Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lisa McCall-Johnson

Mills River,NC

Summary

Experienced scheduling professional with strong focus on patient coordination and administrative efficiency. Adept at managing complex schedules, ensuring seamless communication between medical teams, and adapting to evolving needs. Known for collaborative mindset, reliability, and achieving optimal outcomes in fast-paced healthcare environments. Proficient in medical terminology, electronic health records, and patient care coordination.

Overview

32
32
years of professional experience

Work History

Surgery Scheduler

Emergeortho
10.2022 - Current
  • Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
  • Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
  • Arranged pre-operative and post-operative appointments for surgical patients.
  • Expertly managed planning, scheduling, and coordination of outpatient procedures.
  • Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
  • Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
  • Resolved scheduling conflicts to maintain high-quality patient services.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Updated daily operating room calendars with accurate appointment schedules.
  • Elevated patient experience by providing empathetic support throughout the entire surgical journey-from initial consultation to post-operative follow-up appointments.
  • Coordinated surgical team schedules for seamless procedure planning and execution.
  • Updated patient records to reflect upcoming surgeries and medical histories.
  • Ensured optimal patient care by maintaining detailed records of medical histories, insurance information, and surgical consents.
  • Enhanced patient satisfaction by providing clear explanations of surgical procedures and addressing concerns promptly.
  • Educated patients about surgeries and provided treatment plan documentation.
  • Utilized advanced software tools to optimize appointment availability and efficiently manage surgeon calendars.
  • Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
  • Streamlined operational efficiencies by collaborating with surgeons, anesthesiologists, and nursing staff to coordinate timely surgeries.
  • Contributed to overall clinic success with proactive identification of areas for process improvement in scheduling systems.
  • Improved patient scheduling efficiency by streamlining appointment booking processes.
  • Improved resource allocation, scheduling surgeries to maximize use of available operating rooms and equipment.
  • Enhanced patient experience by efficiently scheduling and confirming surgical appointments.
  • Facilitated smoother post-operative care transitions, coordinating with nursing and rehabilitation teams.
  • Collated pre-operative lab and imaging results to facilitate surgery planning.
  • Streamlined pre-surgery processes, ensuring all patients were adequately prepared for their procedures.
  • Improved surgery room utilization with meticulous scheduling, avoiding overlaps and downtime.
  • Reduced scheduling errors significantly, meticulously verifying details with surgeons and anesthesiologists.
  • Coordinated with multiple departments to ensure smooth operation on surgery days, reducing patient wait times.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Maintained accurate records for billing purposes, ensuring proper reimbursement from insurance carriers and patients alike.
  • Enhanced patient education on pre- and post-surgery care, contributing to better recovery outcomes.
  • Improved scheduling flexibility, accommodating patient requests and emergencies with minimal impact on planned procedures.
  • Assisted with medical coding and billing tasks.
  • Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Boosted efficiency of surgery preparation tasks, ensuring all necessary documentation was completed and filed.
  • Optimized surgical team workflows, arranging equipment and staff availability in advance.
  • Increased operational efficiency, managing surgery schedules to accommodate urgent cases without major disruptions.
  • Enhanced team collaboration by regularly updating all relevant parties on schedule changes or adjustments.
  • Maintained confidentiality and compliance with healthcare regulations, safeguarding patient information.
  • Facilitated communication between patients and medical staff, improving clarity and reducing anxiety.

Medicare Accounts Representative

Adventhealath
10.2021 - 09.2022
  • Increased client satisfaction by promptly addressing inquiries and resolving issues related to billing and account management.
  • Participated in quarterly audits, ensuring accurate financial reporting and compliance with industry regulations.
  • Supported customer satisfaction through regular follow-up and communication.
  • Responded to customer inquiries and provided detailed account information.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Generated and distributed monthly customer statements.
  • Maintained accurate records of customer accounts, payments and payment plans.

