CHRISTINA QUIROGA

Assists with development and implementation of case management policies and procedures, contributing to a more efficient department, facilitating non-complicated Home Health, Durable Medical Equipment, Skilled Nursing, by triaging non-complicated specialty clinics, and other duties as assigned.

• Seeks methods to streamline processes and is aware of hospital resources. Has Comprehensive knowledge of program requirements, utilization management, length of stay and factors that affect Onvida Health.
• In collaboration with care team, facilitates and coordinates serves including but not limited to: Post-discharge services of skilled nursing facility placement; including interval Mental Health Acute Care Transfers, along with communicating resources, durable medical equipment, and home health services with resources available - commercial insurance, Medicare, self-pay. Competent skills in data entry excel spreadsheets, creating basic reports. Seeks out opportunities to support department with other organizational initiatives.
• Receives processes and distributes insurance reviews, prior authorization requests, and/or enters authorization information into EPIC work queue. Perform other duties as assigned.

• Maximized resource utilization by monitoring appointment availability and adjusting schedules accordingly.
• Radiology modalities: Mammogram, DEXA Scans, Ultrasound, CT Scan , MRI, Cardiopulmonary, Fluoroscopy, IR Interventional Radiology, and NM Nuclear Medicine
• Rescheduled, authenticated eligibility, took inbound calls and made outgoing Radiology calls
• Cross trained to transcribe all incoming Radiology orders from outside providers offices.
• Ensure all DX diagnosis codes are accurately written out and verify all orders received are valid with date, providers signature, order and diagnosis

• Cross trained to operate front office and back office duties
• Registering Patients before surgery, obtaining all surgery documents in a timely manner, reviewed orders for surgery, prepped charts for the day of surgery via EMN, collected all balances due for Surgery.
• Directed calls to appropriate employee/department, verified benefits, collected amounts owed, update patient demographics as needed, confirmation calls for upcoming appointments, scheduled future appointments for registration and surgeries
• Ordered medical supplies from vendors to keep par levels in acceptable range in
• Assisted with patient admission, discharges
• Supported nurses in Pre-Op by taking vital signs, documenting patient observations on EMR on day of Surgery in Pre-Op and assisting in PACU discharge as well

• Evaluated customer account information to assess current issues and determine potential solutions
• Consulted with customers to determine best methods to resolve service and billing issues
• Answered inbound calls and directed to designated individuals or department
• Provided Customer with most current up-to-date information regarding Insurance Benefits, such as Copays, Deductibles, Co-Insurances, CPT Codes, OOPM
• Documented conversations with customers to track requests, problems and solutions

• Documented patient intake and dietary requirements and assisted with feeding
• Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness
• Facilitated activities of daily living, including personal hygiene management, feeding and ambulation
• Exhibited compassionate care and communication regarding issues surrounding death and dying
• Fostered relationships with patients, caregivers and healthcare teams to achieve individual care

• Greeted Patients upon arrival to the Laboratory
• Answered calls and directed to appropriate department/employee
• Scheduled specimen collection appointments, called to confirm appointments, checked client in and out of the laboratory
• Collected drug test specimen via urine, hair, and or alcohol breath test
• Delivered specimens to in house laboratory