Diana Henriquez
Front Royal,VA
Overview
8
8
years of professional experience
1
1
Certification
Work History
Authorization and Benefits Coordinator
Gastro Health
12.2022 - Current
- Responsible for facilitating prior authorization for a variety of surgeries promptly and working efficiently to facilitate final approval
- Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior authorization requirements
- Responsible for insurance benefits verification
- Checks benefits for all outpatient procedures at all locations
- Explains out-of-pocket expenses with patients
- Collects physician fees for hospital and Endoscopy centers
- Works directly with the Director of Billing to identify trends in denials and opportunities for improvement in the authorization process
- Provides superior customer service when communicating with patients to resolve all inquiries regarding insurance authorization requirements.
- Managed monthly, quarterly and annual payouts for merit rewards, sales commissions and bonus programs.
Medical Administrative Assistant
Gastro Health
12.2016 - 12.2022
- Patient intake: Create and update patients' electronic health records and verify their insurance before submitting any insurance claims to providers
- Medical Review: Enter medications, allergies, BMI and contact patient if missing information
- Clinical Assessment: Contact patient for clearance concerns or questions about their health
- Contact patient's physicians for clearance recommendation
- Scheduling: Schedule appointments and procedures for patients
- Provide exceptional patient experience.
Front Desk Receptionist
Gastroenterology Associates Of Northern Virginia
12.2015 - 12.2016
- Acknowledge and greet patients who enter and leave the office for a 26-provider practice
- Check patients in, obtain their insurance and verify information
- Obtain copays and outstanding balances, explain insurance benefits
- Answer multi-line phones and connect callers to the correct department if needed
- Check patient insurance eligibility
- Coordinate staffing and schedules for the front office team
- Work with the Supervisor and HR to address any staffing problems.
Education
HIGH SCHOOL DIPLOMA -
OSBOURN HIGH SCHOOL
Manassas, VA06.2013
Skills
- ECW, Nextgen, GE Centricity, gMed
- Microsoft Word, Excel, PowerPoint, Outlook
- Bilingual (Spanish)
- Ability to learn quick
- Teamwork
- Time Management
- Leadership
- Typing and transcription
- Telephone skill
- Filling, faxing and mailing
Certification
Life and Health Insurance
Work Authorization
Authorized to work in the US for any employer
Timeline
Authorization and Benefits Coordinator
Gastro Health
12.2022 - Current
Medical Administrative Assistant
Gastro Health
12.2016 - 12.2022
Front Desk Receptionist
Gastroenterology Associates Of Northern Virginia
12.2015 - 12.2016
HIGH SCHOOL DIPLOMA -
OSBOURN HIGH SCHOOL