Ofessional Skills Medical Office Procedures Front-Desk Reception Patie

Vikki Shawn Grindstaff

**** ***** ***** ******, ** 31632

318-***-**** Email: ***************@*****.***

Effective in handling office and administrative task within busy multi-physician practice by maintaining accurate up to date schedules for both Program Managers and patients.

Expedient in answering telephone calls, processing patient check-in/out, verifying insurance to determine eligibility for services, and making referrals to other facilities or sections.

Efficient in managing accurate up-to-date appointment scheduling, communicating general instructions to patients, maintaining excellent customer service and telephone etiquette.

PROFESSIONAL SKILLS

Medical Office Procedures

Front-Desk Reception

Patient Relations, Customer Service, and People Management

Insurance Verification, Clinical Claims Resolution, and Formulary Information

HIPPA Rules and Regulations

Medical Terminology, Billing, and Coding and making Referrals

Claims Filing

Physician Support

Computer Programs:

Electronic Medical Record (EMR) ALTHA

Center for Health Care Strategies (CHCS)

Defense Enrollment Eligibility Reporting System (DEERS)

Aeromedical Services Information Management System (ASIMS)

Military Health System (MHS) GENESIS

Third Party Outpatient Collections System (TPOCS)

Medical Information Technology (MEDITECH)

CureMD

Cerner

Georgia Medicaid Management Information System (GAMMIS)

Star Navigator

Environmental Process Improvement Center (EPIC)

DiaWeb

NextGen Healthcare

MS Office (Word, Excel, Outlook, and Power Point)

PROFESSIONAL WORK EXPERIENCE

23rd Medical Group (Moody AFB, GA): Pharmacy Technician

February 2023 to Present

Demonstrates knowledge of the organizational and functional responsibilities and operations of the organization. Assists the pharmacists in providing quality pharmaceutical care to all patients by performing technical duties in the pharmacy department, working under with the Pharmacist and/or the Technician Supervision. Interpret and enter prescriptions. Answers, resolves, and triages inbound inquiries. Understanding of third party insurance and follow-through of insurance related issues. Resolves insurance-related issues and assist patients with various forms. Professional filing of prescriptions (right medication, right dosage, right amount). Identifies medications requiring special storage and/or handling such as hazardous medications and refrigerated medications. Identify and assembling supplies necessary for selected medications such as sharps containers, needles/syringes, alcohol swabs, and band-aids. Prepares medication for delivery to patients and departments. Communicates directly with patients over the phone and face to face to assist them in the awareness of their medications. Reads and interprets physician’s medication orders. Knowledgeable of pharmacy information systems.

23rd Medical Group (Moody AFB, GA): Advanced Office Clerk/Program Support Assistant

August 2021 to January 2023

Ability to plan and organize management programs and functions of an organization. Provided clerical/administrative program assistance for the Moody Medical Group. In addition provides Program Assistance - Support to management in the COVID line. Has understanding and experience using various office automation software programs, tools, and techniques to support office operations and produce a variety of documents such as letters, reports, spreadsheets, databases, and graphs. Schedules appointments in Composite Health Care Systems (CHCS/AHLTA) or MHS GENESIS for primary care, specialty and subspecialty medical care. Arranges and schedule appointments, relay general instructions to patients, or make referral to other in network facilities. Supports PCM by name processing for appointment and appropriate access to care time frames during allocation of standard appointment types. Maintains accurate and up-to-date patient schedules and logs. Utilized government computer system tools and standard protocols and procedures (detail codes, freezing slots, and TRICARE on-line usage) to facilitate maintenance of appointment slots, rescheduling, rescheduling options or cancellation processing. Serves as a medical records technician to process, maintain inpatient, outpatient or ambulatory procedure unit medical records. Required to compile or extract medical records data to ensure compliance with regulatory requirements. In addition, performs management support in a variety of tasks commiserate with COVID Vaccine and Testing Operations after completing all assigned training through CDC, DoD, AFMRA, or Medical Group required training for vaccination or testing of infectious diseases or other diseases of concern. Greets patients and screens patient COVID questionnaires for appropriateness and accuracy.

