Becky Oviedo
Garland,Tx
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
21
21
years of professional experience
Work History
Patient Care Coordinator
Addison Group
Dallas, TX
05.2023 - 09.2024
- ECW EMR system.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Reduced wait times by implementing an effective appointment reminder system for patients, minimizing no-shows and late arrivals.
- Provided compassionate support for families during difficult healthcare decisions, acting as a liaison between them and their loved ones'' medical team.
- Coordinated scheduling of appointments to maximize healthcare providers' availability and patient convenience.
- Established partnerships with local healthcare providers, expanding options and resources for patient referrals.
- Ensured compliance with healthcare regulations and patient privacy laws, maintaining safe and confidential environment.
- Enhanced patient satisfaction by coordinating timely care and addressing individual needs.
- Answered incoming calls, scheduled appointments and filed medical records.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
Insurance Authorization Specialist
Heartcare Consultants
Lakewood Ranch
06.2018 - 05.2019
- Obtaining insurance authorizations for in house testing, hospital procedures, workers compensation patients and VA patients
- Making sure a referral was kept on file for all HMO patients
- Check in patients, answer phones, data entry, scanning documents into Greenway system, responding to medical records requests accordingly while complying to Hippa, entering copays and basic office duties.
- Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
- Streamlined insurance authorization processes by implementing efficient workflow strategies.
- Coordinated pre-authorization requirements for medical treatments or services, enhancing overall patient experience before appointments.
- Resolved complex authorization issues, working closely with patients and insurance companies to find solutions.
- Assisted patients in understanding their coverage benefits, guiding them through the financial aspects of their care journey.
- Contributed to revenue growth, securing necessary authorizations for medical procedures promptly and accurately.
- Maintained comprehensive knowledge of various insurance plans, ensuring accurate information was provided during the authorization process.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Tracked referral submission during facilitation of prior authorization issuance.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Bilingual Administrative Assistant
Sarasota Pain Associates
Sarasota
06.2013 - 05.2018
- Athena EMR system.
- Welcome and greet all patients and visitors, in person or over the phone, answer the phone while maintaining a polite consistent phone manner using proper telephone etiquette, register new patients and update existing patient demographics by collecting detailed patient information including personal and financial information, facilitate patient flow by notifying the provider of patient's arrival, being aware of delays, and communicating with patients and clinical staff.
- Knowledge of CPT Codes , ICD-9 & ICD-10, supervising front office staff and understanding of field related terminology.
- Printing hours from clock in system to submit payroll, training new hires as well as making sure new hire file was kept up to date with W-4 forms, valid ID's and valid state required licenses.
- Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
- Supported healthcare providers with the timely completion of necessary documentation, allowing them to focus on quality patient care.
- Generated reports and logged patient information for reliable records.
- Managed incoming phone calls efficiently, directing callers to appropriate personnel while providing courteous service at all times.
- Verified insurance coverage to prepare for upcoming patient appointments.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Greeted patients and provided required paperwork to facilitate services.
- Called patients to confirm scheduled appointments day in advance.
- Demonstrated proficiency in various medical software programs, adeptly adapting to new technology as required for optimal job performance.
- Maintained and updated patient records for accurate, current medical histories.
- Assisted in the training of new administrative staff members, sharing expertise and best practices to support their professional development.
- Streamlined front desk operations through the implementation of an effective filing system for patient documentation.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Collaborated with healthcare professionals to maintain high-quality care across departments.
- Anticipated supply needs and placed orders proactively, preventing shortages that could disrupt daily clinic operations or compromise patient care quality.
- Conducted insurance verification and preauthorizations and managed patient charts.
- Improved patient satisfaction by efficiently managing appointment scheduling and providing clear communication regarding medical procedures.
- Coordinated referral appointments with external specialists, ensuring that relevant medical records were shared in a timely manner for optimal patient care continuity.
- Maintained cleanliness and organization within the reception area, creating a welcoming atmosphere for patients and visitors alike.
- Assisted with the coordination of clinical staff schedules, ensuring adequate coverage during peak hours and minimizing wait times for patients.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Provided prompt, polite and professional in-person and telephone customer service.
- Restocked each medical room with adequate supply of medications and supplies in preparation for patients.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Updated patient information and insurance details for accurate electronic medical records.
- Registered patients and completed associated paperwork for accurate records.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Obtained payments from patients and scanned identification and insurance cards.
- Registered and verified patient records before triage with most up-to-date information.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Performed various administrative tasks by filing, copying and faxing documents.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Prepared and processed patient referrals and transfer requests.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Conducted patient intake interviews, recording and documenting relevant information.
Insurance Verification Specialist
Comprehensive Med Psych System
Sarasota
08.2011 - 04.2013
- Verification of insurance benefits for an office of 27 Psychologists, Therapists and Psychiatrists
- They all had their own database; this was a multi task and fast paced position
- CPT CODES and ICD-9 knowledge
- Pre- authorizations, check- in, check-out, scheduling, collecting copay, posting payments, daily reports, general clerical duties
- Multi- phone line systems and SOS Database was used.
Patient Care Coordinator
Armand's Hearing Center (TRC Staffing Service, Inc)
Bradenton
03.2011 - 07.2011
- Scheduling for tests and evaluations, insurance verifications, authorizations, posting payments, collecting copay, daily reports, Care Credit/Wells Fargo credit processing and handled inventory.
- Sycle Database was used.
- Managed multi-line phone system and pleasantly greeted patients.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Facilitated smooth check-in / check-out process, ensuring all necessary paperwork was completed promptly.
- Supported patient care by scheduling appointments to accommodate urgent health needs.
- Improved patient follow-up, reducing missed appointments through effective reminder calls.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Performed various administrative tasks by filing, copying and faxing documents.
Bilingual Office Assistant
Texas Anesthesias and Pain Management
Waxahachie
05.2003 - 02.2009
- Check-in, check- out patients
- Obtaining insurance verifications, referrals and authorizations.
- Collecting, posting patient payments, posting office visit charges.
- Making new patient charts, chart prep for upcoming appointments,
- Answering multi phone line calls and messages.
- Interviewing and training new employees.
Education
Skills
Bilingual: English & Spanish
Medical office experience
Proficiency in Microsoft Office programs including Excel, Outlook and Word
Motivated team player with a positive attitude
Excellent customer service, able to multitask and work in a fast paced environment, flexibility, telephone skills on multi-line system, adept at managing busy medical office, organization and attention to detail
Proficient in verifying and updating necessary information in EMR, scheduling, word processing, professionalism and quality focus
Experience with insurance verification of benefits, pre certifications, referrals and authorizations
References
- Wanda Washington, (941)806-8130
- Minnie Rivers, (941)744-6999
Languages
Spanish
Native or Bilingual
Timeline
Patient Care Coordinator
Addison Group
05.2023 - 09.2024
Insurance Authorization Specialist
Heartcare Consultants
06.2018 - 05.2019
Bilingual Administrative Assistant
Sarasota Pain Associates
06.2013 - 05.2018
Insurance Verification Specialist
Comprehensive Med Psych System
08.2011 - 04.2013
Patient Care Coordinator
Armand's Hearing Center (TRC Staffing Service, Inc)
03.2011 - 07.2011
Bilingual Office Assistant
Texas Anesthesias and Pain Management
05.2003 - 02.2009