Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angelita Reyes

East Stroudsburg,PA

Summary

Dependable medical team member with 10 plus years of experience in a family office settings. Talented at supporting office operations and physicians by coordinating and safely documenting patient information. Friendly and helpful in patient interactions to improve satisfaction ratings and patient loyalty. 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

7
7
years of professional experience

Work History

Utilization Management Representative

Metroplus Health
New York, NY
08.2023 - Current
  • Conducted initial review of requests for medical necessity and appropriateness of services in accordance with benefit plan criteria.
  • Reviewed and evaluated clinical documentation submitted by providers to ensure compliance with applicable laws and regulations.
  • Evaluated the need for additional information from providers or members to support a request for service authorization.
  • Ensured that all authorizations are documented accurately in the patient's medical record.
  • Responded timely to inquiries regarding prior authorization status from external customers via telephone or email correspondence.
  • Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
  • Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria.

Clinical Liaison Supervisor

Heritage Family Health
New York, NY
03.2022 - 08.2023
  • Juggled multiple projects and tasks to ensure high quality and timely delivery.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.
  • Maintained knowledge of community services and resources and referred patients to appropriate organizations.
  • Educated patients and caregivers in the use of at-home healthcare equipment.
  • Explained policies, procedures and services to patients.
  • Helped patients obtain health care services by setting up referrals.
  • Embodied clinic philosophy, policies, procedures and services to serve and support patients and families.

Phlebotomist Technician

Leigh Valley Hospital Pocono
East Stroudsburg, PA
10.2021 - 03.2022
  • Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
  • Labeled blood vials with critical information like time of collection, date and patient name.
  • Maintained fully-stocked phlebotomy cart, carrier and station.
  • Counseled patients to ease fears, explain procedures and enhance cooperation during blood draws.
  • Enforced infection control and sharps disposal procedures to protect patients, co-workers and self.
  • Obtained blood samples for medical testing and transfusion through venipuncture or capillary puncture.
  • Collected specimens for drug screens, paternity tests and alcohol tests.
  • Sanitized work area after every patient to prevent contamination and spread of disease.
  • Properly stored and transported specimens to prevent loss and delays.
  • Collected blood samples from 30 individuals per day, maintaining consistent patient flow.
  • Verified quality of specimens by centrifuging specimens for logistics courier to pickup.
  • Delivered quality patient care by completing accurate and timely collection and transport of clinical specimens according to established procedures.
  • Coordinated workflow based on stat, schedule, or outpatient needs.

Medical Assistant

Ryan Chelsea Center
New York, NY
09.2018 - 09.2021
  • Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
  • Performed routine tests such as urine dip stick, vision and hearing tests.
  • Administered rapid tests such as Strep and HIV to help clinical staff assess conditions.
  • Checked patients in, collected and verified insurance information, compiled new patient forms, scheduled appointments and updated patient files.
  • Assisted physicians by preparing patients for procedures, including but not limited to EKGs, phlebotomy, glucose testing and pulmonary function tests.
  • Conducted patient interviews to gather health history, vital signs and information about current medical issues.
  • Partnered with healthcare and administrative staff to create patient-centered, inviting and supportive environment for patients and families.
  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment.
  • Collaborated with local pharmacies to resolve and clarify issues with patient medication.

Medical Assistant

Prohealth Urgent Care
New York, NY
06.2017 - 08.2018
  • Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
  • Performed routine tests such as urine dip stick, vision and hearing tests.
  • Administered rapid tests such as Strep and Flu to help clinical staff assess conditions.
  • Checked patients in, collected and verified insurance information, compiled new patient forms, scheduled appointments and updated patient files.
  • Used EMR software to process patient payments and update accounts.
  • Assisted physicians by preparing patients for procedures, including but not limited to EKGs, phlebotomy, glucose testing and pulmonary function tests.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment.
  • Completed and submitted clinical documentation in accordance with agency guidelines.
  • Kept facility stocked with necessary supplies, equipment and instruments.
  • Cleaned, restocked and prepared exam rooms and medical equipment.
  • Measured patient peak flows.
  • Cleaned and disinfected chairs and equipment according to facility policy.
  • Experienced in front and back offices, controlling patient flow, collecting payments and assisting in delivery of quality healthcare.

Education

Associate of Applied Science - Nursing Assistance

Mildred Elley
Albany, NY
06.2017

Skills

  • HIPAA compliance
  • Certified in Basic Life Support (BLS)
  • STD counseling
  • Venipuncture and phlebotomy
  • Understands medical procedures
  • Inventory and supply management
  • Professional bedside manner
  • Medical terminology
  • Bilingual in Spanish
  • EKG set up and monitoring
  • Communicating with patient families
  • Patient scheduling
  • Vital sign monitors
  • Customer Service

Timeline

Utilization Management Representative

Metroplus Health
08.2023 - Current

Clinical Liaison Supervisor

Heritage Family Health
03.2022 - 08.2023

Phlebotomist Technician

Leigh Valley Hospital Pocono
10.2021 - 03.2022

Medical Assistant

Ryan Chelsea Center
09.2018 - 09.2021

Medical Assistant

Prohealth Urgent Care
06.2017 - 08.2018

Associate of Applied Science - Nursing Assistance

Mildred Elley

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Angelita Reyes