Results-driven and familiar with all areas/departments of a successful medical practice, known for high productivity and efficient task completion. Specialize in strategic planning, regulatory compliance, and team leadership. Excel in communication, problem-solving, and adaptability, ensuring successful project outcomes and operational excellence.
Overview
12
12
years of professional experience
Work History
Director of Clinical Operations
Laredo Arthritis & Rheumatology Center
Laredo, TX
01.2023 - Current
Organized training sessions for staff members on topics related to clinical operations procedures.
Resolved escalated issues from patients or their families concerning quality-of-care concerns or complaints.
Created and maintained detailed records of clinical operations activities.
Coordinated with other departments to develop integrated solutions for complex problems.
Supervised a team of clinical operations professionals, providing guidance and mentorship as needed.
Reviewed existing protocols and developed new ones when necessary.
Interviewed applicants and made recommendations for new hires.
Coordinated weekly work schedules for department employees.
Office Manager
Laredo Arthritis & Rheumatology Center
Laredo, TX
01.2019 - 12.2022
Processed payroll accurately ensuring all employees were paid on time.
Prepared agendas for board meetings along with taking minutes during sessions.
Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
Created spreadsheets in Excel to track data such as vacation requests, sick days .
Ordered supplies and equipment to maintain adequate inventory levels.
Developed effective communication strategies between departments within the organization.
Developed and implemented office policies and procedures.
Answered phone calls, responded to emails, routed mail and coordinated courier services.
Assisted in developing budgets for departmental expenses.
Coordinated meetings, conferences, travel arrangements and department activities.
Organized company events including holiday parties, team building activities .
Maintained filing system for records, correspondence and other documents.
Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
Supervised staff members, organized schedules and delegated tasks.
Assisted in recruiting, onboarding and training new employees.
Provided training to new hires on office policies and procedures.
Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
Used judgment and initiative in handling confidential matters and requests.
Delegated work to staff, setting priorities and goals.
Insurance Verification Specialist
Laredo Arthritis & Rheumatology Center
Laredo, TX
01.2015 - 12.2018
Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
Monitored changes in government regulations affecting healthcare reimbursement systems.
Responded promptly to customer inquiries regarding their benefits and eligibility status.
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
Assisted in resolving claim issues related to billing and reimbursement inquiries.
Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Updated patient and insurance data and input changes into company computer system.
Managed multiple tasks and priorities in a high-volume, fast-paced environment.
Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
Navigated through multiple online systems to obtain documentation.
Medical Assistant
Laredo Arthritis & Rheumatology Center
Laredo, TX
06.2012 - 12.2014
Provided assistance in performing minor surgical procedures.
Organized patient charts before each day's clinic sessions began.
Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
Administered injections, medications and treatments as directed by the physician.
Education
High School Diploma -
Weslaco East High School
Weslaco, TX
05-2010
Associate of Science - Medical Assistant
Kaplan College Laredo Texas
Laredo, TX
Skills
Document Management
Clinical Research
Study design
Stakeholder Communication
Patient Scheduling
Patient-focused care
HIPAA Compliance
Quick problem solver
Office Management
Insurance Coverage Verification
Analytical Thinking
Attention to Detail
Timeline
Director of Clinical Operations
Laredo Arthritis & Rheumatology Center
01.2023 - Current
Office Manager
Laredo Arthritis & Rheumatology Center
01.2019 - 12.2022
Insurance Verification Specialist
Laredo Arthritis & Rheumatology Center
01.2015 - 12.2018
Medical Assistant
Laredo Arthritis & Rheumatology Center
06.2012 - 12.2014
High School Diploma -
Weslaco East High School
Associate of Science - Medical Assistant
Kaplan College Laredo Texas
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