Call Center Representative

LindseyManning

*************@*****.***

928-***-****

EXPERIENCE:

March2016-June2023

LakesideOrthopedicInstitute

Receptionist&AuthorizationSpecialist

Responsibilities:

March2016-May2019 Receptionist

• Establishedexcellentrelationshipswithpatientsresultingincontinual complimentstomanagement.

• ProvidedexceptionalcustomerserviceinahighvolumeMULTI-specialty office.

• Registerednewpatients.

• DataEntry.

• verifiedeligibility.

• obtainedreferrals/authorizationsifneededfrominsurance.

• Accepted,posted,andreconciledpatientpayments.

• Accuratelyreconcileddailyrevenuereporttodeposits.

• IUnderstandandabidebyallHIPAApoliciesandprocedures. May2019-July2023 AuthorizationSpecialist

• Obtainedbenefitsandauthfordurablemedicalequipment,physicaltherapy alongwithpainmanagementproceduressuchasESI,kyphoplasty,RFA, injectablemedications.

• Excellentinterpersonalskillswiththeabilitytointeracttactfullyand diplomaticallywithpatients,families,referringphysician'sstaffandinsurance planrepresentatives

• Receivedauthorizationsfromhealthinsurancecompaniesviadirectphonecalls orcontactingthirdpartycompaniessuchasAIMorEVICORE,andALWAYS utilizedwebsiteswheneverpossiblethenreviewedofficenotes,referringdoctor records,andanyotherpertinentdocumentationneededtofollowguidelinesfor approval.

• Ihandledworkers'compensationclaimants,adjustersandnursecasemanagers forconsultationfollowupvisitsandofficeprocedures.

• WorkedwithTricare/TriWestandVeteranAffairs.

• AuthforMRI/CTscansalongwithmanyotherdiagnosticimagingexams.

• SentlabordersandH&Ps

May2012-May2013

Dr.DianaLEaston,DO,Family

Practice

MedicalReceptionist

Responsibilities:

• Establishedexcellentrelationshipswithpatientsresultingincontinual complimentstomanagement.

• Providedexceptionalcustomerservice.

• Accepted,posted,andreconciledpatientpayments.

• answeringhighvolumeincomingcalls.

• Successfullyrespondedtoandfollowedupwithpatientstoensuretheir concernswereaddressed.

• Establishedandimplementedcollectionsprocessincreasingaccountcollections byover70%anddecreasingaccountwrite-offs.

• Verifiedpatientaccountbalancesthroughbillingprogramstoensuresuperbills fordaily-scheduledpatientswerepresentedaccurately.

• Requestedallmedicalrecordsfornewandestablishedpatients;establishedor updatedinformationinthecomputersystem.

• Orderedlaboratoryandimagingordersandprovidedcorrectdiagnosticcodes.

• Professionallycontactedpatientstocommunicatetestresultswithcompassion.

• Researchedinsurancerequirementstoobtainauthorizationforpatientordered imaging.

July2010-June2011Arizona

CenterForHematology/Oncology

Referral-AuthorizationCoordinator

Responsibilities:

• Asthefirstcontacttonewlydiagnosedpatients,compassionatelycommunicated schedulingofappointmentseasingfearandensuringexceptionalcare.

• Recognizeddeficiencyinthesubmittalprocessresultingininsurancedenialof chemotherapycoverage.

• Researchedfiles;developedprocesstoappealtoinsurancecompanies;increased insuranceauthorizationresultinginincreasedrevenue;decreasedwrite-offsby

$500,000annually.

• Requestedauthorizationforpaperreferralsfromprimarycarephysicians, specialists,and/orinsurancecompanies.

• Receivedrecognitionforefficiencyandproductivityofofficeresultingin20% payincrease,whichwastheonlyincreaseforanyemployeeintwoyears. September04-December06

LakeHavasuImagingCenter

MedicalReceptionist

Responsibilities

• Providedexceptionalcustomerservicebyansweringmultiplephonelinestimely andefficientlywhilebeingengaging,warm,kindandthoughtfulsothatthe patientmayfeelheardandthattheircallmatters.

• Retrievedpatientinformation;assembledandpreparednewandestablished patientcharts.

• Performedofficedutiessuchasfiling,copying,faxing.

• Scheduledin-officeproceduresandappointments.

• Downloadedandtransferredpatients’transcribedreports.

• Proof-readpatientreportsuponreturnfromtranscriber.

• Loadedandunloadedpatientradiologyfilms.

Skills:Proficientinmedical

terminology,CPT/HCSPCS/DX

codes,andknowledgeofvarious

softwareincluding,

Microsoftproducts

Greenway

PhoenixOrtho

OPS

Varian

Mars

Medi-softZoom

Medi-SoftOffice

Medi-Softprofessional

Eclinicalworks

*Multi-task

*Utilizemultiplemonitors

*Useofmultipletabs

*workgreatinateamsetting

*workswellindependentlywith

littletonosupervision

References:

Availableuponrequest

Contact this candidate