ADRIANA MARTIR
Ocala,FL
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various tasks and offering staff support. Responsible, punctual and productive when working with little to no supervision. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Authorized to work in the US for any employer
Overview
5
5
years of professional experience
Work History
Referral Coordinator ( Remote )
Aegis Medical Group
Mount Dora, FL
10.2023 - Current
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Assisted in the development of referral processes and procedures.
- Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
- Answered questions and resolved concerns raised by both patients and specialists.
- Communicated regularly with patients regarding their care plans following a referral.
- Adhered to HIPAA regulations when handling confidential patient information.
- Participated in regular meetings to discuss referral strategies, network expansion, and program performance metrics.
- EMR - eClinicals.
- Researched patient eligibility, coverage information, and benefit levels. Verified insurance authorizations with payers via telephone or web-based systems
- Maintained current knowledge of applicable regulations, laws, and standards.
- Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
- Processed prior authorization requests in accordance with departmental guidelines.
Front Desk Receptionist/Insurance Coordinator
Florida Retina and Vitreous Center
Orlando, FL
10.2022 - 10.2023
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Greeted customers warmly and made them feel welcome.
- Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Assisted with scheduling appointments for clients and visitors.
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Provided administrative support such as filing documents, photocopying and scanning materials.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Reviewed authorization requests for accuracy and completeness.
- Processed prior authorization requests in accordance with departmental guidelines.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Liaised between physician, site of service and billing department to obtain appropriate documentation.
Authorization Coordinator/Front Desk Receptionist
South Florida Retina Institute
Aventura, FL
08.2021 - 08.2022
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Greeted customers warmly and made them feel welcome.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Assisted with scheduling appointments for clients and visitors.
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Researched patient eligibility, coverage information, and benefit levels.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Reviewed authorization requests for accuracy and completeness.
- Processed prior authorization requests in accordance with departmental guidelines.
- Ensured timely submission of accurate documentation to support payment of services rendered by providers.
- Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
- Explained eligibility details and affordability options to patients with kindness and respect.
Authorization Coordinator/Front Desk Receptionist
Retina Macula Specialists of Miami
Miami, FL
03.2019 - 08.2021
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Greeted customers warmly and made them feel welcome.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Assisted with scheduling appointments for clients and visitors.
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Researched patient eligibility, coverage information, and benefit levels.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Reviewed authorization requests for accuracy and completeness.
- Processed prior authorization requests in accordance with departmental guidelines.
- Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
- Explained eligibility details and affordability options to patients with kindness and respect.
Education
High School Diploma -
North Miami Senior High School
Miami, FL05.2014
Skills
- Insurance Precertification Processes
- Multi-Line Phone Proficiency
- Appointment Scheduling
- Insurance Verification
- HIPAA Regulations
- Medical Terminology Knowledge
- Clerical Support
- Fluent in English and Spanish
- Electronic Authorization Processing
- Electronic Medical Records
Timeline
Referral Coordinator ( Remote )
Aegis Medical Group
10.2023 - Current
Front Desk Receptionist/Insurance Coordinator
Florida Retina and Vitreous Center
10.2022 - 10.2023
Authorization Coordinator/Front Desk Receptionist
South Florida Retina Institute
08.2021 - 08.2022
Authorization Coordinator/Front Desk Receptionist
Retina Macula Specialists of Miami
03.2019 - 08.2021
High School Diploma -
North Miami Senior High School
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