Ana Flores
Brentwood
Summary
Bringing extensive experience in medical support, eligibility determination, and patient relations. Skilled in managing multiple tasks, coordinating medical services, and providing compassionate support. Proficient in medical terminology, problem-solving, and communication, with strong computer skills and decision-making abilities to meet deadlines.
Overview
10
10
years of professional experience
Work History
Advanced Medical Support Assistant GS-6
Northport VA Medical Center
11.2023 - Current
- Conduct in-depth interviews with veterans, authorize representatives to determine eligibility for Va heath benefits.
- Review and process applications for enrollment using HEC and Enrollment system.
- Collect and verify required documents including dd-214, financial assessments (means test) form 10-10EZ, ensuring complete and accurate records.
- Explain VA benefits, priority groups and copayments.
- Update demographic, insurances and eligibility data
- Review eligibility for Dental, Transportation benefits
- Scheduled first time primary care appointments
- Demonstrated ability to manage multiple tasks while remaining adaptable and flexible.
- Entered death notices in the system (vista) and managing all actions regarding patients death.
- Filling of permit for burial, cremation of veterans
- Providing information to the next of kin regarding burial benefits and funeral homes.
- Leasing with physicians, nursing staff, funeral homes to ensure a smooth transition and disposition.
- Ensuring that procedures regarding autopsies, death certificate and unclaimed remains are followed and documented appropriately
- Ensuring timely release of remains from the morgue and proper handling of all related documents.
- Provide compassionate support and guidance to grieving families
- Verify eligibility using CPRS, VIS
- Arrange medical transportation through Uber Health system
- Coordinate with physician, social worker and MSA
- Respond to in-person, telephone inquiries about scheduling, delays and uber health logistics
- Responsible for VHIC card process
- Admissions/encounters
- Assist with community care Transfers
- Assist with secured messaging
- Eligibility and Enrollment
- Decedent Affairs
- Transportation
- Center Intake (due to short staff)
Authorization Specialist
Stony Brook Administration Services
10.2018 - 11.2023
- Contact insurance carriers to verify patient's insurance eligibility, benefit's and requirements
- Request, track and obtain Pre-authorizations from insurance carriers within time allotted for medical services
- On-site liaison for ancillary and clinical departments to internal and external referring providers, insurance carriers.
- Maintain proper communication with Patient regarding Authorization
- Look through Denials and summit appeals in a bid to obtain approvals.
- Provided excellent customer service to patients via phone, email, or in-person inquiries.
- Assisted with training new employees on company policies and procedures.
Receptionist/Office Assistant
Martin Granoff MD Ob/Gyn
09.2015 - 09.2018
- Checked patient insurance, demographic and health history to keep information current.
- Referred and screened patients to make best use of resources, triage staff and serve community members.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Verified eligibility and compliance with authorization requirements for service providers.
- Handled cash and credit card payments with accuracy.
- Ensured accurate and timely scheduling of appointments
Education
Medical Office Administrative Certificate -
Suffolk Boces
01.2013
High School Diploma -
West Babylon High School
West Babylon, NY04.2012
Skills
- Advance knowledge of Medical terminology
- Problem-solving
- Excellent communication
- Multitasking Abilities
- Computer skills
- Decision-making
- Knowledge with VISTA/CPRS/ISS
- Ability to organize work and set priorities to meet deadlines
- Patient scheduling management
Languages
- English - Fluent
- Spanish - Fluent
References
References available upon request
Timeline
Advanced Medical Support Assistant GS-6
Northport VA Medical Center
11.2023 - Current
Authorization Specialist
Stony Brook Administration Services
10.2018 - 11.2023
Receptionist/Office Assistant
Martin Granoff MD Ob/Gyn
09.2015 - 09.2018
Medical Office Administrative Certificate -
Suffolk Boces
High School Diploma -
West Babylon High School