Highly-motivated bilingual employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
22
22
years of professional experience
Work History
Neurosurgery Spine and Specialist/Referral Coordinator
06.2021 - 02.2024
Verification of all insurance benefits prior to requesting authorization for all office visits, online and on the phone, verifying also copay, and adding information into EHR systems.
Coordinated with other departments to ensure efficient workflow processes.
Dr. Joseph Millin Family Practice/Referral Specialist
Dr. Joseph Millin Family Practice
Sarasota
03.2018 - 08.2020
Perform all PCP referrals for specialist offices and obtain Authorization
For all DME, Procedures and Radiology
Insurance verification for all Participating insurance companies
(Florida Blue, Humana, Cigna, Aetna Freedom/Optimum and UHC)
Schedule radiology appointments for Patients
Coordinate inpatient/outpatient procedures with local hospitals And Ambulatory surgery centers
Also provide back help for check in and check Out
University Gastroenterology/Medical Assistant/Receptionist
04.2014 - 05.2017
Follow established University Gastroenterology EMR workflow protocols to maximize site’s productivity and office flow efficiency
Prepare patient for examination obtaining vital signs such as blood pressure, pulse temperature and weight
Record vital signs and update medication list
Maintain examination room stocks
Consistently demonstrate ability to respond to changing situation in flexible manner in order to meet current needs, such as reprioritizing work as necessary
Knowledge of medical office procedures and terminology
Skill in greeting patients and answering telephone with a strong customer services focus
Skill in operating a variety of office equipment such as copier, fax, scanner, and computer
Ability to e-file and work fax server
Translated all letters and procedure prep from English to Spanish to better assist Patient’s with language barrier
Ability to establish and maintaining effective relationship with customers (patients, physicians, coworkers, supervisors, manager, etc.).
Rhode Island Hospital/Prior Authorization Specialist
01.2004 - 02.2012
Obtain all insurance information and very with third party-billing
Verify patient’s information of third-party coverage
Answering high volume of incoming phone calls, use all Web sites
Update and maintain Approved Provider List
Collect existing balances for previous Hospital services
Determine preliminary qualifications for welfare eligibility
Determine eligibility for free service when necessary.
University Medicine Foundation/Gastroenterology/Medical Assistant
12.2001 - 06.2005
Schedule follow-up and new patient appointments, answer incoming calls, Call in prescriptions and refills, schedule outpatient testings and procedures
Assist physician with examination, giving injections, planted PPD test, giving H
Pylori breath test.
Education
Certified Medical Assistant/Medical Secretary -
The Sawyer School
Skills
Medical Assistant/Medical Secretary
Referrals and authorizations
Managing patient information
Front office duties
Clerical tasks
Insurance verification
Prior authorization
EMR workflow protocols
Vital signs measurement
Medical office procedures and terminology
Customer service
Operating office equipment
Translation (English to Spanish)
Establishing and maintaining effective relationships
Third-party billing
Phone call handling
Web navigation
Updating and maintaining provider lists
Balances collection
Welfare eligibility determination
Free service eligibility determination
Appointment scheduling
Prescription management
Assisting with examinations
Injections administration
PPD test administration
H Pylori breath test administration
Customer Service
Calm Under Pressure
Self-Directed
Computer Skills
Microsoft Word
Dependable and Responsible
Problem-Solving
Quality Assurance
Languages
Spanish
Professional
English
Professional
Timeline
Neurosurgery Spine and Specialist/Referral Coordinator
06.2021 - 02.2024
Dr. Joseph Millin Family Practice/Referral Specialist
Dr. Joseph Millin Family Practice
03.2018 - 08.2020
University Gastroenterology/Medical Assistant/Receptionist
04.2014 - 05.2017
Rhode Island Hospital/Prior Authorization Specialist
01.2004 - 02.2012
University Medicine Foundation/Gastroenterology/Medical Assistant
Assistant Practice Manager/Vaccine Coordinator & Management/Referral Coordinator at Pediatric Center for WellnessAssistant Practice Manager/Vaccine Coordinator & Management/Referral Coordinator at Pediatric Center for Wellness