Quadirah Adams

Supervised daily operations of the Centralized Scheduling team, including staff coverage, QA monitoring, and orientation and training. Served as a liaison between staff, clinicians, and external offices while maintaining accurate demographics and insurance eligibility.

Delegated daily tasks to optimize group productivity, monitored progress, and enforced deadlines. Fostered employee development through coaching and documented production levels for management.

Coordinated referral intake by working with patients to register and schedule referral appointments according to office protocols. Ensured required documents were received and scheduled appointments based on availability, urgency, and insurance authorization guidelines.

Scheduled patient appointments per practice protocols and collected necessary information for new and established patients. Entered new patient demographics and insurance information and directed callers to the appropriate department/person.

Obtained authorization for tests and procedures, ensuring pre-certifications were completed at least 10 days before the date of service. Reviewed diagnosis codes for accuracy and supported insurance verification, referral prioritization, and patient/staff issue resolution.

Ensured positive interactions with patients, families, medical staff, and third parties while supporting process improvements in the department. Processed patient payments and gathered demographic, insurance, and clinical data to schedule, pre-register, and register patients across payer classes.

Educated CareFirst Blue Cross Blue Shield members on plan benefits, verified covered benefits, and processed monthly premium payments. Resubmitted denied medical claims and maintained detailed records of customer inquiries, complaints, and transactions.

Verified insurance eligibility and collected patient responsibility payments for business office operations. Performed Medicare medical necessity coding and expedited patient records between Business Office, Medical Records, and Registration within 24 hours.

Registered patients for inpatient, outpatient, and emergency services with speed and accuracy while welcoming patients, family members, and visitors. Verified insurance coverage and helped choose bed assignments for inpatient admissions.

Earned an Associate of Science degree in Healthcare Management.

Completed a certificate program in Medical Insurance and Coding.

Completed a High School Diploma/GED program.