** ********* **, ******** ** *****,
Hooksett, USA, 03106
******.*.******@*****.***
PROFESSIONAL SUMMARY
Results-driven healthcare administration professional with over 20 years of experience. Proven expertise in patient access coordination, registration, and scheduling, with a strong commitment to accurate data entry. Demonstrated adaptability to remote work environments and a track record of delivering high-quality service. Specialized in insurance pre-certification, collaborating with payers to verify eligibility, benefits, and securing authorization for medical procedures. Proficient in coordinating referrals, resolving billing issues, and utilizing healthcare software for accurate billing and information entry. Skilled in customer service, cash transactions, and problem-solving in high-demand environments. Previous experience includes an Assistant Parent Aide Coordinator role, showcasing organizational prowess in scheduling meetings, assisting with payroll, and maintaining confidentiality in child/parent visitations. EMPLOYMENT HISTORY
2004 - 2023
SolutionHealth, Nashua, NH
Access Center Coordinator 2021-2023
• Orchestrated the registration and scheduling of patient appointments for primary care physicians, ensuring seamless healthcare access.
• Excelled in accurate patient information data entry and smoothly transitioned to effective remote work from home. Pre-Certification Coordinator 2010-2021
• Liaised with payers to meticulously verify eligibility, benefits, and authorization for medical procedures, emphasizing MRI’s, MRA’s, CT’s, and more.
• Played a pivotal role in obtaining insurance authorization for specific medical procedures, ensuring seamless care at healthcare institutions.
Referral Coordinator 2009-2010
• Coordinated the smooth process of referrals from PCP to specialist, managing both incoming and outgoing referrals.
• Obtained authorizations from diverse insurance companies, demonstrating proficiency in updating and maintaining the Master File for providers.
Patients Account Representative 2007-2009
• Successfully facilitated outgoing calls to resolve billing account issues, educating patients on prompt pay discounts, and managing budget programs.
• Demonstrated expertise in arranging and implementing budget plans, utilizing Misys Software for accurate medical insurance information entry.
Customer Service Representative 2004-2007
• Consistently provided exceptional customer service, resolving issues in a cheerful and positive manner in a high- demand work environment.
• Managed daily cash transactions and petty cash flow with minimal supervision, showcasing efficiency and clear, timely task execution.
1997 - 2002
Area Agency of Greater Nashua, Inc., Nashua, NH
Assistant Parent Aide Coordinator
• Orchestrated team meetings, showcasing strong organizational skills in scheduling, assisting with payroll, and meticulously reviewing weekly reports and court documentation.
• Coordinated child/parent visitations with a focus on individualized attention, conducting one-on-one sessions within the home or community setting. Fostered collaboration through team meetings with agency staff and engaged community resources, emphasizing advocacy and maintaining confidentiality. GLORIA CASTELLANO
EDUCATION
Hesser College
2003 NASHUA, NH
Associates Degree in Human Services
CERTIFICATES
Compuskills NH Works
2003
Medical Office Training Certificate
AWARDS
NOVEMBER 2013
Employee of the Month
REFERENCES
Katie-Lee Puleo RR (R)(CT)
ELLIOT HOSPITAL
• *********.******@**.***
Susan Anderson
SOLUTIONHEALTH
• ***********@***.***
Lisa Gilbert
SOLUTIONHEALTH
• *********@*******.***
Alicia Hannon
MY TURN INC.
• ******.********@*****.***
SKILLS
Patient Access Coordination
Insurance Pre-Certification
Referral Coordination
Billing and Account Resolution
Customer Service
Data Entry and Accuracy
Remote Work Adaptability
Organizational Skills
Healthcare Software Proficiency
Team Collaboration
EPIC
Microsoft Office Programs