Summary
Overview
Work History
Education
Skills
Professional Highlights
Timeline
Generic

Areliz Torres

Yonkers,NY

Summary

Communicative customer service professional motivated to maintain customer satisfaction and contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory relationships with customers. Offers skill with CRM systems paired with outstanding active listening and multitasking abilities.

Overview

13
13
years of professional experience

Work History

Executive Medical Receptiobist

2nd Arc psychiatric Associates
White Plains, NY
10.2021 - Current
  • • Greeting patients professionally both in person and on the phone
    • Quickly answering or properly referring questions and issues
    • Optimizing provider schedules and patient satisfaction with efficient scheduling
    • Notifying providers of patient arrivals
    • Comforting patients by anticipating anxieties and effectively answering questions
    • Ensuring availability of treatment information by retrieving and updating patient records
    • Verifying financial records and collecting patient charges while filing and expediting third-party claims
    • Maintaining office inventory and equipment by anticipating supply needs and expediting supply orders
  • Set up staff monthly meetings and obtain minutes
  • Verify eligibility and benefits
  • Obtain prior authorizations with insurance

Patient Coordinator

Vitas Healthcare
Kissimmee, FL
10.2019 - 10.2021
  • Answered telephones inquiries from physicians and medical staff in a professional courteous matter
  • Coordinated meetings with physicians and nurses to discuss treatment plans for patients in hospice plan
  • Worked efficiently and independently by planning, organizing, and prioritizing assigned work
  • Screen telephone calls for Manager/facilities and communicate between patients and families
  • Kept daily schedules for all team members
  • Attend weekly team meetings
  • Prepares agenda for team meeting and recertification
  • Assisted with Vitas Telecare triage
  • Established, maintained, and close charts in a timely manner
  • Follow up on all required documents such as Plans of Cares, Attending Physician Authorization form
  • Knowledge of Medicare and Medicaid
  • Order DME, enter patient care data into Vx and event tracking
  • Translated for Bilingual speaking patients.

Office Coordinator- Behavioral Health PHP/IOP

Osceola Regional Medical Center
Kissimmee, FL
01.2017 - 11.2018
  • Performed a range of clerical duties that support the operations of the clinic
  • Assembled patient charts
  • Answered telephone and directed to the appropriate department
  • Assist Dr with patients and prescriptions/do treatment team
  • Assisted with authorization /check eligibility and benefits copy/billing
  • Served as an important link in the communication chain ensuring information is transmitted between nursing personnel, other hospital personnel, physicians, patients, family members and other guests
  • Served as clinical receptionist greeting and aiding the patients
  • Completed special projects for unit director, supervisors
  • Follows Standard Precautions using personal protective equipment as required
  • Orient and mentors' new patients on how the program work for grp therapy.

Unit Secretary

Osceola Regional Medical Center
Kissimmee, FL
08.2016 - 12.2016
  • Transcribed physician's' orders and performed patient registration
  • Contacted patients to inform them of their lab results
  • Coordinated patient's appointments, updating patient's billing and information
  • Translated for Bilingual Speaking patients
  • Collected co-payments at time of arrival.

Pre Access Specialist

Florida Hospital
FL
02.2016 - 05.2016
  • Maintained performance standards appropriate to area by obtaining account benefits or verifying authorizations are in place for all scheduled and / or unscheduled patient accounts under responsibility
  • Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all
  • Meeting timeline standards established by leadership for all patient services
  • Meets or exceeds department audit accuracy standard goal
  • Adheres to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies
  • Use utmost caution that obtained benefits, authorizations, and / or pre-certifications are accurate according to the actual test / procedure or registration being performed.

Financial Specialist

Advanced Care Scripts Pharmaceutical Company
Oak Ridge, FL
11.2014 - 12.2015
  • Processed claims/transactions received from dispensing pharmacies following established policies and procedures and guidelines from the Manufacturer
  • Processed additional referrals received from HUB to update existing patient accounts to reflect changes reported in benefits, dispensing pharmacy, or eligibility
  • Explained patient's prescription benefits and/or major medical benefits for patient's therapy as well as financial copay assistance options
  • Analyzed and process claims submitted by patients for check reimbursement based on business rules established by Manufacturer
  • Documented records clearly and accurately in accordance with the program guidelines
  • Verified patient's insurance to locate the best benefit for the patient for both retain and mail order
  • Ability to recognize invalid/incorrect rejections and be able to follow through with insurance company in obtaining the correct response.

Enrollment Specialist

Physicians United Plan
Orlando, FL
08.2011 - 06.2014
  • Audited and analyzing overall enrollment performance
  • Receive applications for new and existing members
  • Attended meetings and take minutes
  • Assisted in daily and nightly task reports to management
  • Handle Medicare and Medicaid
  • Handled and delegate reports
  • Make sure CMS guidelines are met.

Education

High School Diploma -

Cristian Cornor Stone
10-2002

Some College (No Degree) - Bachelors in Science And Health Admin

Phoenix University
Orlando, FL

Skills

  • Administrative
  • Customer service
  • Translation
  • Medicare/Medicaid knowledge
  • EMR knowledge
  • Telephone etiquette
  • Meeting coordination
  • Planning and organizing
  • Prioritization skills
  • Communication skills
  • Scheduling management
  • Agenda preparation
  • Recertification process
  • Vitas Telecare triage assistance
  • Chart maintenance
  • Document follow-up
  • DME ordering
  • Patient care data entry
  • Insurance Verification
  • Payment Collection

Professional Highlights

  • Dedicated Healthcare professional with several years of administrative and customer service experience.
  • Translated for bilingual speaking patients.
  • Answered telephones inquiries from physicians and medical staff in a professional courteous matter.
  • Strong knowledge of Medicare/Medicaid along with EMR.

Timeline

Executive Medical Receptiobist

2nd Arc psychiatric Associates
10.2021 - Current

Patient Coordinator

Vitas Healthcare
10.2019 - 10.2021

Office Coordinator- Behavioral Health PHP/IOP

Osceola Regional Medical Center
01.2017 - 11.2018

Unit Secretary

Osceola Regional Medical Center
08.2016 - 12.2016

Pre Access Specialist

Florida Hospital
02.2016 - 05.2016

Financial Specialist

Advanced Care Scripts Pharmaceutical Company
11.2014 - 12.2015

Enrollment Specialist

Physicians United Plan
08.2011 - 06.2014

High School Diploma -

Cristian Cornor Stone

Some College (No Degree) - Bachelors in Science And Health Admin

Phoenix University

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Areliz Torres