Lisa A. Chenes
**** ******* **** *** *****, NV **131 702-***-**** adz4n8@r.postjobfree.com
Accomplished and dedicated Client Services professional
with solid leadership, surgery scheduling and decision making skills
QUALIFICATIONS SUMMARY
More than twenty five plus years’ active participation in a Surgery Scheduling/ Office Manager/Client Relations within the Healthcare Industry.
Multi-task oriented and results driven with a consistent record of translating business strategy into direction, plans, and measurable objectives.
Excel in a leadership role and highly skilled in employee training and development.
Adept in analyzing workflow and managing the production components of work in progress to ensure that business/physician goals are met and customer satisfaction is maintained.
Highly knowledgeable in healthcare benefit plans, medical/dental insurance, pharmaceutical claim adjudication, medical coding, pharmacy plan set-up, and insurance subrogation, as well as Medicare/Medicaid, COBRA, and Workman’s Compensation.
Adept in medical coding (ICD-10, CPT coding).
Superior analytical, research, negotiation, and interpersonal communication skills.
Team player, self-motivated, and results driven with proven ability to excel in a fast-paced, deadline-driven environment.
COMPUTER/TECHNICAL SKILLS
Proficient in Windows and Microsoft Office, Word, Outlook, Advanced MD, EMR and EHR systems
PROFESSIONAL EXPERIENCE
LVNI/ Dr Patrick McNulty MD
Office Manager/ Surgery Scheduler 6/2022- current
Perform office manager and surgery scheduling duties
Oversee the surgery registration process including insurance authorization/verification, scheduling with the hospital and surgery centers, equipment coordination and patient pre and post-operative instructions
Directed all clinical processes to ensure documentation aligned with procedures
Managed the work staff to ensure high quality customer service for our patients and to ensure office procedures were followed
Increased patient satisfaction scores and revenue for the practice
Created and maintained the physician’s schedules according to authorizations, referrals and patient needs
Credentialing for the physician
Nevada Orthopedic and Spine Center, Las Vegas, NV 3/2002-6/2022
Team Lead/ Surgery Scheduler Dr Ronald Hillock MD
Team leadership (scheduling and responsibilities) and surgery scheduling duties
Strategic planning for innovative programs and procedures/ Implant Research Studies
Insurance authorizations, communication with surgical facilities and patient instructions
Fostered relationships with vendors to expedite surgical processes successfully
Policy and procedure modifications with workflow planning and training new employees
Project management for new procedures, equipment needed, and follow up for manufacturer trials
Credentialing for the physician
Medical collections
Cardinal Health, Inc., Las Vegas, NV 10/1994 – 3/2001
Client Service Coordinator/Account Manager
Perform extensive customer relations with insurance companies, medical offices, and patients to verify and quote insurance benefits, set-up drug manufacturer agreements, and oversee shipments of special handling pharmaceuticals as Nexus Indigent Program Representative.
Train newly hired Client Service Representatives in latest technologies for pharmacy plan implementation.
Conduct insurance reviews and serve on panel forums.
Create and edit new plans and networks for client base, provide technical and pharmaceutical desk support as Lead Help Desk Coordinator.
Created and implemented operational manuals for the Pharmacy Help Desk staff and client base.
Maintaining optimum customer call center support, introducing new products to current clients, and referring new clients with a 99.9% call center performance rate.
Medical collections of accounts
EDUCATION
Otterbein College, Westerville, OH, 3 years
Bachelors of Nursing
Professional Development/Certifications:
Conflict Management
Project Management
HIPPA and OSHA yearly Training
Customer Service Skills Training
Supervisory Skills Training
Quality Service Skills Training