Diana Ortiz
Santa Barbara,CA
Summary
Motivated and dependable professional seeking an Assistant Manager position, bringing strong leadership, organizational, and problem-solving skills. I see this role as a long-term opportunity to grow with the company and contribute meaningfully.
Overview
11
11
years of professional experience
Work History
Referral Specialist
Santa Barbara Neighborhood Clinics
Santa Barbara, CA
01.2024 - Current
- Coordinated patient referrals between providers, specialists, and facilities to ensure timely access to care.
- Verified insurance eligibility and authorization requirements, preventing delays in patient’s appointments and services.
- Managed high-volume referral requests while maintaining accuracy and efficiency in date entry and documentation.
- Communicated effectively with patients, explaining referral processes, scheduling appointments, and answering questions with respect and empathy toward all patients.
- Effectively communicated with referral staff and providers.
- Tracked and managed pending referrals.
- Effectively communicated with insurance companies for prior authorizations including referrals for Gender Affirming Care.
- Delivered excellent customer service, consistently supporting patients with a positive and professional attitude.
- Demonstrated strong organizational skills, balancing multiple priorities while meeting deadlines.
- Contributed to process improvements, helping reduce referral turnaround times and improve patient satisfaction.
Medical Authorizations
Aids for Daily Living, Inc.
Rocklin, CA
02.2021 - 12.2023
- Analyzed and interpreted provider contracts to ensure proper authorizations and payment.
- Maintained accurate records of all authorizations, denials, and other related paperwork.
- Reviewed and processed prior authorization requests from healthcare providers to determine eligibility for services.
- Researched and resolved any discrepancies between provider documentation and insurance company requirements.
- Prepared reports summarizing authorization trends, pending requests, denials.
- Collaborated with internal departments such as billing office and patient access to ensure accuracy of information submitted for authorizations requests.
- Updated spreadsheets and other document filing systems.
Medical Billing Clerk
Aids for Daily Living, Inc.
Rocklin, CA
01.2018 - 01.2021
- Performed data entry of medical billing information into the company's computer system.
- Reviewed patient accounts for accuracy and completeness, ensuring that all required fields have been entered correctly.
- Processed electronic and paper claims to insurance companies in a timely manner.
- Verified accuracy of charges prior to submitting them for payment processing.
- Created new patient accounts in the database and updated existing ones as needed.
- Worked closely with other departments within the organization to ensure proper coding of services rendered.
- Submitted corrections when necessary due to inaccurate coding or incorrect information provided by healthcare providers.
- Applied HIPAA privacy and security regulations while handling patient information.
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Collected, posted and managed patient account payments.
Team Leader
Jack in the Box
Marysville, CA
01.2015 - 12.2017
- Provided coaching and feedback on employee performance, encouraging professional development.
- Monitored daily workflow to ensure adherence to established policies and procedures.
- Maintained a positive work environment that promoted collaboration between team members.
- Resolved customer complaints in an effective manner while maintaining a high level of customer service.
- Kept work areas clean, neat and free of safety hazards to maximize efficiency.
- Reviewed completed work to verify consistency, quality and conformance.
Education
Medical Billing And Coding
MTI College
Sacramento, CA05.2018
Skills
- Time Management
- Medical Records Handling
- Document Management
- Typing 60 WPM
- Data Entry
- Customer Service
- Bilingual abilities
- Knowledge of HIPAA and other health care regulations
- Knowledge of ICD10 codes/CPT codes
- Supervisory experience
- Maintaining a welcoming environment
- Handling complaints or concerns professionally
- Proficient in Outlook, Excel, Word, PowerPoint
- Adapting in fast past environment
- Understanding of insurance verification and authorization
- Medical terminology
- Clear verbal and written communication
- Team motivation
- Billing and coding knowledge
Timeline
Referral Specialist
Santa Barbara Neighborhood Clinics
01.2024 - Current
Medical Authorizations
Aids for Daily Living, Inc.
02.2021 - 12.2023
Medical Billing Clerk
Aids for Daily Living, Inc.
01.2018 - 01.2021
Team Leader
Jack in the Box
01.2015 - 12.2017
Medical Billing And Coding
MTI College