Referral Coordinator

Adventhealth
03.2019 - 10.2021
  • Scheduled appointments with specialists on behalf of clients.
  • Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
  • Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
  • Processed referral requests from patients, doctors and other health care professionals.
  • Responded to patient inquiries to offer timely updates regarding referral status.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
  • Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
  • Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
  • Developed and maintained strong working relationship with referral sources to streamline processing.
  • Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
  • Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
  • Enhanced patient satisfaction with timely coordination of referrals and appointments.
  • Assisted with completion of referral forms and verified data accuracy and completion
  • Monitored referrals to foster timely completion and followed up with physicians to facilitate.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
  • Contributed to practice growth by maintaining positive relationships with both patients and referring providers.
  • Improved departmental workflow by assisting colleagues with tasks such as appointment scheduling or insurance verification when needed.
  • Supported clinical team in managing complex cases through effective coordination of multiple referrals and appointments.
  • Collaborated with medical staff to ensure appropriate referrals based on individual patient needs and insurance coverage.
  • Coordinated with insurance companies to verify coverage, facilitating smoother patient experience.
  • Developed strong relationships with healthcare providers to ensure broad network of specialists for patient referrals.
  • Scheduled and confirmed referral appointments to reduce wait times for patients.
  • Facilitated referrals to other healthcare providers and resources to bridge service gaps.
  • Maintained accurate and up-to-date patient records, contributing to improved healthcare outcomes.
  • Reduced administrative errors by meticulously reviewing and processing referral requests.
  • Enhanced patient satisfaction by ensuring timely communication between medical providers and patients.
  • Fostered positive relationships with external healthcare facilities and specialists to expand referral options for patients.
  • Assisted patients in understanding their referral plans, leading to enhanced patient compliance and satisfaction.
  • Contributed to patient education by providing relevant information about their referral process and expectations.
  • Supported healthcare providers with timely access to patient referral information, aiding in better clinical decision-making.
  • Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care.
  • Reduced wait times for specialist appointments by proactively identifying available slots and coordinating schedules.

Medicaid Billing Specialist

Adventhealth
02.2008 - 03.2019
  • Regularly audited client records to ensure proper coding and adherence to state guidelines.
  • Served as a reliable source of information for colleagues regarding changes to Medicaid policies or procedures, promoting a well-informed team environment.
  • Prevented revenue loss by quickly identifying trends or patterns in denied claims, taking corrective action accordingly.
  • Supported management with ad hoc reporting requests related specifically to Medicaid reimbursement performance.
  • Enhanced billing accuracy by diligently reviewing Medicaid claims and identifying discrepancies.
  • Developed strong working relationships with Medicaid representatives, facilitating smooth communication and expedited problem resolution.
  • Managed a high volume of cases while maintaining strict attention to detail and adhering to tight deadlines.
  • Reduced claim denials by proactively addressing potential issues prior to submission.
  • Conducted comprehensive research to resolve complex billing issues, securing proper payment for services rendered.
  • Participated in continuous improvement initiatives aimed at enhancing overall billing operations within the department.
  • Maintained up-to-date knowledge of Medicaid regulations, ensuring full compliance in all billing practices.
  • Participated in ongoing professional development opportunities to stay informed of best practices and changes within the Medicaid billing landscape.
  • Increased revenue recovery with timely follow-up on outstanding claims and appeals.
  • Contributed to a positive work culture through effective collaboration and open communication with peers and supervisors alike.
  • Monitored accounts receivable aging reports closely, ensuring timely collection efforts were made on overdue balances.
  • Responded to customer concerns and questions on daily basis.
  • Collaborated with customers to resolve disputes.

Medical Insurance Specialist

Pardee Hospital
08.1992 - 02.2008
  • Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Liaised between patients, insurance companies, and billing office.
  • Optimized the use of practice management software systems for more efficient claim generation and submission processes.
  • Streamlined claim processing for faster payments by maintaining accurate patient records and insurance information.
  • Assisted coding specialists in understanding complex medical scenarios that required special attention during claim submission.
  • Expedited payment turnaround time with efficient follow-up on outstanding claims, addressing issues as necessary.
  • Supported team members in resolving complex or escalated billing issues, fostering a positive work environment focused on problem solving.
  • Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
  • Reduced claim denials by effectively communicating with healthcare providers to obtain necessary documentation and information.
  • Enhanced overall revenue collection by identifying and resolving billing discrepancies proactively.
  • Maintained strict compliance with federal and state regulations, ensuring proper coding practices were followed consistently.
  • Supported team members during periods of high workload or staff absences, ensuring uninterrupted service delivery in medical insurance billing operations.
  • Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Adhered to established standards to safeguard patients' health information.
  • Responded to customer concerns and questions on daily basis.
  • Handled account payments and provided information regarding outstanding balances.
  • Audited and corrected billing and posting documents for accuracy.
  • Collaborated with customers to resolve disputes.

Education

High School Diploma -

West Henderson High School
Hendersonville, NC
06-1989

Skills

  • Ability to communicate effectively with patients, families, staff and providers
  • Provide positive experience for patients to increase repeat business
  • Ability to collaborate with others to schedule surgeries
  • Use of data entry, filing, phone communication to help run the office efficiently
  • Capture and manage accurate patient information
  • Handle complex or changing schedules
  • Manage schedules efficiently
  • Ability for analyze information
  • Follow compliance requirements
  • Understand medical terminology

Timeline

Surgery Scheduler

Emergeortho
10.2022 - Current

Medicare Accounts Representative

Adventhealath
10.2021 - 09.2022

Referral Coordinator

Adventhealth
03.2019 - 10.2021

Medicaid Billing Specialist

Adventhealth
02.2008 - 03.2019

Medical Insurance Specialist

Pardee Hospital
08.1992 - 02.2008

High School Diploma -

West Henderson High School
Lisa McCall-Johnson