Melissa L. Gandarilla

Communicate Hospice services to patients, families, and referral sources.

Coordinate scheduling of admission representatives for coverage.

Gather financial info and confirm benefits with Billing Department.

Review referrals to extract primary and related diagnoses.

Assist nurses in preparation for admissions.

Conduct audits of Continuous Care Packets and Admissions as needed.

Supervise patient/family appointment scheduling.

Collaborate with Business Development Director and clinical managers for smooth admissions.

Forward useful information to Community Liaisons and coordinate follow-ups.

Maintain documentation of referrals until conversion or NTUC.

Obtain required Doctors orders.

Track admissions statistics and assist in gathering data.

Build relationships with healthcare staff to generate referrals.

Contribute to effective relationships by resolving concerns from patients, families, and physicians.

Adhere to confidentiality practices regarding all stakeholders.

Maintain insurance contracts per regulations.

Advocated for patient needs, enhancing overall care experience and satisfaction.

Coordinated with healthcare teams to ensure timely access to services and resources.

Educated patients on treatment options, fostering informed decision-making and empowerment.

Resolved patient concerns through effective communication and problem-solving strategies.

Facilitated insurance verification processes to ensure accurate patient data and eligibility.

Coordinated communication between healthcare providers and insurance companies to resolve discrepancies.

Updated patient records with accurate, current insurance policy information.

Conducted comprehensive insurance verification for patient procedures and services.

Managed prior authorization processes for medical procedures and maternity coverage.

Obtained necessary referrals from rendering and ordering providers for patient care.

Facilitated collections of current and past due balances, ensuring financial compliance.

Engaged with patients to explain insurance coverage details and address inquiries.

Participated in conference calls with insurance companies to resolve patient issues.

Checked patients in and out, ensuring a smooth workflow in the office.

Updated patient demographics accurately to maintain up-to-date records.

Perform comprehensive insurance verification for all scheduled office visits and surgeries.

Acquire necessary prior authorizations for diverse medical services provided to patients.

Manage scheduling logistics for both inpatient and outpatient surgical procedures across five providers.

Communicate patient financial responsibilities linked to their insurance plans clearly.

Provide detailed answers to patient inquiries about their insurance options and coverage limits.

Collect payments from patients while offering flexible payment plan solutions as required.

Ensure meticulous documentation of all patient-related financial interactions is maintained.

Collaborate with healthcare teams to streamline benefit verification processes.

Conducted insurance verification for all OB patients, ensuring accurate coverage and eligibility.

Secured prior authorizations for various procedures, streamlining patient access to necessary care.

Coordinated scheduling of inpatient and outpatient surgeries for three healthcare providers efficiently.

Managed referrals and authorizations for GYN patients, facilitating timely treatment and continuity of care.

Provided patients with clear information regarding insurance inquiries, enhancing their understanding and satisfaction.

Assisted front office operations during staff absences by answering phones and managing appointment schedules.

Maintained organized records of patient interactions to support seamless communication across departments.