SARAH RENNER LUTES

ad4zcu@r.postjobfree.com 606-***-**** Brodhead, KY 40409

Highlights

• HIPAA compliance

• Exceptional time management skills

• Spreadsheet development

• Insurance eligibility verification

• Patient care advocacy

• Electronic Medical Record (EMR)

• Medical terminology knowledge

• CPR/BLS certified

Experience

Baptist Health Medical Center Corbin, KY

Patient Access Coordinator

11/2019 - Current

• Coordinated communications between patients and insurance carriers.

• Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.

• Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.

• Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.

• Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.

• Notified ordering providers of denied authorizations.

• Maintained files for referral and insurance information, entering referrals into system.

• Clarified patient inquiries and questions to update patient account information in computer system.

• Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.

• Coordinated resolutions for issues and appealed denied authorizations.

• Retained strong medical terminology understanding in effort to better comprehend procedures.

• Scheduled evaluations and procedures for patients.

• Collaborated with nursing staff to advocate for individual patient needs and insurance coverage.

• Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.

• Instructed patients on policies and required actions for different types of appointments and procedures.

• Applied HIPAA privacy and security regulations while handling patient information.

Kentucky One CHI London, KY

Patient Care Coordinator/Front Desk

Assistant

07/2006 - 10/2019

• Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.

• Updated patient accounts and information on a daily basis.

• Created databases and spreadsheets to improve the flow of the office.

• Managed incoming and outgoing calls for busy medical office.

• Scheduled and confirmed appointments for doctors and PA's.

• Standardized department filing system to increase efficiency.

• Handled and processed confidential patient information.

• Scanned and filed forms, reports, correspondence and other medical information.

• Recorded and filed patient data and medical records.

• Acquired insurance authorizations for procedures and tests ordered by the attending physician.

• Arranged and assisted with hospital admissions.

• Scheduled surgeries and procedures in conjunction with Surgical Coordinator.

• Retrieved physician correspondence and dictated office notes.

• Resolved and clarified issues with patient medications and collaborated with local pharmacies.

• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.

• Posted charges and payments to accounts.

• Kept department clean, organized and professional.

• Registering and checking out patients for numerous medical offices.

• Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.

• Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.

• Trained new medical and facility staff daily

• Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.

• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.

• Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.

Certifications

BLS - Basic Life Support

Education

American Medical Technologists Rosemont, IL, United States Certificate in Registered Medical Assistant

Rockcastle County High School Mount Vernon, KY, USA High School Diploma

Lindsey Wilson College Columbia, KY, United States Bachelor of Arts in Business Administration

Lindsey Wilson College Columbia, KY, United States Associate of Arts in Management

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