LAKESHA WYATT

*** **** ********* ***

SAN LEANDRO, CA 94577

510-***-****

EDUCATION & CERTIFICATIONS:

Laney College, Oakland, CA

Associates of Business

Oakland High School, Oakland, CA

High School Diploma

CPR for Medical Professionals

Relevant Skills:

Medical Office Management

Data Entry (45 WPM)

Phlebotomy & Injections

Ancillary Testing

Medical Billing & Coding (ICD-9)

Bookkeeping & Filing

Insurance Verification

Medical Terminology

Medical Records Management

Taking Patient Vitals

Patient Scheduling

HIPAA & JCAHO Knowledge

PROFESSIONAL EXPERIENCE:

Alameda Alliance for Health (YOH Healthcare) Alameda, CA March 2018- July 2018

Utilization Management Coordinator

Prioritize, maintain, coordinate, process accurate and timely inpatient admission and post-discharge

Establish, facilitate and maintain effective ongoing relationships with network hospitals, SNFs, delegated groups, vendors and providers; facilitate communication and care coordination between network entities

Utilize established UM guideline pathways for screening, authorizing, and finalizing authorization for inpatient, outpatient, retrospective requests.

Reconcile daily hospital census reports and face sheets against plan’s authorization records; Maintain and communicate daily inpatient census and weekly discharge reports to hospitals.

Work with Medical Director, UM Management and clinical staff as well as other departments at the Alliance to receive, date, document and resolve inquiries/issues for claims, authorizations, appeals and eligibility. Perform these duties in a professional and timely matter. Receive and respond to claims issues related to an authorization.

Webster Orthopedics Medical Group Oakland, CA January 2017- March 2018

Mri Scheduler

Conduct face-to-face scheduling with patients in the clinic

Obtain insurance verifications/authorizations for mri procedures

Answer incoming calls for all patients and collect necessary information for data entry and scheduling purposes

Verify insurance information and input into Centricity EMR

Verify worker’s compensation and submit Request for authorization to the patient’s claim adjuster

Utilize email and other resources to communicate with patients and distribute new patient registration forms

Work closely with the orthopedic Physicians to facilitate coordination of scheduling follow up appointments

Alta Bates Hospital, Berkeley, CA (Contract)

Radiology scheduler October 2016-December 2016

Patient registration

Correlates scheduling of same day examinations with Physician and Nurses as to the time slot/preparation

Verify insurance benefits and obtain authorization

Obtains pertinent information for each patient appointment

Stanford Hospital, Stanford, CA (Contract)

Data Entry Coordinator – Pending Department April 2016 – June 2016

Supported the surgical unit’s pending department handling all data entry and authorizations of patient insurance providers.

Input all data collected through Epic and Apex Systems

Maintained communication with internal teams to obtain proper information necessary for the completion of patient records in pending process.

Interacted with various insurance companies included, but not limited to; HMO,PPO, Aetna, Cigna, etc.

UCSF, San Francisco, CA (Contract) April 2015-May 2015

Data Coordinator-Transplant Department

Performed collection and data entry into Titus for liver, kidney, pancreas, lung and heart transplants for the department of surgery.

Collected data from source elements such as APEX/EPIC, Titus, out-patient charts and medical records; for acquiring data from patients and local physicians; and performing patient interviews by phone.

Entered data into Titus for both the recipient and donor for all transplants both deceased and living for all organ recipients.

Scanned and uploaded all documents into Titus.

Removed patients from Titus waiting list.

Performed manual lab entries for both donor and recipient.

Processed living donor registration (LDR) forms and transplant recipient registration (TRR) forms prepared by the Nurse Coordinators.

San Leandro Hospital, San Leandro, CA (Alameda Health System) July 2011-March 2015

Secretary II-Radiology/Radiology Scheduling Coordinator

Performed clerical duties: Answering multi-line phones, directing inquiries, maintains files, diagnostic film and reports.

Maintained and coordinates required patient information including: medical history, patient charts, registration and billing.

Scheduled patient appointments for Nuclear Medicine, DEXA, Ultrasound, CT scan, PET Scan, Mammography and Breast Biopsy.

Interact with Radiologist, MD offices and patients.

Instructed patients in preparations for scheduled services.

Communicates with patients, physician office and Health Plan to obtain all information necessary for appropriate scheduling within HIPPA guidelines and policy

Prepare copies of x-ray reports/films for additional treatment.

Schedules surgical and anesthesia procedures with various departments

Answered calls and determined callers’ needs in order to appropriately refer cases.

Maintain all office supplies regularly as needed.

Eden Medical Center, Castro Valley, CA July 2007-July 2011

ED Registration/Admitting/Outpatient/Radiology

Registered patients for surgery, procedures or emergency room visits.

Entered accurate information onto appropriate forms and into the computer system.

Collected appropriate co-payments, and obtained signatures and escorted patients to destination if required.

Verified Insurance and patient demographic information.

Completed registration of patients into the computer system while coordinating their placement with the nursing units.

Worked closely with the nursing staff, physician's offices, and other medical center departments.

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