars for litigation and medical commitments, travel and conferences.
Assisted in Discovery-Assist for Claims Manager in answering interrogatories by obtaining necessary information i.e. policies, procedures, ID signatures, etc.
Non-litigation subpoena requests processed from staff and outside counsel.
Annual and monthly budget maintained for Physician Services, Operator Services and Health Referral Services at the planning level and for ongoing operation.
Processed all invoices, expense reports; check request and open and closing of all Purchase Orders for the department.
Medical Records, Radiology Film Pathology Reports, Fetal Monitor Strips and Ultrasound Reports ordered upon Discovery request.
Scheduled, coordinated and maintained all interviews, meetings, conferences, conference calls and department staff meetings.
Prepared all materials needed for CME lectures, physician seminars and symposiums, new physician orientation, women’s physician luncheons and conferences, etc.
Notary provided for Northwestern Memorial HealthCare, service for 20000 member organization.
Other Organizations:
Equity Group Investments – Executive Assistant
BauerLaToza Architectural Firm – Architect Assistant II
Midwest Orthopedics – Medical Transcriptionist/Medical Secretary
Arthur Andersen – Document Specialist
Education
MSTA Business Institute, Chicago, IL
Major: Medical and Legal Transcription
SKILLS
Typing 80 WPM, Dictation 85 WPM, Medical Transcription, Legal Transcription,
Microsoft Office: Word, Excel, Access, PowerPoint.
Keywords: Verbal Analytical skill Typing 80 WPM Risk Management Claims & Litigation Depositions Medical and Legal Transcription Patient Access Coordination Good Work Ethic Can work independently Prioritizes work tasks Demonstrates accuracy Streamline processes Report development and presentation Adheres to system policies, procedures, guidelines and standards Budgeting & Invoicing Billing Scheduling Requisitions Expense Reporting Purchase Orders Inter/Intra-department workflow Anticipates client needs Multi-task Proactive Problem Resolution Shares acquired skills Medication Pre-Authorization Medical records HIPPA Title 19 SOP development Training & Medical Education (CME) coordination Critical Conversation Credentialing Preparation Physician & Executive Curriculum Vitae Notary Kyruus ProvideMatch Athena workflow Claims Pro & Risk Monitor Pro Software ACD/CISCO NETS Microsoft Word Excel PowerPoint Outlook
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