Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angelina Valdez

Anaheim,CA

Summary

Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.

Overview

12
12
years of professional experience

Work History

Lead Authorization Coordinator

Mountain Medical
Provo, UT
01.2022 - Current
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Managed intake of new claims and performed routine follow-ups.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Participated in new hire training and development tasks.
  • Obtaining referrals and authorizations on a daily basis
  • Verifying insurance eligibility for patients
  • Responding to inquiries from insurance companies and patients
  • Submitting prior authorizations for patient DME
  • Explained reasons behind application denials and recommended further action.
  • Support and assist with onboarding of new employees in department.

Scheduling Coordinator / Radiology & Surgical

Timpanogos Regional Hospital
OREM , UT
02.2019 - 01.2022
  • Scheduled and coordinated imaging procedures for patients; communicated with physicians, nurses and other medical staff to ensure proper patient care.
  • Assisted in the implementation of new scheduling processes and systems; maintained accurate records of patient appointments.
  • Verified insurance coverage for all scheduled imaging procedures; ensured patient was informed of any out-of-pocket expenses prior to procedure.
  • Coordinated with radiology technicians regarding equipment availability and prepared the necessary supplies for each procedure.
  • Provided exceptional customer service by addressing patients' questions or concerns in a timely manner.
  • Diagnosis coding for orders with unspecified or missing ICD 10 code
  • Assisted in the scheduling of surgeries for patients, ensuring accuracy and timeliness.
  • Coordinated with medical staff to ensure that all necessary paperwork was completed prior to scheduled procedures.
  • Maintained an up-to-date list of available operating rooms and equipment for surgical teams.
  • Scheduled follow-up appointments according to post-operative protocols.
  • Managed a team of schedulers responsible for booking surgery appointments.
  • Worked closely with doctors' offices to coordinate patient referrals for surgery services.
  • Attended meetings with hospital staff members to discuss new policies or procedures related to surgical scheduling.
  • Ensured compliance with HIPAA regulations during the scheduling process.
  • Responded promptly to inquiries from patients or their families regarding upcoming surgeries.
  • Answered phone calls from prospective patients seeking information about surgical options available at the facility.
  • Checked patient insurance and collected pre-authorizations from providers.

Medical Assistant

Fema Physical Therapy
Anaheim, CA
01.2012 - 12.2019
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
  • Measured vital signs and took medical histories to prepare patients for examination.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
  • Cleaned and maintained medical equipment following procedures and standards.
  • Documented notes during patient visits.
  • Responded to patient callbacks and phone-in prescription refill requests.
  • Educated patients about medications, procedures and physician's instructions.

Education

MA Certification - Medical Assisting

CIT College of InfoMedical Technology - Fullerton
Fullerton, CA
05-2010

Skills

  • Insurance verification HMO/PPO
  • Bilingual English/Spanish
  • Office Administration
  • HIPAA Compliance
  • Medical Data Collection
  • Patient Relations
  • New Hire Training
  • Organized and Efficient
  • Verbal and Written Communication
  • Registration and Scheduling
  • Insurance Verification
  • Resolving Problems
  • Epic/eClinicalWorks

Timeline

Lead Authorization Coordinator

Mountain Medical
01.2022 - Current

Scheduling Coordinator / Radiology & Surgical

Timpanogos Regional Hospital
02.2019 - 01.2022

Medical Assistant

Fema Physical Therapy
01.2012 - 12.2019

MA Certification - Medical Assisting

CIT College of InfoMedical Technology - Fullerton

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Angelina Valdez