Administrative Coordinator - Healthcare Operations Specialist
Resume:
Jennifer M. Clark
**** *********** ******, ************, ** 19136
Cell Phone: 215-***-****
Email: ****.*******@*****.***
Objective: Seeking a challenging position with continued growth that will allow me to utilize my knowledge, skills, and experience which will be an asset within your organization.
Summary of Skills:
Proficient use of Kronos/ People Soft/ EPIC/ GE Centricity/ IDX/ SMS/ NET Term systems
Proficient use of Concur & TU Marketplace
Extensive knowledge of Inpatient/Outpatient billing/coding, precertification/authorizations, referrals and insurances
Possess excellent analytical, logical, verbal and communication skills
ICD-10, Medical Terminology, Data Entry
Midas, Navinet & Centricity GE online clearing house tool
Knowledgeable of insurance claim forms
Knowledge of Insurance Portals
Microsoft Office
Diagnosis and CPT coding books for prior authorizations for surgical procedures & outpatient authorizations for insurance via Navinet, Cigna HealthSpring, Medicaid etc.
Professional Experiences:
Temple Faculty Physicians- OBGYN
Administrative Coordinator 3/2022- Present
Administrative Assistant to Senior Administrator
Timekeeper for Administrative Staff, Nurse Practitioners, PA’s and Physicians in Kronos
Tracking attendance for all MA’s, Nursing, Provider & Clerical staff
Ordering Departmental Supplies using People Soft and Office Depot
Approving and validating clinical supplies ordered by clinical staff, back up to ordering clinical and pharmacy supplies, return of any broken, expired packages
Order IUD’s for all Buy & Bill patients including all locations
Monitoring and Tracking of 340B purchases, placing orders for clinical & pharmacy supplies including Student Health
Create clinical supply lists for department use in McKesson, SharePoint
Connect w/ contracts & procurement to have vendors updated in PeopleSoft, adding/removal of items
Back up to front desk staff- check in & check out processes
Submitting all vendor bills for payment to Accounts Payable, placing PO’s, obtaining cost estimates and communicating w/ vendors
Hiring Student Workers & Med Students for research studies and time keeper
Submit requests for department maintenance, quotes and office renovations- including paint, phone installation, port drops, hardware installation
Submit SARFs for newly hired employees to access departmental systems and new employee trainings
Assisted in pulling and submitting Fetal center charges to send to appropriate billing personnel
Assist with regulatory inspections, review medical supplies to ensure non-expired items are removed from clinical space
Assist with patient advocacy and patient complaints
Custodian to Petty Cash
Key dispenser for department and keep log to department keys
Works closely with Environmental Services Management to ensure cleanliness and compliance
Coordinate Human Resources departmental workshops
Schedule, coordinate department meetings
Keep track of Physician spending used in Concur and additional providers non-concur, assist w/ Physician concur submission
Temporarily in charge of Genetic Counseling Referrals to Genzyme
Track employee licenses and certifications, including all locations
Maintain yearly and update clinical laboratory licenses for all locations
Ordering new provider coats, business cards, phones
Process Provider Travel & Expense reports
Courier requests to deliver packages to all locations
Maintain small equipment maintenance w/ I Miller
Submit IT request for department computer/ printer issues
Back up for prior authorization, pharmacy submissions
Temple Health @ Fort Washington
Multi-Specialty Practices
Clerical Coordinator 11/2020-3/2022
Register and obtain insurances for patient appointments, verify insurance eligibility, collects and posts patient copays, request patient referrals from primary care physicians, arrive & schedule patient follow up appointments.
Check patients out and coordinate all future testing appointments, specialist appointments and Gastro procedures with review of prep prior to procedure.
Answer all incoming calls; enter telephone messages in EPIC and route to appropriate physician and team.
Work all EPIC in basket messages
Scan all records in EPIC, call-referring physicians for any medical history, labs, imaging or pathology reports for new patient appointments, also request any pathology slides to be transferred from one facility to another for a 2nd opinion.
Obtain prior-authorizations via online with the insurance portal or over the phone for Dermatology & Plastic Surgery Departments than schedule the patient for in office procedure as well as obtaining diagnostic testing prior authorizations.
Keep department waitlists for patients waiting to get in to see Gastro & Rheumatology.
Receive denials and Process Prior Authorizations for Medications.
Confirm patient appointments, work provider bump and wait lists.
Mail out all orders and schedule follow up appointments after their telehealth appointments.
Orient and train new staff to the processes here at Fort Washington.
Take in all patient complaints as well as advocate for the patient and assist in resolution
Review and distribute all mail
Temple Faculty Physicians
Patient Service Coordinator for Operations 5/2019- 11/2020
Patient Advocacy Rep: Answer all incoming calls, document complaints and forward to all department Administrators, follow up with Administrators to ensure patient recovery, keep Advocacy log updated, warm transfer to Patient Experience team for all hospital concerns.
Concierge Liaison: Assist in coordinating complex patient & foreign patient appointments, escorting them to their appointments on the hospital campus, arranging interpreter services if needed and collecting all associated medical records.
Manager of Float Pool- In charge of hiring new on-call front desk staff and on-call medical assistants, ensuring coverage throughout the entire Temple healthcare system based on department requests, ensuring staff has all required training and certifications prior to distributing to the practices.
Manager to Referral Coordinator: pulling referrals for all Specialties using the insurance portals, entering into GE system, logging data onto excel spreadsheet, sending referral requests to patient primary care physicians, updating patient accounts to reflect current insurance as necessary.
