Erin Smith
Phoenix,AZ
Summary
Dependable healthcare administration associate with 20+ years of experience with patient records, medical billing, hospital scheduling, and insurance authorizations and verification.
Overview
20
20
years of professional experience
Work History
Referral Coordinator
Virginia Mason Franciscan Health
05.2004 - Current
- Confirm and schedule appointments directly with patients, and ensure appropriate equipment and rooms will be available
- Creates and maintains staff schedules
- Schedules clinicians appointments/visits according to care plans and staff availability
- Enters scheduling data, creates schedules
- Insurance verifications/authorizations/medical billing.
Behavioral Health Associate
Piney Ridge Center
03.2018 - 01.2019
- Follows directives as given by Nursing staff or Milieu Coordinator
- Provides supervision and care for residents in a manner that ensures safety, protects patients' rights and privacy, maintains confidentiality, and respects cultural and religious differences
- Assists nurses with non-technical nursing functions
- Assist with physical restraints, and seclusions under the direct supervision of a registered nurse
- Must complete Restraint and Seclusion training approved by CPI and demonstrate competence in this area
- Use Stand and Scan technique to observe residents' behavior and report changes to a registered nurse
- The Behavioral Tech documents residents' behavior changes in the medical record
- Follows the Master Treatment Plan in implementing appropriate interventions
- Set limits on resident's behavior with the assistance of a nurse or Milieu Coordinator in accordance with the residents' developmental level, the treatment plan, and/or behavior management program
- Uses positive reinforcement to promote positive behavioral changes.
Program Coordinator
Coordinated Care
01.2017 - 02.2018
- Initiate authorization requests for output or input services in keeping with the prior authorization list
- Research claims inquiry specific to the department and responsibility
- Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results
- Assess and monitor inpatient census
- Screen for eligibility and benefits
- Identify members without a PCP and refer to Member Services
- Screen members by priority for case management (CM) assessment
- Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
Referral Coordinator
Neospine
01.2016 - 01.2018
- Scheduling, submitting authorizations, data entry, prepping patients charts, insurance verification, greeting patients checking in and out
Patient Access Coordinator
Diagnostic Imaging
04.2015 - 01.2017
- Checking patients, ordering imaging testing thru the EMR, scheduling appt, authorizing Insurance referrals, closing reports, working A/R, medical coding
Medical Billing Specialist
San Antonio Digestive Disease Consultants
04.2014 - 02.2015
- Working A/R, filing claims, collections, collect & posting monies, scheduling
Health Unit Coordinator
Good Samaritan Hospital
04.2008 - 06.2011
- Transcribing physician orders, data entry, ordering supplies and labs, keeping the unit organized and current for physicians, charges, billing, scheduling surgeries or outpatient appointments, filing, medical records
Education
Associate of Science - Health Unit Coordinator
Clover Park Technical College
Lakewood, WA03-2003
Skills
- Pre-authorizations
- Outbound calls
- Medical terminology knowledge
- Appointment Scheduling
- Multi-line telephone operation
- Multi-line phone proficiency
- Referral tracking
- Electronic patient charts
- Diagnostic appointments
- Patient Scheduling
- Referral wait list management
- Data entry proficiency
- Physician reports
- MS Office expertise
- Insurance Verification
- Referring physician communication
- Medical Terminology
- Physician Authorizations
- Medical scheduling
- HIPAA Regulations
Timeline
Behavioral Health Associate
Piney Ridge Center
03.2018 - 01.2019
Program Coordinator
Coordinated Care
01.2017 - 02.2018
Referral Coordinator
Neospine
01.2016 - 01.2018
Patient Access Coordinator
Diagnostic Imaging
04.2015 - 01.2017
Medical Billing Specialist
San Antonio Digestive Disease Consultants
04.2014 - 02.2015
Health Unit Coordinator
Good Samaritan Hospital
04.2008 - 06.2011
Referral Coordinator
Virginia Mason Franciscan Health
05.2004 - Current
Associate of Science - Health Unit Coordinator
Clover Park Technical College
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