Detail-oriented Precert/Denial Coordinator skilled in multitasking, process improvement, and customer service. Proven ability to coordinate patient care and streamline precertification processes, ensuring timely approvals and enhancing patient satisfaction.
Proactive professional with a solid background in healthcare administration, known for enhancing workflow efficiency and patient satisfaction. Experienced in training new staff and improving processes for precertification and scheduling, ready to drive impactful results.
Overview
15
15
years of professional experience
Work History
Precert/Denial Coordinator
FirstHealth of the Carolinas Inc.
Pinehurst, NC
06.2018 - Current
Developed training materials to support onboarding processes for new team members.
Provided training to new hires
Worked closely with other offices to get precerts for patients in a timely manner
Reviewed precerts for out patient procedures for correct location, CPT and DX codes and dates
Input precert information into patient charts
Rescheduled patients when precerts were not ready
Informed patients about precert needs
Verified insurance and precert requirements
Added new insurance when needed
Worked closely with management on optimal DAR usage
Answered questions about precert requirements for out patient procedures from patients, outside offices and other departments
Office Assistant Sleep Lab
FirstHealth of the Carolinas Inc.
Pinehurst, NC
07.2015 - 06.2018
Managed scheduling and appointments from multiple departments, ensuring efficient workflow and timely communication.
Met with patients in office for Sleep Lab tours and explanations
Answered patient questions
Obtained sleep study precerts
Worked with other offices and departments to get correct information to get sleep studies approved with insurance
Scheduled patients for sleep studies and follow up appointments
Input patient information into Epic
Answered questions from outside offices and departments about sleep study requirements
Office Assistant
Sandhills Regional Medical Center, Firstsource-Medassist
Rockingham, NC
08.2012 - 08.2014
Managed patient scheduling to optimize clinic workflow and reduce wait times.
Assisted in maintaining accurate medical records and updating electronic health systems.
Coordinated communication between departments to streamline patient referrals and services.
Trained new staff on office procedures and best practices for patient interactions.
Supported billing department by verifying insurance coverage and processing claims accurately.
Developed training materials for office protocols, enhancing team performance and compliance.
Maintained confidentiality in handling sensitive information while performing administrative tasks.
Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
Increased customer satisfaction by providing professional and courteous front desk support.
Prepared and edited documents to produce precise, accurate and professional communication.
Office Assistant
Purcell Clinic
Laurinburg, NC
05.2011 - 05.2012
Implemented process improvements that enhanced efficiency in administrative operations.
Led initiatives to improve patient satisfaction through effective follow-up communications.
Expedited document processing with accurate data entry and timely filing.
Contributed to a positive work environment by fostering open communication among colleagues.
Achieved high levels of accuracy in data entry tasks while adhering to strict deadlines.
Provided assistance with office changing over from paper charts to EMR
Education
Associate of Science - HealthCare Management Technology
Fayetteville Technical Community College
Fayetteville, NC
05-2011
Skills
Multitasking and organization
Customer service
Data entry
Decision-making
Work Planning and Prioritization
Relationship building
Discretion and confidentiality
Schedule coordination
Document management
Recordkeeping
Process improvement
Project assistance
Point of contact
Information collection
Timeline
Precert/Denial Coordinator
FirstHealth of the Carolinas Inc.
06.2018 - Current
Office Assistant Sleep Lab
FirstHealth of the Carolinas Inc.
07.2015 - 06.2018
Office Assistant
Sandhills Regional Medical Center, Firstsource-Medassist
08.2012 - 08.2014
Office Assistant
Purcell Clinic
05.2011 - 05.2012
Associate of Science - HealthCare Management Technology
Denial Management Coordinator/HIM Coordinator at MercyOne North Iowa Medical CenterDenial Management Coordinator/HIM Coordinator at MercyOne North Iowa Medical Center