Donna Collins

• Review and process prior authorization requests for medical procedures and surgeries for 5 providers and 11 locations including Ball Memorial Outpatient Surgery Center, Beltway Surgery Center, Ball Memorial Main Hospital, Unity Surgery Center, Major Hospital and Ft Wayne Surgery Center, as well as all 5 of our office locations.

• Verify patient eligibility and insurance coverage to ensure compliance with payer guidelines

• Collaborated with healthcare providers to gather necessary clinical documentation.

• Communicate with insurance companies to obtain approval or denial decisions.

• Maintain accurate records of all prior authorization activities in electronic health record system.

• Perform thorough reviews of denied prior authorization requests, identifying potential appeals or alternative options for patient care needs

• Utilize knowledge of medical terminology, CPT codes, ICD-10 codes, and HCPCS codes during review process

• Demonstrate strong attention to detail in reviewing clinical documentation for accuracy and completeness

• Manage multiple priorities effectively, meeting deadlines for processing prior authorizations

• Utilize critical thinking skills to assess complex medical cases and make informed decisions regarding approval or denial

• Implement strategies to minimize denials by ensuring all necessary information was included in the prior authorization request.

• Maintain a positive attitude even during high-stress situations, contributing to a supportive team environment

• Evaluate medical necessity of requested services based on established criteria and guidelines

• Maintain strict confidentiality when handling sensitive patient

information during the prior authorization process

• Maintain a high level of professionalism and customer service when interacting with patients, providers, and insurance representatives

As a member of Saint Joseph's Float Pool, I traveled between Primary Care to Specialty on a daily basis to fill in a needed. The assignment

changed daily and ranged between front office check in, back-office Medical Assistant and check out.

• Assisted physicians and nurses in providing patient care, including taking vital signs, collecting

specimens, and performing basic medical procedures

• Managed patient records and ensured accurate documentation of medical history, medications, and

treatment plans

• Administered injections and medications under the supervision of healthcare professionals

• Scheduled appointments for patients, coordinated referrals to specialists when needed

• Maintained strict adherence to HIPAA regulations to ensure patient privacy and confidentiality at all

times

• Utilized electronic health record (EHR) systems proficiently to update patient information accurately

• Demonstrated excellent communication skills when interacting with patients from diverse backgrounds

• Supported front desk operations including answering phone calls, scheduling appointments, collecting of copay and coinsurance

• Assisted in the coordination of patient referrals to specialists and follow-up care

• Collaborated with insurance companies to verify coverage and obtain authorizations.

• Maintained a clean and organized work environment, ensuring compliance with safety standards

• Demonstrated proficiency in performing administrative tasks such as filing, faxing, scanning documents and more

• Assisted with wound care by cleaning wounds, applying dressings under supervision of healthcare

professionals

• Demonstrated strong attention to detail when verifying patient information for accuracy prior to

appointments/procedures and more

• Aided physicians during physical examinations by preparing necessary instruments/equipment/supplies.

• Fostered positive relationships with patients through compassionate care delivery and active listening

skills

• Counseled patients on pre-operative instructions including fasting requirements, medication

restrictions.

• Scheduled diagnostic tests (X-rays, ultrasounds) based on physician orders while coordinating with

radiology department

• Greeted and checked in guests for their appointment, ensuring a positive first impression and providing exceptional customer

service

• Managed incoming calls, directing them to the appropriate department or staff member for prompt

resolution

• Maintained an organized front desk area, including managing visitor logbooks and issuing visitor badges

• Assisted with guest inquiries, resolving issues promptly and efficiently to ensure guest satisfaction

• Handled cash transactions accurately and securely, reconciling daily sales reports with minimal

• Greeted and checked in patients, ensuring a warm and welcoming atmosphere • Scheduled appointments for patients, efficiently managing the appointment calendar

• Verified insurance information and collected co-pays, streamlining the billing process

• Answered phone calls and addressed patient inquiries with professionalism and accuracy

• Maintained patient records by accurately updating personal information, medical history, and insurance

details

• Managed incoming and outgoing mail, distributing correspondence to appropriate staff members

• Assisted with administrative tasks such as filing documents, organizing paperwork, and maintaining

office supplies inventory

• Resolved scheduling conflicts or issues promptly to minimize disruptions in patient care

• Performed data entry tasks accurately and efficiently to update electronic health records (EHR)

• Managed waiting area cleanliness by tidying up magazines, wiping down surfaces regularly, and

ensuring a comfortable environment for patients

• Maintained knowledge of insurance plans accepted by the clinic to assist patients with coverage-related

questions or concerns

• Demonstrated excellent problem-solving skills when addressing patient complaints or issues to achieve satisfactory resolutions.

The company was an urgent care clinic that specialized in DOT Physicals. • Performed basic laboratory tests including collecting specimens and conducting routine tests. Vitals including height, weight, blood pressure and O2 levels. • Managed patient medical records by accurately documenting information in electronic health record

systems

• Provided exceptional customer service to patients by addressing inquiries and concerns promptly and

professionally

• Collaborated with insurance companies to verify coverage eligibility for patients' medical services

• Supported front desk operations by greeting patients, checking them in/out, and managing phone calls

efficiently

• Ensured compliance with HIPAA regulations regarding patient privacy and confidentiality at all times

• Contributed to a positive work environment through effective communication with colleagues

• Assisted with administrative tasks such as filing documents or processing paperwork

• Demonstrated proficiency in using electronic health record (EHR) systems for accurate documentation

and retrieval of patient information

• Maintained a clean and organized work area to ensure safety and efficiency in daily operations

• Managed multiple tasks simultaneously while maintaining attention to detail and accuracy

• Demonstrated empathy and professionalism when dealing with patients from diverse backgrounds or

those experiencing distressing situations

• Performed basic laboratory tests including collecting specimens and conducting routine tests