Brenda Alvarez Novoa

• Monitoring Right Fax Server and Processing Referrals
• Approving referrals on EZ Cap
• Reviewing history on incoming referrals
• Contacting medical offices to obtain missing records or for incomplete referrals submissions
• Responsible for meeting the standards for processing authorizations at timely manner
• Communicating with UM nurse regarding authorization matters.
• Skilled in computer application including: word,spreadsheet,EZcap,Faxage.

• Managing surgery scheduling for various doctors
• Revising orders and obtaining documents required for surgery
• Communication with physician office
• Adding block time
• Faxing surgery confirmations.

• Manage surgery schedule for one/two physicians in various hospitals
• Act as a liaison between the patient and doctor by verifying and providing patient lab work prior to procedure, giving patient check-in instructions, and communicating with physician to verify prior instructions for patients
• Obtain prior authorizations and call for pre-certification for surgeries.

• Manage surgery schedule for one/two cardiologist in various hospitals
• Act as a liaison between the patient and doctor by verifying and providing patient lab work prior to procedure, giving patient check-in instructions, communicating with physician to verify prior instructions for patients, and following up with patient after procedure to set up follow-up appointments
• Obtain prior authorizations and call for pre-certification for testing's and follow-up visits.

Checked patients in and out for their appointment
Prepared charts for appointments by verifying patient insurance information and change in medical records
Multi-tasked with multiple phone lines and scheduling appointments in person and over the phone
Created control bath sheet with Microsoft Excel
Provide translation services to Spanish speaking patients
Organized and kept track of faxes coming in
Requested and provided medical records to other providers as needed.
EDITDELETEMOVE

BA

BRENDA ALVAREZ NOVOA

bnovoa18@yahoo.com| (951) 438-6296| Hemet, CA 92545

Summary

Focused professional seeking to develop their career in the administrative/clerical field. Resourceful with the various aspects of keeping a calm and organized office environment, with a multitude of coworkers, customers, and tasks. Adaptable and always willing to go the extra mile. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Skills

• Fluent in Spanish
• Reliable team worker
• Neat,clean and professional appearance
• Delivers exceptional customer service
• Excellent multi-tasker
• Detail oriented
• Problem solving
• Excellent Communication skills
• Positive Attitude
• Comfortable with Technology
• Strong communicator
• Workload Management
• Medical terminology knowledge
• Critical Thinking
• Organizational Skills
• Active Listening

Experience

Promicare Medical Group | Hemet, CAUtilization Management Coordinator08/2021 - Current

• Monitoring Right Fax Server and Processing Referrals
• Approving referrals on EZ Cap
• Reviewing history on incoming referrals
• Contacting medical offices to obtain missing records or for incomplete referrals submissions
• Responsible for meeting the standards for processing authorizations at timely manner
• Communicating with UM nurse regarding authorization matters.

Southwest Healthcare System, Inland Valley Medical Center | Wildomar, CAOR Surgery Scheduler05/2021 - 08/2021

• Managing surgery scheduling for various doctors
• Revising orders and obtaining documents required for surgery
• Communication with physician office
• Adding block time
• Faxing surgery confirmations.

United Medical Doctors, United Gastroenterologist | Temecula, CASurgery Scheduler11/2020 - 04/2021

• Manage surgery schedule for one/two physicians in various hospitals
• Act as a liaison between the patient and doctor by verifying and providing patient lab work prior to procedure, giving patient check-in instructions, and communicating with physician to verify prior instructions for patients
• Obtain prior authorizations and call for pre-certification for surgeries.

Pacific Heart Medical Group | Murrieta, CAReferral Coordinator / Surgery Scheduler07/2014 - 11/2020

• Manage surgery schedule for one/two cardiologist in various hospitals
• Act as a liaison between the patient and doctor by verifying and providing patient lab work prior to procedure, giving patient check-in instructions, communicating with physician to verify prior instructions for patients, and following up with patient after procedure to set up follow-up appointments
• Obtain prior authorizations and call for pre-certification for testing's and follow-up visits.
• Checked patients in and out for their appointment
• Prepared charts for appointments by verifying patient insurance information and change in medical records
• Multi-tasked with multiple phone lines and scheduling appointments in person and over the phone
• Created control bath sheet with Microsoft Excel
• Provide translation services to Spanish speaking patients
• Organized and kept track of faxes coming in
• Requested and provided medical records to other providers as needed.

• Checked patients in and out for their appointment
• Prepared charts for appointments by verifying patient insurance information and change in medical records
• Multi-tasked with multiple phone lines and scheduling appointments in person and over the phone
• Created control bath sheet with Microsoft Excel
• Provide translation services to Spanish speaking patients
• Organized and kept track of faxes coming in
• Requested and provided medical records to other providers as needed.