Deanna L. Benavides
Corpus Christi,TX
Summary
A highly organized and responsible professional offering versatile office management skills, healthcare operations, and administrative support to achieve organizational efficiency. Adaptable self-starter with excellent organizational skills and extensive knowledge of office policies and procedures, insurance claims, military healthcare organizational structure, DES processing regulations, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards, and medical privacy & confidentiality. Highly proficient in data collection, medical coordination, and stakeholder advising.
Proficient role model with the ability to communicate in a fast-paced environment, provide creative solutions, and maintain sensitive information in strict confidentiality while working with cross-functional teams to build great relationships. Equipped with an ability to organize, analyze, prioritize tasks, meet deadlines, and have a track record of dependability while finishing important functions to ensure the achievement of organizational goals.
Collaborative team player who is infused with strong problem-solving skills as well as critical thinking to synthesize and process large volumes of data necessary to generate routine and ad-hoc reports and determine opportunities for improvement. Demonstrate unmatched expertise in medical documentation, legal and medical regulation compliance, benefits entitlement/eligibility, and database maintenance. Keynoted for having a solid work ethic, optimistic outlook, keen attention to detail, efficient time management, and the ability to think resourcefully in challenging circumstances.
Overview
11
11
years of professional experience
1
1
Certification
Work History
CLR CLERK
Bestica/Naval Health Clinic
Corpus Christi, Texas
05.2021 - 03.2025
- Play an integral role in closing out TRICARE referrals while recording, retrieving, correcting, merging, querying, and printing data and reports.
- Complete referrals within the Medical Treatment Facility (MTF) by requesting progress notes from physicians, identifying problem areas, providing guidance to staff to correct errors, and advising MTF staff on referral tracking procedures.
- Proactively monitor and re-route electronic faxes with maximum efficiency.
- Ensure strict compliance with current Tricare Management Activity (TMA), Tricare Regional Contractor, and MTF referral management policies and guidance while managing all specialty care and Right of First Refusal (ROFR) referrals/consults.
- Accounted for ensuring that all referrals deferred to the network are appropriately closed.
- Maintain a customer-centered focus and follow the standard operating procedures in retrieving referrals sent from the TRICARE Regional Contractor and applying processes necessary for acceptance or denial by the MTF.
- Offer significant assistance in returning completed consult reports to civilian providers for patients seen within the MTF under the Right of First Refusal (ROFR).
- Contribute to informed decision-making and strategic planning by preparing a monthly report with workload statistics, including the number of deferred to network referrals generated by the MTF, the number of ROFRs received and accepted by the MTF, and the percentage of referrals that are verified or closed correctly.
- Spearhead team operations, delegating responsibilities effectively and empowering team members with the skills to enhance confidence, knowledge, and communication abilities, directly contributing to the organization's growth.
- Request CLRs from providers in Corpus Christi, Kingsville, and Fort Worth Naval Clinics.
- Bolstered documentation accuracy by completing routine periodic reports, including the percentage of referrals verified or closed correctly.
- Processed all Right of First Refusal (ROFR) within the timelines outlined in the TRICARE Operations Manual.
- Enforced critical thinking and strong organizational skills in establishing and maintaining suspense files for referrals deferred to the network.
- Showcased proficiency in utilizing various computer applications, including MHS GENESIS, Defense Enrollment Eligibility Reporting System (DEERS), Managed Care Support Contract Electronic System, access to databases, electronic fax applications, Referral Management System/Referral Management System Tracking and reports, Healthcare Artifact and Image Management Solution (HAIMS) and Microsoft Office products, including Outlook, Word, Excel, and Access.
- Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Improved customer satisfaction by promptly answering inquiries and providing accurate information.
- Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
- Trained new clerks on company procedures and software tools effectively contributing to their integration into the team.
- Managed incoming calls professionally, directing callers to appropriate personnel or taking detailed messages when necessary.
- Enhanced customer service with timely and accurate information when handling inquiries.
- Input data into spreadsheets and databases.
- Reduced errors in data entry through rigorous attention to detail and double-checking work.
