Executive Assistant | Healthcare Administration | Medical BiExecutive Assistant | Healthcare Administration | Medical Bi

Key Achievements:

• Provided executive and administrative support to the physician and practice leadership. • Managed executive calendars, patient appointments, and complex surgical schedules. • Coordinated surgeries with physicians, surgical centers, and clinical staff. • Processed insurance verification and prior authorizations. • Prepared and distributed surgery packets and consent forms through FormDr and secure email. • Managed provider in boxes and prioritized time-sensitive communications. • Followed up with patients before and after surgical procedures to ensure continuity of care. • Medical clearance follow-ups with patients’ PCP and cardiologist • Maintained HIPAA compliance while handling confidential patient records

Key Achievements:

• Verified insurance eligibility and patient benefits. • Submitted and tracked insurance claims through the revenue cycle. • Followed up on unpaid and denied claims to improve collections. • Investigated billing discrepancies and coordinated claim corrections. • Audited patient accounts to ensure billing accuracy. • Prepared reports on collections, outstanding balances, and revenue trends. • Worked collaboratively with providers, insurance companies, and patients to resolve billing issues.

Key Achievements:

• Assisted healthcare providers with eligibility, benefits, claims status, and denial inquiries. • Reviewed medical claims and supporting documentation for accuracy. • Verified CPT and HCPCS coding requirements. • Determined prior authorization requirements using CVS Caremark, NovoLogix, and eviCore. • Escalated complex claims issues while consistently meeting quality and productivity goals. Provider claim appeals reviewer, sending determination of the appeal outcome

Key Achievements:

• Conducted outbound outreach to healthcare providers regarding insurance programs. • Educated provider offices on electronic payment enrollment and payer resources. • Increased provider participation through relationship management and consistent follow-up. • Monitored performance metrics and prepared operational reports. • Maintained accurate provider databases and documentation

Key Achievements:

• Supported AT&T U-verse activation requests from field technicians. • Coordinated with telecommunications providers to complete successful phone number transfers. • Processed service activation requests while ensuring timely completion. • Resolved technical issues through effective troubleshooting and communication.