Denise Pineda
Pasadena
Summary
Compassionate Surgery Coordinator with 12 years helping others through personal excellence. Employs strong administrative organizational and interpersonal skills Background in ophthalmology in fast-paced medical office Skilled in Medenvolve and manages multiple tasks simultaneously with minimal supervision Attentive Surgery Scheduler familar with ICD-10 coding. P FIND and EHR systems. Skilled in organizing paperwork, sterilizing tools and coordinating supplies. Works well in fast-paced administrative environments focused on maintaining smooth and efficient scheduling services. Systematic heathcare administrative professional knowledgeable about wh sand insurance companies to set up minor procedures and complicated surgeries. Well-organized and detail-oriented team player with good problem-solving, relationship-building and communication sk
Capable interviewer with background in conducting and managing diverse interviews. Experience includes creating a comfortable environment for interviewees, ensuring accurate data collection, and maintaining professionalism throughout interactions. Strengths lie in excellent communication skills, active listening, critical thinking, and adaptability to various situations. Previous roles have resulted in optimized interviewing processes, improved data accuracy and enhanced team collaboration.
Overview
16
16
years of professional experience
Work History
Surgery interviewer
Houston Eye Associates
Houston
08.2010 - Current
- Expertly managed planning, scheduling and coordination of outpatient procedures
- Documented and collected patient data in Medenvolve to maintain accuracy and security
- Communicated with patients on phone and in person to enter and update medical history in database.
- Maintained professional and technical knowledge by attending educational workshops, reviewing publications and participating societies
- Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts
- Counseled patient about personal financial responsibility and collaborated with bring to resolve parent accounts
- Collaborated with patent, referring physician and surgical specialist to coordinate pre- and post-operative care for surgical procedures
- Checked patients in and out and collected payments
- Received and routed laboratory results to correct clinical staff members
- Frequently double-checked patent restores and current information while scheduling follow-ups and other appointments
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Greeted visitors and initiated triage processes for clients to streamline patent flow
- Obtained payments from patients and scanned identification and insurance
- Placed new supply orders, managed inventory and restocked clerical spaces
- Completed administrative patient intakes with case histories, insurance information and mandated forms
- Verified insurance eligibility for patients using electronic health record systems.
- Communicated with insurance companies to obtain necessary authorizations.
- Reviewed patient information for accuracy and completeness in claims submissions.
- Maintained accurate records of insurance verification processes and outcomes.
- Educated patients about their insurance benefits and coverage options clearly.
- Coordinated with internal teams to streamline insurance verification workflows effectively.
- Assisted in training new staff on insurance verification protocols and systems.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Navigated through multiple online systems to obtain documentation.
- Accessed third-party insurance databases to identify coverage of benefits.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
- Communicated with patients with compassion while keeping medical information private.
Education
High School Diploma -
George Sanchez High School
Houston, TXSkills
- Data Entry Software
- Organization and Time Management
- Direct Patient Care
- Compassionate Care
- Medical Report Preparation
- Office Supplies and Inventory
- Patient Referral
- Clinic Administration
- Computer Proficiency
- Medical Coding
- Patient Scheduling
- Referral Verification
- Insurance verification
- EMR system navigation
- Patient data management
- Medical terminology
- Healthcare administration
- Compliance with regulations
- Effective communication
- Problem solving
- Attention to detail
- Time management
- Team collaboration
- Telephone etiquette
- Administering interviews
- Typing and written communication
- Data entry
- Inbound and outbound calls
- Customer service and assistance
- Bilingual in [language] and [language]
- Data verification
- Patient assistance
- Customer service
- Multitasking capacity
Languages
Spanish, Native
Timeline
Surgery interviewer
Houston Eye Associates
08.2010 - Current
High School Diploma -
George Sanchez High School