Amanda Osuna
Twenty Nine Palms,US
Summary
Administrative professional I have extensive experience in referral processing, case management and patient advocacy. Demonstrates a proven track record in optimizing patient care coordination, achieving a 95% approval rate on authorization requests, and enhancing operational flow in medical settings. Adept at fostering collaborative environments and implementing innovative solutions to streamline processes and improve patient satisfaction.
Overview
25
25
years of professional experience
3
3
Certification
4
4
years of post-secondary education
Work History
Orthopedic Spinal Surgery Coordinator/Referral Coordinator
Bergey Spine Institute
01.2021 - 01.2024
- Led team to ensure HIPAA compliance, boosting adherence by 30% and reducing policy breaches.
- Streamlined surgical coordination, enhancing patient communication and minimizing procedural delays.
- Managed medical documentation, achieving a 95% approval rate on authorization requests.
- Appealed denials effectively, securing approvals through strategic documentation and analysis.
- Scheduled peer reviews, optimizing collaboration between hospitals and surgeons for better outcomes.
- Analyzed patient referral data to identify bottlenecks, improving the transition process and ensuring timely care delivery.
- Oversaw compliance with HIPAA and OSHA regulations, achieving a notable increase in adherence and minimizing risk.
- Coordinated with healthcare providers to streamline authorizations, reducing delays in patient care and enhancing operational flow.
- Fostered a collaborative environment among surgical teams, improving communication and ensuring seamless patient care coordination.
- Implemented an optimized scheduling system, significantly reducing wait times for patients and enhancing overall satisfaction.
- Conducted thorough analysis of referral patterns, leading to measurable improvements in patient transition processes and care efficiency.
- Led medical team to enhance patient scheduling, boosting satisfaction and operational flow.
- Coordinated surgical consultations, reducing wait times and improving process efficiency.
- Streamlined referral system, elevating patient experience and operational productivity.
- Supervised medical assistants, improving efficiency and patient satisfaction scores.
- Implemented digital tracking for referrals, enhancing data accuracy and retrieval speed.
- Fostered partnerships with healthcare providers, ensuring seamless referrals and bolstering collaborative patient care practices.
- Mentored and trained team members on best practices, cultivating a supportive environment that enhanced overall team performance.
- Enhanced patient care protocols, leading to measurable improvements in recovery times and overall satisfaction ratings.
- Orchestrated cross-functional meetings with surgical teams, strengthening communication and ensuring cohesive patient care.
- Analyzed patient feedback data to refine scheduling practices, resulting in noticeably shorter wait times and increased appointment availability.
- Developed a centralized digital referral system, streamlining processes and significantly improving data retrieval efficiency.
Lead Referral Coordinator
Dr Akmajian
07.2011 - 01.2021
- Coordinated patient referrals among departments to streamline workflow and enhance patient care.
- Managed scheduling for specialists, ensuring timely appointments and effective resource allocation.
- Developed and maintained referral tracking systems to monitor progress and improve follow-up processes.
- Trained new staff on referral protocols, enhancing team efficiency and adherence to guidelines.
- Increased patient satisfaction by ensuring timely and accurate referrals to appropriate healthcare providers.
- Scheduled appointments with specialists on behalf of clients.
- Ensured compliance with regulatory requirements related to patient referrals, minimizing risk for the organization.
- Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
- Analyzed referral data to identify trends and recommend process improvements for operational efficiency.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Conducted patient intake interviews, recording and documenting relevant information.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Collaborated with healthcare providers to establish strong working relationships, promoting seamless referral coordination.
- Processed referral requests from patients, doctors and other health care professionals.
- Prepared and processed patient referrals and transfer requests.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Fostered a collaborative environment among team members through open communication channels and regular meetings.
- Assisted with completion of referral forms and verified data accuracy and completion
- Coordinated with marketing and outreach teams to develop strategies for increasing referral volume from existing and new sources.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Developed and implemented training programs for new hires, reducing onboarding time and increasing productivity.
- Maintained a comprehensive database of provider information, ensuring accessibility and accuracy for all team members.
Administrative and Clinical Medical Assistant
Vista Medical Center
04.1999 - 02.2011
- Assisted in patient intake, ensuring accurate information collection and documentation.
- Supported physicians by preparing examination rooms and sterilizing instruments.
- Administered medications as directed, monitoring patient responses for safety and effectiveness.
- Educated patients on treatment plans, fostering understanding and compliance with care instructions.
Education
Bachelor of Science - Business Administration with Healthcare Management Concentration
Colorado Technical University
Colorado Springs Colorado Social Services / Community Outreach / Urban Missions
VOCBC Theological Studies
San Bernardino California USA California Certified Substance Abuse Councounselor
Inter Coast College
Riverside California USA 01.2010
Certified - Administrative And Clinical Medical Assisting
Rain Cross Adult School of Riverside Ca
Riverside 01.2001 - 01.2066
Cultural and Physical Anthropology
Riverside Community College
01.2001
Skills
- Referral Processing
- Utilization Review
- Pharmaceutical Authorization
- Patient Advocacy
- Case Management
- Conflict Resolution
- Medical Billing
- Insurance Verification
- Medical Terminology
- HIPPA Compliance
- Scheduling
Certification
- Certified Administrative Medical Assistant
- Certified Clinical Medical Assistant
- Certified Substance Abuse Counselor
- BLS
Hobbies
Playing Piano, Hiking
Additional information
- Volunteer Experience
- Missionary and Community Outreach
- Helping the fight against child trafficking
- Volunteer Missionary in Mexico, Los Angeles CA
- Volunteer for the San Bernardino National Forest
- Volunteer for the Desert Aids Project
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Orthopedic Spinal Surgery Coordinator/Referral Coordinator
Bergey Spine Institute
01.2021 - 01.2024
Lead Referral Coordinator
Dr Akmajian
07.2011 - 01.2021
Certified - Administrative And Clinical Medical Assisting
Rain Cross Adult School of Riverside Ca
01.2001 - 01.2066
Administrative and Clinical Medical Assistant
Vista Medical Center
04.1999 - 02.2011
Cultural and Physical Anthropology
Riverside Community College
Bachelor of Science - Business Administration with Healthcare Management Concentration
Colorado Technical University
Social Services / Community Outreach / Urban Missions
VOCBC Theological Studies
California Certified Substance Abuse Councounselor
Inter Coast College