DEANDRA ZAVALA
Pacific Central Coast Health Centers
Santa Maria,CA
19
years of professional experience
Detail-oriented healthcare professional with 13 years of experience in medical office and administrative roles. Expertise in patient scheduling, insurance verification, referrals, prior authorizations, credentialing, and EHR/EMR systems. Known for effectively prioritizing competing demands and managing multiple responsibilities in fast-paced environments while ensuring accuracy and fostering effective communication among patients and healthcare teams.
Work History
Credentialing Coordinator
3 Years- Coordinated provider onboarding and credentialing processes, ensuring accurate documentation and adherence to established deadlines.
- Review provider records for completeness and accuracy and resolve missing or inconsistent information.
- Communicated with providers, insurance networks, healthcare organizations, and internal staff to resolve credentialing issues efficiently.
- Maintain accurate provider records and documentation in accordance with organizational policies and requirements.
- Prioritize multiple assignments and competing deadlines while maintaining confidentiality and attention to detail.
- Supported administrative processes through strong organization, communication, problem-solving, and diligent follow-through.
Surgery Scheduler
4 Years 6 Months- Coordinated complex physician schedules and patient appointments, ensuring timely access to care amid competing demands.
- Verified insurance benefits and obtained pre-certifications and prior authorizations to help ensure coverage before procedures.
- Communicated with patients by phone and in person, addressing inquiries and providing clear instructions for upcoming procedures to enhance patient understanding.
- Coordinated diagnostic testing, laboratory work, and X-rays according to physician orders and patient needs.
- Supported front-desk operations, including patient check-in/check-out, call triage, co-pay collection, and appointment management.
- Identified scheduling and administrative issues, collaborating with staff to resolve problems and minimize delays in patient access.
Medical Receptionist
5 Years- Welcomed and checked in patients, collecting and verifying personal, medical, and insurance information to ensure accurate records.
- Scheduled appointments and coordinated physician schedules to maintain efficient patient flow.
- Verified insurance information and requested authorizations for office visits, procedures, and imaging.
- Answered multi-line phones, assisted patients with questions, and routed calls appropriately.
- Answered multi-line phones, assisted patients with inquiries, and efficiently routed calls to appropriate departments.
- Prepared daily documents and reports, managed referrals, and distributed patient records to providers, facilitating communication and continuity of care.
- Provided professional and courteous service in a busy medical office environment.
Medical Receptionist
6 Years- Checked patients in and out, ensuring a welcoming and efficient front-desk experience.
- Answered multi-line phone system and scheduled appointments for six physicians, optimizing patient flow.
- Collected co-pays and outstanding patient balances.
- Verified insurance coverage prior to patient appointments.
- Entered and updated patient information accurately in the medical system.
- Managed incoming faxes and distributed documents to physicians, facilitating timely access to patient information.
- Managed incoming faxes and distributed documents to the appropriate physicians.
Education
Certification - Medical Billing and Coding
Coursework included medical billing, insurance coding, ICD and CPT codes, medical terminology, and administrative procedures.
Associate of Arts
High School Education - High School Diploma
Skills
Provider Credentialing
Insurance verification
Prior authorizations
Referral Management
EHR/EMR Systems
Appointment management
Patient check-in
Front-desk operations
Physician Scheduling
Multi-Line Phone Systems
Medical Terminology
Healthcare Administration
HIPAA Compliance
Microsoft Word
Prioritization skills
Patient relations
Timeline
Credentialing Coordinator
Pacific Central Coast Health Centers
09.2023 - CurrentRead More
Surgery Scheduler
Surgical Specialists, Inc.
10.2018 - 04.2023Read More
Medical Receptionist
Surgical Specialists, Inc.
10.2013 - 10.2018Read More
Medical Receptionist
Shepard Eye Center
10.2007 - 10.2013Read More
Santa Maria High School
High School Education from High School Diploma
Read More
Allan Hancock College
Associate of Arts
Read More
Allan Hancock College
Certification from Medical Billing and Coding
Read More