Ana Torres Trujillo
Irvine
Overview
9
9
years of professional experience
Work History
CBO Data Entry Clerk
Prime Healthcare Services
West Anaheim , CA
11.2021 - Current
- Maintain confidentiality of sensitive information entered into the system.
- Operate various office equipment such as scanners and printers.
- Compile reports based on gathered information.
- Prepare summaries of daily work completed for review by supervisors.
- Check source documents against entered data to ensure accuracy.
- Review existing information for accuracy and made necessary corrections.
- Process over 50+ daily correspondences for 4 hospitals utilizing Epic and Hyland Onbase, ensuring timely follow up
- Identify discrepancies between source documents and entered data.
- Verify accuracy and completeness of data entry into the database system.
- Collaborate with other departments to resolve issues regarding incorrect data entries.
- Update existing records with new or revised information as needed.
- Provide support to management staff in regards to data entry processes.
- Utilize specialized software applications related to the job role.
- Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.
- Work with insurance companies to obtain authorization for services rendered.
- Generate detailed reports outlining billing, flagged items, and other important data.
- Review flagged items daily and resolve issues.
- Audit 1000+ DNFB errors and claim edits monthly, escalating critical accounts to various departments
- File and maintain PHI for 60 plus hard copy claims daily, ensuring compliance with HIPPA regulations
Lead Patient Care Coordinator
Fountain Valley Regional Sleep Center, LLC
Fountain Valley , CA
01.2019 - 11.2021
- Provided administration support for field managers by compiling updates and status reports for referral sources.
- Tracked data from various sources such as electronic health records systems and paper charts.
- Maintained accurate medical records for all patients under care.
- Identified areas of opportunity for improved patient outcomes.
- Scheduled appointments for patients at 3 different locations, according to their needs.
- Provided administrative support tasks such as training and supervising new staff members.
- Manage and assisted new staff with day-to-day tasks, resolve complaints and ensure new staff adhere to proper guidance.
- Troubleshot and resolved complex customer service issues to enhance patient and family experience.
- Oversaw the inventory of patient care supplies, ensuring availability and cost-effectiveness.
Patient Care Coordinator
Fountain Valley Regional Sleep Center, LLC
Fountain Valley, CA
07.2017 - 01.2019
- Assessed patient's need for additional resources such as home health aides or durable medical equipment suppliers in order to provide appropriate level of care.
- Ensured that all necessary documentation was completed accurately and submitted in a timely manner.
- Performed administrative duties such as filing paperwork, answering phones, and scheduling appointments.
- Provided ongoing communication with patients, families, and other healthcare providers regarding treatment plans and progress.
- Scheduled appointments for patients and coordinated follow-up visits as needed.
- Responded promptly to any emergency situations that arose within the facility.
- Troubleshot and resolved complex customer service issues to enhance patient and family experience.
- Received and routed care team messages and documents to appropriate staff.
- Completed insurance verifications and authorization intakes and processing.
- Conducted patient satisfaction surveys and implemented feedback to enhance care coordination.
- Managed patient appointments, ensuring efficient scheduling and rescheduling as necessary.
- Assisted patients in understanding their care plans and healthcare options.
- Provided emotional support and guidance to patients and their families.
- Explained policies, procedures and services to patients.
- Instructed patients on policies and required actions for different types of appointments and procedures.
- Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
- Reported liabilities and risk management concerns to supervisor for review.
- Verified patients' insurance and payment methods during admissions or check-in processes.
Customer Service Representative/Warehouse Assistant
J Goodin
Brea, CA
12.2015 - 05.2017
- Responded to customer requests for products, services and company information
- Assisted call-in customers with questions and orders
- Maintained accurate and current customer account data with manual forms processing and digital information updates
- Assisted creation of subscription orders
- Packed, secured, labeled and applied postage to materials to prepare items for shipment
- Operated scanners, computers, and other equipment to track orders.
- Performed cycle counts to maintain accurate inventory records.
- Transported goods to designated areas within the warehouse facility.
- Inspected damaged goods prior to disposal or return to vendor.
- Collaborated closely with other departments on special projects as needed.
- Maintained a clean work area by sweeping, mopping, dusting shelves.
- Assembled orders according to customer requests.
- Organized warehouse space for efficient storage of products.
- Packaged items carefully using protective materials like bubble wrap or foam sheets.
Education
High School Diploma -
Valencia High School
Placentia, CA06-2013
Skills
Proficient with: Epic Hyperspace, Change Healthcare Clearinghouse, OnBase
Business Process Improvement, Compliance, Regulatory Support, HIPAA, Quality Assurance, Document Processing, Data accuracy, CPT Codes, ICD-10, HCPCS Codes
Timeline
CBO Data Entry Clerk
Prime Healthcare Services
11.2021 - Current
Lead Patient Care Coordinator
Fountain Valley Regional Sleep Center, LLC
01.2019 - 11.2021
Patient Care Coordinator
Fountain Valley Regional Sleep Center, LLC
07.2017 - 01.2019
Customer Service Representative/Warehouse Assistant
J Goodin
12.2015 - 05.2017
High School Diploma -
Valencia High School