Adept in cross-cultural communication and time management, I excel in roles requiring both autonomy and teamwork. At Abiomed, I enhanced cleanroom processes, contributing to quality improvements in medical device assembly. My background spans pharmaceuticals and insurance claims, underscoring my proficiency in navigating complex systems and delivering exceptional customer service.
Overview
15
15
years of professional experience
Work History
Cleanroom Assembler
Abiomed
11.2023 - 10.2024
Process polymer materials to compose, test, or apply on medical devices
Assemble plastic and metal components into medical devices
Perform in-process quality checks on subassemblies and finished product
Utilize small hand tools, calibrated instruments, measurement equipment, microscopes and test fixtures
Work with engineers and technicians to resolve line issues and suggest improvements
Maintain clean room integrity by using proper attire and adherence to clean room environment practice and procedures
Maintain accurate records/documentation related to quality, work in progress, test results, labor (e.g., timecards), and special projects
Apply workstation practices and line clearance in daily activities
Adhere to general safety rules, manufacturing procedures, company policies and procedures, QSR, and FDA regulations
Practice Assistant I New Patient Coordinator
Mass General Brigham & Women's
08.2023 - 10.2023
Triage all New Patient in-take phone calls to adding to appropriate clinic/MD.
Extensive phone contact with new patients, ensuring
they are well informed as to medical information needed, location of offices, details of impending visits, etc. As the patient’s first contact with Thoracic Surgery, plays an integral role in the positive image desired by the Division and the Hospital.
Obtain all new patient in-take information, including all demographics information, relative/emergency contact information, insurance information, financial clearances, diagnoses, allergies, prior cancer histories and treatments, referring and PCP MD information and check list of other needed information.
Check the patient’s insurance eligibility and referral needs to ensure the practice receives full reimbursement for new patient visits.
Schedule new patient and post-operative appointments in EPIC, confirming date, time and location of appointment and appropriate MD.
Call the patients the day before their visit to
confirm all information, remind them of bringing necessary paperwork, pathology slides and films.
Confirm that patients are informed about directions, parking and the process for their first appointment including the amount of time required for the
appointment.
Ensure all new patient charts are prepped (both temp and electronic chart) by including all the medical information pertaining to the patient is available for the surgeon from various sources within and outside the hospitals, clinic and MD offices. This will include all necessary radiology films, pathology slides,
in addition to written reports and by updating the physician database as well as the patient demographics. Emergency, walk-in, and add-on patient may also be possible requiring a quick
turnaround for new patients.
Assist in making necessary travel, hotel arrangements, and financial agreements for patients that are coming from out of the state or country.
Scan all appropriate records into the EPIC system upon receipt under proper index information to allow others the ability to locate such records in the future. Scan all outside medical records for division of Thoracic Surgery.
Medical Receptionist/Administrative Coordinator
North Shore Neurology & EMG
08.2021 - 04.2022
Check in / Check out patients verify and update all demographic and insurance information and collection of co-payments resulting in proper cash reconciliation.
Verify patient insurance and referrals available.
Maintain appointment computer scheduling in accordance with office scheduling policies.
Prepping demographics and charts for upcoming appointments.
Utilizing a multi-line phone system, fax machine, printer, copier, and scanner to process patients through
check in/checkout process.
Answering Multi-Phone Lines, Faxing, Scanning Documentation and Completing Daily Patient phone
messages and callbacks.
Scheduling/organizing diagnostic tests, transition of cares, follow up appointments for patients.
Contacting / interacting with appropriate facilities, such as hospitals, rehabilitation centers, assisted living
facilities, etc. regarding patient care.
Pulling tests as required for an assigned physician, or as a back-up to another co-worker.
Perform administrative support as required.
Other duties as assigned by managers and leads.
Regional Billing Adjudicator
Omnicare/CVS Health
08.2014 - 08.2021
Investigate rejected Third-Party claims and taking appropriate actions upon resolve.
Resolve eligibility rejections: i.e - Commercial, Medicaid, Medicare Part D, Hospice & Rx discount cards.
Coordinate with insurance companies regarding authorizations, transitional fills, Refill too Soon, Tracking Fills, First Time Fill, special denials including new patient overrides.
Address backlog of denied claims for timely resubmission.
Complete daily Workflow grid and consistently achieve productivity criteria.
Compliant with all applicable government regulations, including HIPAA.
Manage assigned queues.
PCA (Part-Time)
Northeast Arc INC.
07.2013 - 02.2019
Assist patient with hygiene services, i.e., bathing, dressing, and grooming.
Assist with toileting, bedpan, commode.
Meal preparation and assisting patient with eating.
Turning and position of the patient.
Assisting with medication per doctor's orders.
Provide routine skin care.
Accompanying the patient to his/her medical appointments.
Reporting of changes in patient's status (well being).
Transferring of patient to bed and wheelchair.
Pharmacy Technician
Walgreens
10.2012 - 06.2013
Entered patient and prescription information into the Intercom Plus database.
Accurately verified and prepared prescription orders in an efficient and timely manner.
Processed and submitted insurance claims.
Resolved third-party rejected claims, refill too soon, prior authorizations, and out of stock on products.
Utilized customer service skills to assist customers in all as aspects of the store.
Periodically performed inventory checks to ensure that the department was properly stocked and
presentable.
Education
High School Diploma -
Lynn Classical High School
Lynn
06-2009
Skills
Skilled at working both independently and as an integral part of a team, cross-cultural communication, excellent time management and customer service skills Over five years of experience in the pharmaceuticals/insurance claims industry