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Customer Service Administrative Assistant

Location:
College Park, GA
Posted:
September 02, 2023

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Resume:

Kentrenia Harris

Medical Office Specialist Atlanta, GA adze6o@r.postjobfree.com

+1-803-***-****

Patient scheduler with over 15 years of experience scheduling surgical procedures, clinic appointments, verifying insurance benefits and obtaining prior authorization in a fast paced environment while continuing to deliver excellent customer service to my patients.

Authorized to work in the US for any employer

Work Experience

Patient Access Representative American Health Imaging - Atlanta, GA July 2023 to Present

•Schedule patients for diagnostic imaging scan

•Collect accurate demographic, insurance, and all other billing information.

•Explain exams/procedures, preparation instructions and location /directions to patients and provider office staff.

•Answer calls through a phone queue as well as make outbound calls to patients.

•Verify benefits.

HEDIS Service Associate II CareNational/ Elevance Health - Remote January 2023 to April 2023

•Provided administrative, clerical, and scheduling support to HEDIS Abstractors conducting the Chart Review and Chart Abstraction portion of the HEDIS (Healthcare Effectiveness Data and Information Set) Audit.

•Provide telephonic support for the Quality department in order to meet deadlines associated within the project.

•Contact provider’s office for information pertaining to member and medical record request.

•Coordinate with provider offices to verify information, transfer documents, schedule onsite visits if needed, and other administrative functions.

•Fax HEDIS medical record request.

Administrative Assistant II

SC Department of Social Service - Sumter, SC August 2022 to October 2022

•Greeted customers at the reception desk, discern customer's needs and route them to designated program/case manager either directly or via tracking sheet through client registration.

•Copied documents for clients and scanned into the SCOSA system to appropriate case manager.

•Assisted clients applying for TANF and SNAP benefits, explains services, registers applications, assigns case managers and scans registered applications in SCOSA.

•Served as switchboard operator of the agency by receiving calls, transferring calls to the desired extensions, and assembling folders for intake cases.

•Performed clerical support for Economic Services and Family Services to include, application packets, appointment letters, transfer in and out cases, prepares alert changes, processes MR’s and scans into SCOSA, completes time studies, issues bus tickets, research via computerCounty Government records for Child Support, real property, and vehicle information.

•Received and distributed all drop box and incoming mail to appropriate individuals or folders in SCOSA, and prepared outgoing and courier mail daily.

Surgery Coordinator

CAROLINA WOMEN'S PHYSICIANS - West Columbia, SC

March 2022 to June 2022

•Scheduled and coordinated surgery and radiology procedures, cardiac clearance and pre-op test between patient, physician and hospitals.

•Updated physicians schedule as needed.

•Obtained all authorization for inpatient/outpatient surgeries, radiology procedures, hospital admissions.

•Scheduled peer to peer review, investigated prior auth denials and appeal denials.

•Assisted with referrals for office visits, past due balances on account and surgery payments.

•Communicated with the patient any and all pre-operative clearance and pre-radiology work up and testing.

Clinical Scheduling Coordinator- Gastroenterology

Cancer Treatment Center of America - Newnan, GA March 2016 to March 2022

•Scheduled all GI procedures and clinic appointments.

•Scheduled complexed appointments ranging from one provider to multiple providers.

•Entered patient’s demographic information in computer system.

•Coordinated surgeries, IR procedures, radiation consults appointments as well coordinated travel and hotel accommodations.

•Obtained all prior authorization for inpatient/outpatient surgeries, diagnostic tests.

•Scheduled peer to peer review, investigated prior auth denials and appeal denials.

•Assisted with referrals for office visits, past due balances on account and received and processed copayments and surgery deposits.

•Scheduled and educated patients and caregivers for our Advanced Recovery Program (ASURE).

•Maintained strict confidentiality and safeguard all patient-related information.

•Coordinated testing, labs, and other diagnostic data for pre-op clearance prior to surgery.

•Collaborated with patient, referring physician and surgical specialist to coordinate pre and post operative care for surgical patients.

Patient Access/Registration Piedmont Healthcare - Newnan, GA August 2019 to December 2020

•Registered patients as they checked into the ER.

•Ensured patient accounts are complete with valid insurance coverage.

•Verified and updated demographic data and insurance.

•Scanned patients signed consent, HIPPA, patient responsibility forms and Photo ID/Insurance card into Epic.

•Visited patients' rooms to collect insurance and financial information required for registrations.

•Explained financial responsibilities to patients as well as payment.

•Performed daily close at end of shift.

Assistant Manager

Auto Money Title Loans - Sumter, SC December 2013 to September 2015

•Assisted customers with new loans and loan renewals.

•Contacted customers regarding their account payments as well as collections.

•Additional duties included marketing and field visits, cash handling, performing daily open and close monetary balances and deposits.

•I also processed all paperwork for sold vehicles, filled out forms for processing at the DMV, and maintained all customer information electronically.

Patient Registrar

Carolinas Hospital Systems - Mullins, SC March 2013 to December 2013

•Interviewed and registered patients for outpatient services and direct admissions.

•Verified the patients demographic information and insurance benefits.

•Scanned demographics, insurance cards, ID, consent forms and physicians orders into the EHR, and obtained authorization for services.

•Collected copayments, deductibles and setting up payment arrangements.

Surgical Coordinator

Atlanta Colon & Rectal Surgery PA - Atlanta, GA March 2003 to August 2009

•Scheduled and coordinated surgery and radiology procedures, cardiac clearance and pre-op test between patient, physician and hospitals.

•Updated physicians schedule as needed.

•Obtained all authorization for inpatient/outpatient surgeries, radiology procedures, hospital admissions.

•Scheduled peer to peer review, investigated prior auth denials and appeal denials.

•Assisted with referrals for office visits, checked patients in/out, filed charts, answered multi- phone line, posted payments and charges, performed daily close and balance, collected copayments, past due balances on account and surgery payments.

•Communicated with the patient any and all pre-operative clearance and pre-radiology work up and testing.

Education

Trade Diploma

Wardstone College - Miami, FL

High School Diploma

Sumter High School - Sumter, SC

Skills

•Patient Scheduling, Microsoft Office (10+ years)

•Customer Service

•EMR

•MS Office

•Scheduling

•Word

•Filing

•Time Management

•Medical Office Experience

•Insurance Verification

•Epic

•Medical Terminology

•HIPAA

•ICD-10



Contact this candidate