Keeping all department protocols up to date, tracking all surgery appointments ensuring they are within proper windows for appointments, back up to the Administrative Coordinator of Operations, responsible for all Pressganey reports.
Bayada Home Health Care 1/2018-10/2020
Home Health Aide- CPR Certified
Assist with routine care of the patient including bathing, grooming, dressing, changing, feedings and re-positioning of the patient.
Monitoring patients overall physical and mental wellbeing and reporting to appropriate parties any signs of abuse.
Additional supports include light housekeeping, meal prep and laundry.
Maintain a safe clean environment.
Temple University Physicians 5/2017-5/2019
Neurology & Vascular Surgery
Clerical Coordinator
Register and obtain insurances for patient appointments, verify insurance eligibility, collects and posts patient copays, request patient referrals from primary care physicians, arrive & schedule patient follow up appointments.
Answer all incoming calls; enter telephone messages in EPIC and route to appropriate physician.
Scan all records in EPIC, call-referring physicians for labs, imaging or pathology reports.
Schedules surgeries for multiple providers, obtains authorizations & referrals for surgeries.
Check patients out and coordinate all future testing appointments and specialist appointments.
Process Vascular consults and surgeries for billing- including demographics and pulling records out of Holy Redeemer Soarian.
Work reminder call reports and weekly clinic reports for administration.
Temple Head & Neck Institute 11/2011-08/2016
Clerical Coordinator
Schedules surgeries for multiple providers, obtains authorizations & referrals for surgeries, procedure appointments or injections.
Register and obtain insurances for patient appointments, verify insurance eligibility, collects and posts patient copays, request patient referrals from primary care physicians, arrive & schedule patient follow up appointments.
Answer all incoming calls; enter telephone messages in EPIC and route to appropriate physician.
Enter Audiology charges, balance cash drawer and charge entry batches. Run pending and arrive reports, missing charge reports for Audiology and confirm all surgery cases are billed promptly.
Assist with daily deposits and take to cashier office.
Scan all records in EPIC, call-referring physicians for labs, imaging or pathology reports.
Orient new staff to office & practices. Assist patients with transfer to Fox Chase Hospital. Back up support coverage to management with patient complaints or billing issues and front desk staff at all offices.
Advanced Physician Management Services, LLC. 01/2010-10/2011
Billing Representative
Responsible for daily oversight of Dermatopathology accounts: Atlantic and Baldassano. This includes charge entry, accounts receivable, AR rejections/denials, appeals, insurance verifications with navinet, UHC, Cigna, self pays etc.
Maintain Account Receivable Report on a weekly basis.
Perform electronic claims management through the clearing house online tool; sending 1500 HCFA claims to insurance companies and also obtaining insurance explanation of benefits for secondary & tertiary insurances.
Perform registration duties, schedule appointments, insurance verification; obtain pre-certifications and referrals for outpatient/inpatient services.
Copy, fax and file medical records
Temple University Hospital (The Bettinger Company). 11/2007-01/2009
Case Management Assistant
Create monthly schedules for student workers and on-call staff.
Provide coverage to patient Services Team when needed by scheduling appointments, insurance verification, and registration process.
Follow up with insurance companies for Inpatient determinations and entering determinations into Midas & SMS systems including NTB reports & retro.
Copy charts for patients placed in skilled facilities, nursing homes, acute rehab’s, mental institutions and inpatient drug & alcohol facilities.
Submit admissions and discharges information to insurance companies.
Support to Assistant Directors.
Temple Pediatric Physicians 08/2005-03/2007
Sr. Billing Rep/ Clerk
Billing and coding Inpatient charges for the PICU/ 7th & 8th floor Inpatient Well Baby Nursery and Neonatal Intensive Care Nursery as well as billing Outpatient consultations for the specialist.
Collect demographic information, billing and pre-certifications from TUH & TUCMC SMS systems for registration and claim submission.
Research and process RFI reports, Ingenix edits and claim form edits for claim resubmission.
Support to front desk registration and secretarial staff as needed.
Perform insurance verifications, IDX and SMS registrations and obtain and verify referrals.
Support to Primary Care and Specialties as needed.
Train personnel in billing and registration services.
Temple Pediatric Specialties 04/2000-08/2005
Receptionist/ Scheduler
Register patients using IDX system.
Verify insurance eligibility/ referrals.
Generate referrals in the IDX system.
Create and maintain large volumes of medical records for different specialty clinics.
Registering Outpatient labs in Inpatient/Outpatient (specialties, primary care, NICU, INPT admissions, and well-baby nursery) billing daily.
Answer phone calls and provide administrative support such as sending dictation to transcription agencies and mailing correspondence to referring physicians.
Temple Pediatrics Specialties 03/1998-03/2000
Medical Records Clerk
Create, maintain, and prepare a large volume of charts for different specialty clinic daily.
File large numbers of clinic records and correspondence daily.
Copy client records and answer correspondence to attorneys daily.
Register and verify insurance and generate referrals through the IDX system.
Register labs through the SMS system. Help with patient billing.
NOVACARE Outpatient Rehabilitation Center 06/1997-02/1998
Receptionist
Invoice multiple insurance companies (Automobile, Health, and Life) and process receipts.
Greet clients and operate a six-line switchboard.
Sort and distribute mail.
Copy client files for patient as well as bill attachments.
Maintain patient files.
Education: American Heart Association 01/2018
CPR/ AED/ First-Aid Certificate
Lincoln Technical Institute 05/2009-12/2009
Major: Massage Therapy
Northeast High School 09/1994-06/1997
Major- Business Administration
References: Available upon request
Contact this candidate