Ailema Saez
Antioch,TN
Summary
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions, Bilingual professional with skill to maintain accurate records, and handle various administrative responsibilities.
Overview
9
9
years of professional experience
Work History
Donor Eligibility Coordinator
Lions World Vision Institiute
2022.08 - Current
- Intake patient referral information from various sources including hospitals, partner organizations, and medical examiners both electronically and over the phone.
- Maintains accurate and organized donor information across different platforms and databases.
- Answers incoming calls from hospitals and other donation partners regarding case logistics, donation potential and general status updates.
- Assesses donation potential by assessing the patient's clinical course and health history; this is done through the use of electronic medical record access and working directly with hospital nurses and physicians in a professional, efficient, and precise manner.
- Communicates donor medical information to national tissue processors and partners to ensure acceptability of potential tissue.
- Continually monitors research requests to meet distribution needs for research tissue.
- Actively problem solves logistical issues to ensure the safe recovery of donated tissue.
- Coordinates closely with medical examiners and coroners to obtain release for donation and creates recovery plans that ensure timely donation (while not interfering with autopsies and death investigations).
- Manages several active donor cases at a time with exceptional attention to detail, efficiency, quality, and urgency.
- Keeps all donation stakeholders and partners updated on relevant information such as case status, medical suitability, and medical rule outs.
Surgical & Authorization Specialist
Pinnacle Healthcare System Dr. Cohen
2021.08 - 2022.08
- Schedule all testing and procedures.
- Verify eligibility for all patients for testing
- Obtain all authorization from insurance and communicated with PCP offices
- Communicated with people from various cultures and backgrounds on cost info for procedures or testing's and respond to any question regarding procedures.
- Answering calls and providing general support to all staff
Patient Coordinator
Total Private Home Health
2020.06 - 2021.06
- Maintain knowledge of community services and resources available to patients
- Scheduling all patient home services
- Maintained confidentiality of patient data and condition to safeguard health information
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication
- Upheld confidentiality requirements and regulatory compliance guidelines
- Maintained HR documents up to date for all caregivers
- Aided in development and betterment of patient management and workflow processes.
- Provided On-call support after hours
Support Services Specialist
Dermcare Management
2019.06 - 2020.06
- Developed and maintained relationships with community organizations and agencies
- Schedule dermatology appointments and data entry
- Developed and implemented strategies to enhance quality of social services
- Monitored progress towards service plan goals
- Answer all patient questions and direct them to the adequate department
- File and retrieve corporate documents, records, and reports
Branch Manager
Maxicare Select
2015.01 - 2019.06
- Maintained friendly and professional customer interactions.
- Assessed employee performance and developed improvement plans
- Met deadlines by proactively managing individual and team tasks and streamlining processes.
- Engaged employees in business processes with positive motivational techniques
- Monitor the facility to ensure that it remains safe, secure, and well-maintained
- Hire and terminate clerical and administrative personnel.
- Conduct classes to teach procedures to staff
- Answer telephones and direct calls to appropriate staff
- Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations
- Arrange hospital admissions for patients. Prepare and review operational reports and schedules to ensure accuracy and efficiency
- Set goals and deadlines for the department. Analyze internal processes and recommend and implement procedural or policy changes to improve operations, such as supply changes or the disposal of records
Education
High School Diploma -
Mcarthur High School
Hollywood, FL06.2010
Skills
- Program Knowledge
- Documentation, Reporting and Paperwork
- Referral Coordination
- Authorizations
- Applicant Engagement
- Effective Communication Skills
- Telephone Etiquette
- Proficiency in Microsoft Office
Languages
Spanish
Native or Bilingual
Timeline
Donor Eligibility Coordinator
Lions World Vision Institiute
2022.08 - Current
Surgical & Authorization Specialist
Pinnacle Healthcare System Dr. Cohen
2021.08 - 2022.08
Patient Coordinator
Total Private Home Health
2020.06 - 2021.06
Support Services Specialist
Dermcare Management
2019.06 - 2020.06
Branch Manager
Maxicare Select
2015.01 - 2019.06
High School Diploma -
Mcarthur High School
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