Results-driven healthcare professional with strong background in Medication Coordination, Billing and Coding and Medical Back Office Coordinator. Proven ability to ensure accurate medication administration and maintain compliance with healthcare regulations. Reliable team player who adapts to changing needs and prioritizes collaboration and efficiency.
Experienced with managing medication schedules and coordinating with healthcare providers. Utilizes effective communication skills and attention to detail to ensure accurate medication distribution. Track record of maintaining compliance with medical protocols and improving patient outcomes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Consumer Medication Coordinator
Optum Rx
Canton, GA
01.2019 - Current
Communicating with consumers that have Mental Health issues, Recruiting to sign up for or Rx program
Assisting consumers regarding all medication questions, providing information about Genoa service.
Assisting providers as well as doctors in recruiting new consumers and assisting with patient assistance program applications and encouraging positive feedback while growing business.
Tracking medications through PAP and packages being delivered from our Pharmacy.
Helping manage prior authorizations.
Conducting monthly marketing strategies.
Managed complex medication regimens for multiple patients simultaneously, prioritizing needs based on urgency and risk factors.
Ensured appropriate storage and handling of medications per regulatory guidelines and institutional policies..
Developed strong relationships with healthcare team members, fostering a collaborative approach to patient care.
Unpacked, sorted, counted, and labeled all incoming medications to keep optimum inventory levels.
Identified and reported medication errors to avoid distributing wrong medication to patients.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Front and Back Office Medical Assistant
Comprehensive Spine and Pain
Paulding, GA
07.2017 - 12.2018
Assisted office manager with tracking inventory and restocking examination rooms and stations.
Facilitated patient flow by notifying provider of patients' arrival, being aware of delays and communicating with patients and clinical staff.
Enhanced the overall patient experience with friendly service at reception while managing phones lines promptly to answer inquiries or book appointments efficiently.
Increased patient comfort levels with attentive listening skills while obtaining medical histories and addressing any questions or concerns they may have had.
Expedited insurance claim processing by accurately recording patient information and submitting necessary documentation in a timely manner.
Supported effective billing practices by collecting copays, verifying insurance coverage, and resolving any discrepancies in a professional manner.
Ordered prescription refills on behalf of existing office patients.
Maintained the confidentiality of sensitive patient information by adhering to HIPAA guidelines when handling medical records and documents.
Comforted patients by anticipating patients' anxieties, answering patients' questions and maintaining reception area.
Created new patient charts and scanned documentation before and after appointments into EHR system.
Assisted physicians with various procedures, improving the quality of care provided to patients throughout their visit.
Laboratory Assistant
Millennium Health
Canton, GA
08.2014 - 07.2017
Handled hazardous materials responsibly following proper waste disposal procedures to minimize environmental impact.
Actively participated in lab safety inspections, identifying potential hazards and implementing corrective actions promptly.
Maintained documentation on tests performed in lab.
Tracked collected specimens by initialing, dating, and noting times of collection.
Reduced sample contamination risks through rigorous adherence to proper specimen handling techniques.
Prepared samples for shipping and disposed of bodily fluids in proper containers.
Maintained accurate and up-to-date laboratory records, ensuring compliance with institutional guidelines and facilitating audits when necessary.
Trained new laboratory personnel on standard operating procedures, ensuring consistent performance across team members.
Contacted physicians, nursing stations, or reference laboratories for resolution assistance with unusual test orders.
Recorded and analyzed data to produce reports of results.
Analyzed results using analytical software and created reports.
Medical Biller and Coder
North Georgia Pain Clinic
Canton, GA
02.2012 - 08.2014
Correctly coded and billed medical claims for various hospital and nursing facilities.
Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
Education
No Degree - Business Administration And Management
Austin Community College
Austin, TX
09-2003
High School Diploma -
Cherokee High School
Canton
05-2002
Skills
HIPAA compliance
Medication management
Drug interaction awareness
Insurance Eligibility Verification
Prescription coordination
HCPCS
Patient care
Privacy and confidentiality
ICD-9/10
Microsoft Word ,Excel
Medical terminology
Data entry
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Trained team of 5 staff members after my first year of employment
Facilitated 4 facilities while supervisor was hiring to fill in these roles.
Certification
CPR-Mental Health First Aid
Certified Biller and Coder
Medical Terminology
Timeline
Consumer Medication Coordinator
Optum Rx
01.2019 - Current
Front and Back Office Medical Assistant
Comprehensive Spine and Pain
07.2017 - 12.2018
Laboratory Assistant
Millennium Health
08.2014 - 07.2017
Medical Biller and Coder
North Georgia Pain Clinic
02.2012 - 08.2014
No Degree - Business Administration And Management
Austin Community College
High School Diploma -
Cherokee High School
Similar Profiles
Kurt AdkinsKurt Adkins
Pharmacy Manager at Optum RxPharmacy Manager at Optum Rx