CAROLYN GARCIA
Summary
Dynamic Surgical Coordinator with expertise in insurance verification and patient coordination. Recognized for enhancing communication within surgical teams and successfully resolving appeal denials. Bilingual in English and Spanish, I leverage strong communication skills to provide exceptional patient education and maintain HIPAA compliance.
Overview
12
12
years of professional experience
Work History
Surgical Coordinator III
Mount Sinai Medical Center
01.2016 - Current
- Efficiently managed high volume caseloads while maintaining meticulous attention to detail in scheduling logistics and documentation.
- Enhanced surgical team communication by maintaining accurate schedules and promptly addressing any changes or concerns.
- Appeal denials/ engage in PEER to PEER calls with insurance companies on behalf of physicians
- Assign physicians to appropriate surgical rooms/ Daily communication with physicians
- Schedule heart catherizations, TAVR surgeries, transesophageal echoes, stress tests, etc.
- Collaborated with insurance providers to verify coverage and obtain necessary authorizations for surgical procedures.
- Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times.
- Provided comprehensive education materials for patients regarding their upcoming surgery, answering questions and alleviating concerns related to the procedure itself or recovery expectations afterward.
Patient Rep
Doctors Plus Medical Center
07.2013 - 01.2016
- Resolved billing issues, resulting in increased patient trust and financial stability for the clinic.
- Scheduled appointments for patients and placed reminder calls 48 hours before office visits
- Implemented effective problem-solving techniques to resolve diverse patient concerns promptly.
- Observed all facility rules and regulations regarding patient data to promote confidentiality and integrity.
- Assisted patients with insurance claims, facilitating smooth transactions and proper coverage.
- Verified any changes or data updates to patient records and checked insurance information at each appointment.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- · Authorizing medication refills to pharmacies
- · Light billing when needed
- · Heavy data entry and insurance verification
Education
Medical Administrative Assistant -
Everest University
Orlando, FL07-2013
High School Diploma -
Carol City High School
Miami Gardens, FL06-2008
Skills
- Strong communication skills
- Insurance verification
- Professionalism and confidentiality
- Patient coordination
- Data entry efficiency
- Bilingual (English, Spanish)
- Epic EMR expertise
- Surgical procedures
- Medical terminology proficiency
- Medical terminology
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Surgical Coordinator III
Mount Sinai Medical Center
01.2016 - Current
Patient Rep
Doctors Plus Medical Center
07.2013 - 01.2016
Medical Administrative Assistant -
Everest University
High School Diploma -
Carol City High School
Similar Profiles
Samantha RodriguezSamantha Rodriguez
NICU Registered Nurse at Mount Sinai Medical CenterNICU Registered Nurse at Mount Sinai Medical Center
Melyssa Gonzalez HechavarriaMelyssa Gonzalez Hechavarria
Acute Care Registered Nurse at Mount Sinai Medical CenterAcute Care Registered Nurse at Mount Sinai Medical Center
Freddy MirandaFreddy Miranda
Interventional Radiology Technologist at Mount Sinai Medical CenterInterventional Radiology Technologist at Mount Sinai Medical Center