Adriana Zaragoza
3450 Sunnyside Mabton Rd Sunnyside ,WA
Summary
Driven professional with several years of experience facilitating referrals and obtaining authorizations and pre-certifications. Seasoned industry veteran at managing referral verification prior to patient appointments. Devoted to continually enforced practice procedures, requirements and regulations.
Detail-oriented and highly organized referral coordinator with several-year history of serving patients in the field setting. Technically savvy and expert user of various software packages. Interested in contributing to industry.
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations.
Overview
4
4
years of professional experience
Work History
Referral Specialist
Astria health
Sunnyside, WA
03.2021 - Current
- Multitasking
- Taking payments
- Scheduling appointments
- Registration for emergency and labs or x rays
- Checking insurance for the patients entering notes on their encounter
- Answering phone calls
- Scanning insurance cards making sure they insurance for any medical service
- Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
- Managed daily patient referrals daily through multi-line telephone system.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
Education
Certificate in Medical Office Administrative Assistant -
CHARTER COLLEGE
Pasco, WA05.2020
High School -
Mabton High School
Mabton, WA01.2015
Skills
- Bilingual/English - Spanish
- Medical terminology
- Anatomy and physiology
- Patient education
- Patient appointment scheduling
- Check-in's and check-out's
- Electronic health records
- Insurance verification
- Claims processing
- Medical billing
- Coding
- Reimbursement
- Accounts payable
- Accounts receivable
- Financial records maintenance
- HIPAA standards
- OSHA standards
- Multi-line telephone experience
- Microsoft Office Suite
- Organizational skills
- Pre-authorizations
- Follow-up skills
- Physician authorizations
- Data entry proficiency
- Healthcare industry
- Insurance precertification processes
- Notetaking and documentation
- Multi-line phone proficiency
- Multi-line telephone operation
Languages
Bilingual/English
Timeline
Referral Specialist
Astria health
03.2021 - Current
Certificate in Medical Office Administrative Assistant -
CHARTER COLLEGE
High School -
Mabton High School
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