- Ensured confidentiality of sensitive documents through proper storage methods and restricted access control implementation.
- Assisted with onboarding of new employees.
- Promptly received and forwarded incoming communications, such as phone calls, emails, and letters, to appropriate staff.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Maintained confidentiality of sensitive information, adhering strictly to privacy policies.
- Coordinated and scheduled meetings and appointments.
- Supported administrative staff with timely completion of daily tasks, ensuring smooth office operations.
- Reviewed files, records and other documents to obtain information to respond to requests.
- Streamlined document retrieval, meticulously filing documents both physically and electronically.
- Enhanced communication with external vendors, ensuring timely delivery of office supplies.
RECEPTIONIST (FLOAT)/FAX ADMINISTRATOR
Thomas-Spann Clinic
Corpus Christi, Texas
07.2018 - 04.2021
- Acted as the main point of contact, accountable for greeting, welcoming, and assisting patients upon arrival.
- Facilitated appointments and the insurance verification process to ensure financial security and minimize claim rejections.
- Influenced the decision-making process of practitioners on diagnosis and treatment by handling patient charts and documents.
- Worked collaboratively within the organization for a consistent workflow.
- Efficiently handled front desk duties by digitizing schedules and health insurance records.
- Responded to client concerns regarding insurance, prescription, and billing cases by providing academic assistance about available financial support systems to resolve issues accurately.
- Utilized multitasking proficiency in a fast-paced environment by collecting payments, responding to inbound calls, assigning messages to proper providers, scanning medical records, and addressing visitors' inquiries and other urgent matters.
- Harnessed diplomacy and tact in maintaining the confidentiality of sensitive information in compliance with HIPAA standards.
- Accurately and efficiently documented patient information, questions, or notes in the Electronic Medical Record (EMR) system.
- Established and maintained cohesive collaborations with healthcare professionals by cementing unassailable relationships.
- Promoted a positive work environment by accepting interpersonal differences and respecting others' values and opinions.
- Dexterously managed all incoming faxes by disbursing/attaching them to the proper location/provider.
ONCOLOGY LEAD RECEPTIONIST/SCHEDULER
Thomas-Spann Clinic
Corpus Christi, Texas
07.2014 - 07.2018
- Provided adequate patient support by applying strong communication, listening, and attention-to-detail skills in daily responsibilities.
- Expanded healthcare skills by acquiring valuable information in data management, medication, insurance processes, and clinical aspects.
- Intensify efficiency in administrative duties and elevate record accuracy through the utilization of Electronic Medical Record (EMR) systems.
- Cultivated an inviting atmosphere for patients and visitors with meticulous attention to cleanliness and organization of the reception area.
- Elevated patient experiences by aiding in scheduling, managing clinical calls, addressing medication inquiries, and overseeing patient check-ins and check-outs.
- Yielded advanced skills and knowledge through valuable experience, deepening medical practice understanding and patient care.
- Upheld compliance with privacy regulations through the discreet and responsible management of confidential patient information.
Education
High School Diploma - undefined
Hebbronville High School
05.1990
Certificate in Medical Office Specialist - undefined
Southwest School of Business and Technical Careers
04.2011
Skills
- CD-9 Coding
- Billing
- CPT Coding
- Health Insurance Portability and Accountability Act (HIPAA) Guidelines
- Patient Record Keeping
- Medical Terminology
- Alphabetic Filling
- Medical Billing
- Medical Scheduling
- Medical Office Experience
- Data Entry
- Front Desk
- Clerical Experience
- Customer Service
- Leadership
- Self-Starter
- Communication
- Patience
- Time Management
- Great Work Ethic
- Adaptability
- Attention to Detail
- Critical Thinking
- Organizational Skills
- Teamwork
- Statistical Analysis
- The Joint Commission (TJC)
- Knowledge of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Standards
- Appeals Process
- Research Skills
- Rebuttals
- Ability to Gather Data from Various Sources & Analyze Data
- Explaining Entitlements
- Updating Operating Procedures
- Complying with Regulatory Guidance
- Military Healthcare Organizational Structure
- Diplomacy
- Analytical Skills
- Accountability
- Confidentiality
- Problem-Solving
- Promptly Responds to Inquiries
- Written Communication Skills
- Interpersonal Communication Skills
- Tact
- Excellent in Grammar & Spelling
- Typing Skills (70 WPM)
- Microsoft Office Suite (MS Outlook, Word, Excel, PowerPoint, Access, Publisher)
- Social Media Platforms (Facebook, Twitter, LinkedIn, Instagram)
- 10 Key by Touch
- E-Clinical Medical Multi Line Phone System
- Insurance Verification 2003
- EMR Systems
- Adobe
- Genesis
- Histograms
Certification
Certificate in Medical Office Specialist, Southwest School of Business and Technical Careers - Corpus Christi, 2011-04-01, Salutatorian of Class
Languages
English
Spanish
Personal Information
- Citizenship: U.S.
