Elizabeth Mondragon
Highland,CA
Summary
Highly dedicated, knowledgeable and compassionate health professional with over 10+ years of experience providing quality medical service. Self-motivated and possesses strong organizational, interpersonal and communication skills. Proven ability to function in high-stress environments and achieve results. Skilled at identifying needs and developing effective plans of action to provide intervention and assistance. Strong communicator with passion for helping patients and others.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Referral Coordinator
SAC Health Systems
12.2022 - Current
- Referral/authorization processing for multiple payer sources
- Offer guidance to providers on ordering of referrals as needed
- Provide exceptional accuracy, organization, communication and office and interpersonal skills
- Knowledge of various specialties for adults and pediatric patients.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
- Scheduled appointments with specialists on behalf of clients.
Bilingual Consumer Advocate
Health Sherpa, Randstad
09.2022 - 12.2022
- Assist consumers nationwide in enrolling for Health Care Insurance as a licensed health insurance agent
- Support upper-level organization specific to health insurance provided under the Affordable Care Act.
- Found creative solutions in best interests of consumers, customers and company when negotiating and implementing concessions.
- Served customers with knowledgeable, friendly support at every stage of shopping and purchasing.
- Built relationships with customers and community to promote long term business growth.
Medical History Editor
Arrowhead Evaluation Services
03.2022 - 06.2022
- Proofread completed medical histories for factual accuracy, writing quality, and adherence to guidelines for PQME's.
- Received incomplete reports and reviewed them to screen for proper formatting and accuracy
- Provided detailed, helpful feedback to align writers with physician expectations
- Scheduled medical histories and review medical records
- Interviewed patients to verify medical histories
- Ensured practices are compliant with HIPPA compliance practices, state and federal safety standards, and legal regulations.
- Edited and reviewed content for grammar, spelling and punctuation.
HR/Office Administrator
DJM
12.2018 - 10.2021
- Managed all HR-related tasks for a 30+ employee construction company, including payroll processing, employee benefits program, documentation, interviewing, and providing training to recruits
- Assisted project managers with preparing bids and procuring subcontractors and vendors
- Maintained contract files and assisted in preparation of pre and post-construction.
- Tracked office supplies and restocked low items to keep team members on-task and productive.
- Coordinated communications, financial processing, registration, record keeping, and other administrative functions.
- Assisted in preparation and processing of payroll to facilitate prompt staff payments.
- Managed and properly accounted for petty cash issued to facilitate general office activities.
Inpatient Coordinator
Regal Medical Group
03.2016 - 03.2017
- Supported hospital and skilled nursing admissions, concurrent review, and discharge planning
- Communicated with clients ensuring correct information was provided timely to RMG administrative management team, hospitalists, and care managers
- Verified in-house status census daily and printed Census reports for rounds meetings
- Communicated to Medical Director or designee immediately any admissions to non-contracted hospitals
- Coordinated all post-discharge needs (PCP, Specialist, Dx studies, etc.).
Medical Case Management Assistant
Bilingual Care Solutions, Inc
11.2010 - 06.2015
- Provided concurrent review of patient care for resource monitoring, allocation, and coordination of continuing care
- Supported nurse case managers providing medical case management focus to caseload of up to 30 patients and various workers' compensation insurances
- Medical Legal Review & Reviewed and studied case reports and treatment history in detail
- Coordinated treatment, surgeries, transportation, and translation services
- Prepared idealized detailed reports and billing regarding patients' medical cases for clients
- Performed follow-up contact with clients, applicants, outside agencies, and facilities to ensure successful case processing.
- Monitored progress towards service plan goals.
Education
Some College (No Degree) - General Studies
Riverside City College
Riverside, CAHigh School Diploma -
San Bernardino High School
San Bernardino, CA06.2008
Skills
- EPIC EMR
- Electronic Patient Charts
- Patient Data Management Systems
- Specialist Referrals
- Pre-Authorizations
- Workers' Compensation
- Insurance Verification
- HIPAA Regulations
- Physician Authorizations
- CPT Coding
- Medical Terminology
- MS Office Expertise
Certification
- National Insurance Producer for California +20 Other States - 10/26/22 - 10/31/24
Timeline
Referral Coordinator
SAC Health Systems
12.2022 - Current
Bilingual Consumer Advocate
Health Sherpa, Randstad
09.2022 - 12.2022
Medical History Editor
Arrowhead Evaluation Services
03.2022 - 06.2022
HR/Office Administrator
DJM
12.2018 - 10.2021
Inpatient Coordinator
Regal Medical Group
03.2016 - 03.2017
Medical Case Management Assistant
Bilingual Care Solutions, Inc
11.2010 - 06.2015
Some College (No Degree) - General Studies
Riverside City College
High School Diploma -
San Bernardino High School
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