McHenry, Illinois, United States
I’m a dedicated Medical Office Coordinator with 10+ years’ experience in family and maternity practices. I specialize in streamlining care coordination, optimizing revenue‑cycle management, and leading high‑performing teams. • Managed care for 250+ prenatal/postnatal patients weekly, cutting billing errors by 30% and boosting collections by 25% • Led a benefits verification team at CVS, resolving 80+ insurance accounts per day and reducing medication delays by 30% • Proficient in Epic, Cerner, ICD‑10/CPT coding, and HIPAA/CLIA compliance I thrive on process improvement, mentoring peers, and delivering exceptional patient experiences. Let’s connect if you’re looking for a results‑driven coordinator to elevate your practice’s operations.
Handle high volumes of inbound and outbound calls—addressing inquiries and resolving issues for patients, providers, and insurance carriers. Mentored peers on best practices. Conduct detailed benefit investigations, researching policy details and resolving complex coverage discrepancies. Obtain prior authorizations by liaising with prescribers and payers, reducing medication delays. Deliver exceptional customer service, maintaining positive interactions and a 95%+ satisfaction rate. Leverage deep knowledge of insurance plans, medical policies, and coding standards (ICD‑10/CPT) to expedite issue resolution. Navigate multiple healthcare systems and portals to update patient records and insurance data efficiently. Consistently meet or exceed production metrics, including call volume, resolution time, and accuracy targets.
Provided patient centered human services under the direction of the physician in a family practice setting. Services provided to patients included case management for chronic disease management, preventive care, maternity care, substance abuse, infant and baby care, vaccine management, and mental health including suicide prevention. Tracked patient outcomes and contacted patients to ensure follow through. Multiple practice improvement projects were launched with patients, staff, and physicians including crisis management, de-escalation, and motivational interviewing. Developed client base of those needing one-on-one care coordination for chronic disease and mental health management. Managed a large community of resources for referral coordination for upper level care.
Interviewed, hire and train new staff in accordance with HR guidelines. Managed daily staffing to ensure optimal operation of the practice. Monitor and approve time cards and track CLIA, CPR, and OSHA licensure requirements for staff. Conducted regular staff meetings and performance evaluations for the team. Created, enforced, and monitored new policies and procedures. Evaluated and reviewed monthly immunization rates for adults and children, implemented new policies to increase vaccine rates. Managed Vaccines for Children State Immunization Program and provided accurate daily and monthly reports to the state and physician. Input all fees into patient management system; Sent both electronic and paper claims; Researched and resolved all denied claims. Primary referrals coordinator, and the liaison for NV State Health Division Programs such as WIC, Cribs for Kids, NV Zero Suicide Initiative and other community resources. Left position to pursue degree in Human Services at Great Basin College. Returned November of 2015 as Director of Human Services, Case Manager.
Delivered compassionate support, attention, and assistance to patients and families. Worked directly with physician and patients to collect vital signs, test samples, maintain patient records, explain medical procedures to patients. Assisted in examinations and procedures such as pap smears, biopsies, circumcisions, and sutures. Ensured compliance with all health care regulations, including HIPAA, OSHA, and federally funded vaccine regulations. Prepared and administered medications for patients as directed by physician. Managed vaccine, medication, and medical supply inventory. Promoted to Senior Supervisor of both front and back office staff as well as Practice Administrative Assistant in October 2011.
Administrative duties involved with coordinating patient and physician schedules as well as bookkeeping, file management and office organization. Multi-line phone management, greet patients upon arrival, process payments, and insurance billing. Call patients with support and guidance as needed. Cross trained to assist LPN in nursing duties including, vital signs, charting, and minor medical procedures. Promoted to Medical Assistant in April 2010.