Claudia Palacio
Miami,FL
Summary
- Detail-oriented professional with 5+ years of experience and a
proven knowledge of conflict resolution, customer
communications, and customer needs assessment. Aiming to
leverage my skills to successfully fill the Healthcare
Administration and Hospital Management role at your company. Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Outpatient Specialist & Community Health Services
Jackson Behavioral Health Hospital
09.2019 - Current
- Review chart documentation to ensure patient meets medical policy guidelines • Prioritize incoming authorization requests according to urgency • Obtain authorization via payer website or by phone and follow up regularly on pending cases • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations. Verify insurance information for new patients as well as update insurance information for existing patients. Collects all necessary co-pays, deductibles, and co-insurance, as needed. Call to obtain pre-authorization request for different services within Mental Health.Maintain positive working relationships with patients, physicians, visitors, and hospital staffs. Communicates with
- patients in a confidential, professional manner using empathy, tact, and diplomacy.
- Developed strong client relationships through consistent communication and attentive service.
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
Medical Receptionist
Miami Urgent Care
03.2019 - 09.2019
- Receive and direct phone calls, schedule appointments,
check-in and check-out patients, obtain necessary patient
information to file and update patient records, and ensure
all forms and consents are completed by patients.
Obtaining patient authorization for medical records release
(HIPAA compliance). Schedules follow up appointments
after the completion of each visit. Take the necessary
payment depending of the service provided to the patients.
Reconciles cash against daily charge and run cash reports.
As a referral coordinator, I am able to obtain authorizations
for patient referrals to specialists, diagnostic testing and
procedures. Advise physician if authorization request is
denied.
Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner. - Streamlined appointment scheduling for improved patient flow and reduced wait times.
Education
Master of Science - Health Services Administration
Barry University
Miami, FL05.2025
Bachelor of Science - Biology
Florida International University
Miami, FL12.2018
Associate of Science - Biology
Miami Dade College
Miami, FL12.2013
Skills
Excel and PowerPoint
Ability to multi-task, manage
details and organize efficiently
and effectively
Ability to communicate effectively
in person and on the telephone
with the public, patients, and staff
Self-motivated, enthusiastic and
detail oriented with great
organizational skills who works
well with deadlines Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively Proficient use of CPT and ICD-10 codes Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
Certification
Awarded Member of the
National Society of
Leadership and Success. Awarded the Care Spotlight award by my organization for my outstanding services and work with the VA hospital on March 31, 2022.
Timeline
Outpatient Specialist & Community Health Services
Jackson Behavioral Health Hospital
09.2019 - Current
Medical Receptionist
Miami Urgent Care
03.2019 - 09.2019
Master of Science - Health Services Administration
Barry University
Bachelor of Science - Biology
Florida International University
Associate of Science - Biology
Miami Dade College
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