23rd Medical Group (Moody AFB, GA): Medical Billing Clerk

June 2021 to August 2021

Skilled in fact-finding, problem analysis, problem resolutions, and development of concrete action plans to solve problems. Extended a warmly friendly greeting to all patients, answering their questions and directing them to their destination as necessary. Educates beneficiaries and Military Treatment Facility staff about the various billing and collections programs and processes to include the requirement of a DD Form 2569, Third Party Collections. Record of Other Health Insurance, and the required completion of an Injury Log. Facilitate procedures and processes for Third Party Collections, Medical Service Account and Medical Affirmative Claims IAW DoD 6010.15-M, Military Treatment Facility (MTF) Uniformed Business Office (UBO) Manual. Use other databases (internal or external to MTF) in compliance with HIPAA guidelines to identify insurance coverage. Input and update patient insurance information in CHCS, ALTHA, or MHS GENESIS and TPOCS or other databases required by the MTF.

Diabetes Heathway’s at Munroe Regional Medical Center (Ocala, FL): Program Assistant

July 2017 to October 2017

Ability to gather, analyze and present facts, communicate effectively, using tact and courtesy and possess the ability to plan, organize work, and meet deadlines. Provided assistance to the Program Director in the development and implementation of the communication plan established for the Medical Center. Composed, proofread and edited documents ensuring grammar accuracy and correctness. Responsible for typing, proofreading, transcribing, and recording handwritten information. Filing reports, correspondence, and documents essential to team function.

Achievement Highlights:

Improved the organization of the filing systems of patient medical records and practice records that saved time and improved efficiency for everyone.

Maintained Diabetic patient program ensuring accuracy on data entry for inpatient and outpatient and physician documentation, tracking 400+ Diabetic patients and their follow up schedules.

Leveraged medical transcribing and coding knowledge along with communication skills to advocate successfully for patients with insurance denials and HMOs. Excelled at reversing denials into fully reimbursed medical claims.

23rd Medical Group (Moody AFB, GA): Medical Support Assistant/Receptionist:

January 2011 to February 2013

Managed the Medical Group telephone lines, answering calls, directing calls to the appropriate section, and took telephone consult for nurses. Organized and scheduled appointments for Family Practice and Pediatrics. Maintained accurate patient schedules and determined eligibility for services through CHCS and ALTHA. Assisted with creating new records for Pediatric patients. Arranged for patient consultations with other departments/ facilities. Immediately referred information on patients needing emergency care to appropriate technician, nurse and/or physician.

377th Medical Group (Kirtland AFB, NM): Medical Support Assistant/Receptionist:

May 2006 to October 2008

Extended a warm friendly greeting to persons, determined the nature of their visit in order to direct them to their destination. Performed office duties, collected vital correspondence and prepared for distribution. Answered 100+ phones daily successful to a 97% satisfaction rate. Provided multifaceted administrative support busy general surgery and orthopedic clinics, scheduled meetings, surgical consults, surgical procedures in 3 different facilities and follow-up appointments for 5 surgeons. Handled pre-certifications, insurance verification, made sure that patient understood what procedure they were having done. Managed medical record upkeep, made operating medical record by obtaining patient’s medical history / physical information. Facilitated patient appointments with outside medical facilities for diagnostic tests, mammograms, BSGIs, breast MRIs, and breast biopsies within the Department of Defense (DoD) guidelines as requested by providers and surgeons.

Achievement Highlights:

Developed a Standard Operations Procedures (SOP) Manual that highlighted the day -to -day procedures with a checklist and forms for each procedure along with what patient information was needed.

Received Civilian of the Quarter award for the Medical Group and then Wing.

Received an award along with a letter of appreciation for my Volunteer work with the Sexual Assault Response Coordination (SARC) from Senator Pete Domenici

EDUCATION

Georgia Military College

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