Constancia Gonzales
Waco,USA
Summary
Dynamic and detail-oriented Receptionist with a proven track record in efficiently managing office schedules and records. Adept at collaborating with medical professionals and patients to deliver exceptional support tailored to their needs. Known for a professional demeanor, quality-driven approach, and strong relationship-building skills, consistently demonstrating the ability to resolve conflicts independently while maintaining a positive office environment. Committed to enhancing operational efficiency and patient satisfaction through effective communication and organizational expertise.
Overview
18
18
years of professional experience
Work History
Office Assistance Operations
AMG Providence Urology
Waco, TX
07.2024 - 04.2026
- Oversaw and streamlined authorization processes for all incoming requests.
- Maintained accurate records of authorizations, including dates, approvals, and any necessary follow-up actions
- Facilitated collaboration with internal teams to gather information and resolve issues regarding authorization requests.
- Communicated effectively with clients or external stakeholders regarding the status of their authorization requests
- Ensured timely processing of authorizations by prioritizing tasks based on urgency and importance
- Generated reports on a regular basis to provide insights into the volume and status of authorization requests
- Assisted in resolving billing discrepancies related to authorized services
- Ensured compliance with regulatory guidelines when processing authorizations
- Obtained authorizations for MRI's, CT's, and leuprolide Injection shots
- Help answer phones, schedule appointments, create new patient charts, take patient messages for nurses
Referral Specialist
Brazos Integrative Medicine
Waco, TX
01.2022 - 07.2024
- Work batch files, scan, print and schedule medical and diagnostic services appointments for five Providers, requested by patients and doctors' offices.
- Monitor and adjust upcoming calendar for schedule optimization.
- Track incoming/outgoing physician referrals by urgency and addressed to meet established timelines.
- Communicate appointment status to referring physicians.
- Scan pertinent patient and demographic records and include in electronic patient charts.
- Initiate outbound calls to patients to schedule medical and diagnostic appointments with requested physicians.
- Triage and route phone calls, take messages and follow-up to verify receipt of critical information.
- Advise patient of preparations required for scheduled procedures.
- Facilitate flow of communication and information to department members.
- Communicate with various Insurance Companies to obtain Referral Authorizations for requested Specialist. knowledgeable of Availity, Tricare, and other insurance websites to obtain authorizations and eligibility of insurance.
Medical Receptionist
FALLS COMMUNITY HOSPITAL AND RURAL HEALTH CLINIC
Marlin, TX
12.2019 - 01.2022
- Obtained insurance verifications, pre-authorizations, and pre-determinations
- Answered telephones, distributed mail and faxes, and prepared patient files.
- Scheduled patient appointments.
- Kept anxious patients calm by explaining upcoming procedures and answering questions.
- Reviewed and correctly recorded receipts of patient payments.
- Made appointments for patients on medical office software, contacted insurance companies on behalf of patients for approvals, and processed co-payments.
- Balanced drawers and managed petty cash usage.
- Scanned and filed patient information into medical records.
- Answered incoming calls and forwarded calls to appropriate destinations.
- Welcomed patients, pharmaceutical reps, and other visitors to doctor's office.
- Handled clerical tasks, including typing, filing, photocopying, and preparing letters.
- Kept updated knowledge of medical terminology
- Scanned notes in Electronic Chart
- Filed notes in paper chart
- Entered CPT codes for Tele Health visits in Electronic chart
- Charged visits in Transaction Entry in Electronic chart
- Discharged patients in Electronic chart
- Responsible for completing referrals sent from PCP to Psychologist
- Verifying patient insurance before appointment
- Responsible for faxing notes back to referring doctor.
Patient Registration Clerk
FALLS COMMUNITY HOSPITAL AND RURAL HEALTH CLINIC
Marlin, TX
05.2015 - 11.2019
- Counseled patients on insurance benefits and recommended alternative sources of payment or financial assistance.
- Explained financial responsibilities, payment options, and potential collection procedures for services received.
- Confirmed eligibility and verified insurance benefits for planned hospital services.
- Collected payments for procedures, hospital stays, and treatments.
- Used electronic hospital management system to schedule appointments, input insurance information, and update patient data.
- Provided front desk support and customer service satisfaction to patients, with courtesy, respect, and professionalism.
- Respected the rights of patients and maintained confidentiality.
- Obtained and accurately entered demographic, clinical, and financial data into computer system.
- Identified insurance payer sources and verified insurance coverage.
- Helped patients obtain the necessary services to meet their healthcare needs.
- Answered telephone promptly and politely provided information and assistance.
- Responsible for turning in a daily balanced money drawer and daily lists of receipts.
- Responsible for the input of correct diagnosis on all Out Patient visits to ensure insurance coverage.
- Responsible for releasing all Out Patient Lab/X-ray, Ultrasound, MRI'S, CT Scan orders
- Responsible for registering Out Patient for all X-rays, labs, Ct Scans, MRI'S, Ultrasounds, EKG'S, and any OP Standing orders.
- Familiar with CPSI, Bayscribe, and PACS computer operating systems
- Strong phone skills: engaging with patients, other outside offices, doctors, etc.
- Familiar with Medical Terminology.
- Responsible for ordering and releasing Urine Drug Screen orders on patients from The DFPS and Pre-hires from other agencies.
- Responsible for ordering and releasing Lab/ X-Ray orders on inmates from the Marlin Sheriff Department.
Office Assistant
FALLS COMMUNITY HOSPITAL AND RURAL HEALTH CLINIC
Marlin, TX
11.2007 - 05.2016
- Operated office equipment, such as personal computers, photocopiers, scanners, voicemail systems, and facsimile machines.
- Communicated with customers and other offices regularly.
- Greeted visitors and escorted them to their destinations.
- Answered calls on multi-line telephone system to direct callers, provide information and make appointments.
- Kept office documents well-organized and quickly retrieved files for team members.
- Prioritized and managed multiple tasks and competing priorities in servicing requests from senior managers.
- Helped the doctor translate to Spanish speaking patients
Education
High School Diploma -
LYFORD HS
Lyford, TXSkills
- Healthcare provider information
- Medical administrative support
- Experience (16-20 years)
- Regulatory compliance
- HMO health insurance
- Health insurance verification via fax
- Patient interaction
- Health insurance benefit levels
- Health insurance verification via real-time eligibility check
- Clinical confidentiality policies
- PPO health insurance
Languages
Bilingual
Spanish
Timeline
Office Assistance Operations
AMG Providence Urology
07.2024 - 04.2026
Referral Specialist
Brazos Integrative Medicine
01.2022 - 07.2024
Medical Receptionist
FALLS COMMUNITY HOSPITAL AND RURAL HEALTH CLINIC
12.2019 - 01.2022
Patient Registration Clerk
FALLS COMMUNITY HOSPITAL AND RURAL HEALTH CLINIC
05.2015 - 11.2019
Office Assistant
FALLS COMMUNITY HOSPITAL AND RURAL HEALTH CLINIC
11.2007 - 05.2016
High School Diploma -
LYFORD HS