- Nationality: U.S.
Job Related Skills
CD-9 Coding, Billing, CPT Coding, Health Insurance Portability and Accountability Act (HIPAA) Guidelines, Patient Record Keeping, Medical Terminology, Alphabetic Filling, Medical Billing, Medical Scheduling, Medical Office Experience, Data Entry, Front Desk, Clerical Experience, Customer Service, Leadership, Self-Starter, Communication, Patience, Time Management, Great Work Ethic, Adaptability, Attention to Detail, Critical Thinking, Organizational Skills, Teamwork, Statistical Analysis, The Joint Commission (TJC), Knowledge of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Standards, Appeals Process, Research Skills, Rebuttals, Ability to Gather Data from Various Sources & Analyze Data, Explaining Entitlements, Updating Operating Procedures, Complying with Regulatory Guidance, Military Healthcare Organizational Structure, Diplomacy, Analytical Skills, Accountability, Confidentiality, Problem-Solving, Promptly Responds to Inquiries, Written Communication Skills, Interpersonal Communication Skills, Tact, Excellent in Grammar & Spelling, Typing Skills (70 WPM), Microsoft Office Suite (MS Outlook, Word, Excel, PowerPoint, Access, Publisher), Social Media Platforms (Facebook, Twitter, LinkedIn, Instagram), 10 Key by Touch, E-Clinical Medical Multi Line Phone System, Insurance Verification 2003, EMR Systems, Adobe, Genesis, Histograms
Timeline
CLR CLERK
Bestica/Naval Health Clinic
05.2021 - 03.2025
RECEPTIONIST (FLOAT)/FAX ADMINISTRATOR
Thomas-Spann Clinic
07.2018 - 04.2021
ONCOLOGY LEAD RECEPTIONIST/SCHEDULER
Thomas-Spann Clinic
07.2014 - 07.2018
High School Diploma - undefined
Hebbronville High School
Certificate in Medical Office Specialist - undefined
Southwest School of Business and Technical Careers
Similar Profiles
Jennifer D NevinsJennifer D Nevins
Medical Admin Support/Referral Services Coordinator at Bestica Inc/Naval Health ClinicMedical Admin Support/Referral Services Coordinator at Bestica Inc/Naval Health Clinic
JACQUELYN W. FRANCOJACQUELYN W. FRANCO
Command Customer Relations Officer (GS 0301-09) at Naval Health Clinic Hawaii JBPHH, Makalapa ClinicCommand Customer Relations Officer (GS 0301-09) at Naval Health Clinic Hawaii JBPHH, Makalapa Clinic
ALEXANDRA GARTNERALEXANDRA GARTNER
Hospital Corpsman Third Class at Naval Branch Health Clinic and Dental Clinic NAS-Pensacola, FLHospital Corpsman Third Class at Naval Branch Health Clinic and Dental Clinic NAS-Pensacola, FL
ROBERT QUINONESROBERT QUINONES
Production Coordinator at METREA-Corpus Christi, TXProduction Coordinator at METREA-Corpus Christi, TX
Fabian GonzalezFabian Gonzalez
Regional Sales Representative at Impact Environmental GroupRegional Sales Representative at Impact Environmental Group