I have gained experience in various fields, ranging from the medical industry to starting my own business. The knowledge and skills acquired in those roles have molded me into an exceptional customer service-oriented individual.
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Claims SpecialistTradepro Repairs Aug 2024 - PresentUsing multichannel communications tools with all parties involved in interior claims.• Using Symbility software to enter claims and additional claim details from Adjusters. Also using the same software to enter details from contractors and the insured.• Using detailed logs with Microsoft Excel to document detailed conversations with all parties involved.• Develop professional relationships with contractors to continue their services and provide interior repairs to those across the United States.• Keep constant communication between the insured, adjuster, contractor and estimator via phone, text or email to ensure that top quality repairs are being delivered.• Drafting emails or phone calls professionally to let the insured know if claim estimates were denied or approved by their adjuster -
Translation Mapping SpecialistAdvocate Rcm Jan 2024 - Oct 2024Dublin, Ohio, United States -
Small Business OwnerThe Rumpus Room Llc Feb 2020 - Nov 2021Mount Juliet, Tennessee, United States• Founded and established The Rumpus Room, an innovative indoor playground catering to infants and children aged 0-5• Conceptualized and designed a stimulating environment with age- appropriate toys, equipment, classes, and events to ensure optimal enjoyment• Developed and executed strategic marketing initiatives to raise awareness and attract a diverse customer base that included utilizing online programs such as Canva to draw in customers• Monitored my KPIs and made goals relevant to my brand and target audienceOversaw the tracking of revenue and expenditure within the business, which involved managing a budget. This included analyzing current spending, categorizing purchases, and monitoring cash flow over time.• Personally oversaw all facets of business operations, including construction, administration, and day-to-day management• Demonstrated a steadfast commitment to supporting women-run enterprises by hosting classes taught by female instructors and collaborating with woman-owned bakeries for party supplies• Cultivated a vibrant community of women entrepreneurs, fostering mutual success and recognition for all participants• United mom groups and facilitated connections within the community to create a sense of belonging and support for fellow mothers.
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Front Office SpecialistDube Orthopedics And Physical Therapy May 2018 - Feb 2020Mount Juliet, Tennessee, United StatesCollaborated with a team of physical therapists, a nurse practitioner, and an x-ray technician in a clinic setting.• Executed proficient scheduling and referral procedures for patients to to other doctors and facilities.• Maintained accurate and organized patient records, ensuring adherence to confidentiality protocols such as HIPAA.• Followed up diligently with referred patients, ensuring timely and comprehensive care. Gathering authorization or pre-authorizations from insurance when needed.• Skillfully collected payments and adeptly verified insurance information using different programs such as InstaMed and researched coverage of benefits on different online portals.• Demonstrated exceptional customer service by efficiently checking in patients and gathering all necessary personal, medical, and insurance details.• Proficiently inputted patient information into a computer database and securely filed confidential files into eClinical Works.• Provided comprehensive secretarial support, including copying, faxing, filing, and sorting mail.• Ability to communicate professionally and effectively with providers, carriers, beneficiaries and other audiences regarding eligibility and/or Coordination of Benefits.• Familiarity with medical terminology, claims processing guidelines, and federal insurance regulations.• Working knowledge of basic A/R principles, health insurance plans, Medicare, Medicaid and Explanation of Benefits.• Ordering lab testing and other outpatient diagnostic testing.• Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT, HCPCS, and ICD-10, UB04, CMS 1500, authorizations, medical terminology, and concepts of healthcare.• Ability to analyze data in various situations to develop a range of simple and complex solutions to increase revenue reimbursement and address payor behavior to reduce denials. -
Patient Support LeadResults Physiotherapy Apr 2015 - May 2018Murfreesboro, Tennessee, United StatesStarted as a Physical Therapist Technician, providing assistance to patients with their physical wellness through guided exercises and ensuring the physical therapists' work space was optimized for success.• Promoted to the position of Patient Support Specialist, further enhancing communication, decision-making, and phone skills.• Promoted again as Patient Support Lead, overseeing and improving clinic operations by effectively managing staff and maintaining strong relationships with nurses and doctors who sent referrals.• Consistently ensured optimal patient care by promptly addressing referrals and maintaining a commitment to clinical excellence and teamwork.• Collaborated closely with Lead Physical Therapists to meet clinic performance goals• Efficiently managed scheduling, pre-certification, and authorization processes appropriate to each insurance.• Solid understanding and ability to analyze claim data.• Demonstrated exceptional organizational skills by preparing and processing charts in a timely manner, while also maintaining accurate logs for physician approvals and handling other front desk duties such as insurance processing, faxing and filing.• Maintained knowledge of practice management systems, basic coding and billing knowledge, customer service techniques, basic insurance/carrier knowledge, and front office operation policies
Frequently Asked Questions about Patti Gordon
What company does Patti Gordon work for?
Patti Gordon works for Tradepro Repairs
What is Patti Gordon's role at the current company?
Patti Gordon's current role is Claims Specialist.
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Patti Gordon
Executive Director Of Institutional Advancement At Northwest Mississippi Community CollegeMemphis Metropolitan Area1northwestms.edu -
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Patti Gordon
Seasoned Business Professional With Extensive Experience In Instructional Design, Technical Documentation, Training, Project Management, And Business Communications.Roswell, Ga -
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