Operations Administration: Manage insurance authorization process and submit all patient appeals. Maintain weekly insurance and clinical spreadsheet to capture all consults, upcoming patients, as well as patients currently under treatment.Client Retention & Customer Service: Counsel all patients of insurance authorization processes and their personal case statuses. Provide specific treatment domestic and international self-pay quotes for patients that have been denied for treatment by their insurance or wish to pay out of pocket for their course of treatment.Relationship Management: Run weekly operations meeting for physicians, clinical staff, and an operations management to ensure all patient statues are being captured and communicated to appropriate staff. Highlighted Accomplishments☑ Streamline and Integrate New Processes: Developed the authorization process for two new proton beam radiation centers. Implemented new coding, tracking and billing process for all office visits. Formulated contracting process for out of network insurance companies. Result: Improved authorization process and achieved cohesive and effective program delivery with thorough coverage of pertinent topics and material.

Operations Administration: Managed appointment reconciliation to ensure 100% accuracy of all appointments scheduled. Provided weekly updates to all attending physicians in the department to ensure they were up-to-date with documentation of patients’ treatment records; ensure all appointment notes are dictated and filed in the patient’s chart prior to the quality assurance close out of the chart. Responsible for weekly reconciliation of all departmental insurance billing. Manage front desk responsibilities to include scheduling, rescheduling, cancelling and checking in patients for appointments.Highlighted Accomplishments☑ Created a physician dictation tracking spreadsheet to ensure all patient appointment notes were dictated in required timeline by hospital standards.☑ Created and installed comprehensive quality assurance process for all physicians in the department to assure compliance with hospital standards.

Cashier Clerk, Medical Affirmative Claims Representative, Third Party Collections Technician: Managed the Medical Affirmative Claims (MAC) Program, including collecting funds from patients, law firms and insurance companies. Trained other staff members on new forms and processes. Collected, processed, recorded, and controlled all incoming funds/valuables. Performed cashier functions: deposits, posted payments from patients, health insurance, and dining facility. Managed front desk responsibilities.Release of Information Technician: Managed requests from military and civilian hospitals, legal agencies, insurance companies and billing of appropriate agencies. Ensured timely mail-out of requests for agencies and personal copies of medical information. Responsible for retrieval and submission of monthly disclosure metrics for the 3rd Medical Group.Outpatient Records Technician: Responsible for the general maintenance of 8,000 medical records while tracking the daily availability and accountability of the records to assure accuracy and security. Retrieved and filed Outpatient Records (OPR) for clinics and medical records personnel utilizing the Composite Health Care System (CHCS) program.Highlighted Accomplishments☑ Educated and trained 60 staff members on the new DD Form 2569, Third Party Collection Program – Record of Other Health Insurance; Collections☑ Achieved TPC annual goal of $3,800,000 6 months ahead of schedule; applauded by Signature Performance, the contractor.☑ Billed 178 new cases to insurance companies while recouping $73,000 for services rendered by the 3rd Medical Group.☑ Received “Below the Zone” military promotion 6 months early in 2008.☑ Received esteemed military honor of “Resource Management Airman of the Year,” outperforming airman from the ten PACAF Air Force bases.