Alexandra Caban

• Manage the internal/external referral process and daily referral reconciliation
• Answer the phone queue and back office phone line
• Participate in clinic and market education/training as needed or required
• Maintain knowledge and ensure procedures are followed including referral guidelines and policies, privacy and confidentiality
• Deliver quality customer service, managing the referral process professionally and timely
• Work independently and act as a resource or subject matter expert for others
• Manage and prioritize tasks that may include compiling reports and spreadsheets
• Maintain professionalism and positive service attitude with all internal and external customers/peers
• Perform all other related duties as assigned.

• Request authorizations for office visits and procedures
• Submit prior authorizations for medications through cover my meds or fax the signed and filled out documents via fax
• Submit required documents and prescriptions through the Parachute system to get approvals for pumps and glucose meters
• Process patients checking in to their appointment
• Collect copays and deductible amounts for the visit
• Provide the patient Demographic paperwork to get filled out and scanned into their file
• Check insurance information for copays, deductibles, out-of-pockets, and procedure coverage
• Fax, copy, and scan documents
• Send orders and medical records, demographic data to the appropriate department and facility
• Keep up-to-date records on E-clinical
• Print out encounters, highlight credit and balances, number the pages
• Discharge patients: make next appointment, print orders, summary of visit, and attach lab results
• Send prescriptions electronically and hand write prescriptions
• Answer incoming calls, send messages to correct departments for refills, prior authorizations, medical records, medication changes, prescriptions, and complaints
• Confirm appointments and work on the doctor's schedule with the desired number of patients per day
• Work on denials in a timely matter for prompt reimbursement for services provided as well obtain claim status/authorization status
• Verify accuracy of billing data and revise any errors
• Release information to persons or insurances according to regulations
• Enforce federal and state regulations such as HIPAA regarding services and procedures performed by all providers.

• Answer phone calls to address patient's concerns, make appointments, take telephone consults down, and request refill requests
• Verify benefits online and check eligibility
• Fax progress notes
• Make copies
• Input patient's information, create charts and fill out progress notes
• Confirm patient's appointments
• Help reschedule appointments
• File charts
• Collect copays, procedure costs, and explain benefits to patients
• Follow clinical protocols and procedures
• Maintain HIPAA law.

• Receive inbound calls to help prospective candidates find employment in careers that best match their skill set onsite and experience working from home
• Accommodate all candidates needs in an efficient manner while providing unmatched customer service to build rapport
• Receive 600 calls per week and manage to find employment for 35% of prospective clients on average
• Assist in training new hire employees, making sure they screen for correct applicants and follow protocol
• Revised policies and regulations to build value within Employbridge while making the company more efficient and effective
• Manage filing and archiving records for management.

• Granted a security clearance by the US Department of State to handle confidential information.

• Recognized as employee of the month and quarterly employee for facilitating and maintaining 100% accountability and confidential documents for over 6,000 clients annually.

• Lead project control teams responsible for working with applicants to ensure compliance with HIPAA, managing file systems, data systems, and client reporting without any audit findings.

• Assisted over 250 civilian contractors and military personnel for overseas deployment by validating visa documentation, confirming medical status, and evaluating training records.

• Accurately complete and submit daily status accountability reports in compliance with government protocol.

• Created spreadsheets to manually input military and civilian data into database to ensure accountability and make information organized and easy to confirm.

• Create pivot tables and use of the excel function VLOOKUP to identify information more efficiently and be able to detail inconsistencies within data submitted.

• Successfully destroy confidential documents once they're no longer needed.

• Usage of "SPOT JAMMS" and other trackers to ensure total accountability of employees continuing with the company.

• Build and maintain relationships with third party vendors working alongside our clients.

• Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
• Interacted with customers by phone, email, or in-person to provide information.
• Maintained filing system and organized customer documents for easy retrieval of information.

• Attend regular staff meetings with pastor and ministries coordinator
• Prepare and mail all correspondence, sort and distribute mail, including visitor letter when applicable
• Create all worship bulletins and prepare weekly announcement sheets
• Assist in walking children to Sunday school
• Assist in setting up and taking down props for children
• Encourage children to love one another and be nice, while assisting in teaching lessons from the Bible
• Order Sunday school learning books and supplies
• Maintain accurate records of supplies and books in inventory
• Collect money for books and other fundraising activities
• Distribute books and learning supplies to students.
• Prepared, coordinated and distributed information about yearly schedule of activities and classes.