Summary
Overview
Work History
Education
Skills
Timeline
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Emily Hernandez

Sunrise

Summary

I am a dedicated and detail-oriented person with extensive experience in the Medical field going on 6 years. Excelling in patient referrals and compliance documentation. I effectively manage high volumes of referrals while utilizing EMR systems to enhance operational efficiency and patient care. I have the ability to work independently and collaboratively in fast-paced environments and thrive in a highly organized setting.

Overview

6
6
years of professional experience

Work History

Referral Coordinator/UM Administration Coordinator

Conviva Care Center
11.2021 - Current
  • Coordinated patient referrals to ensure timely access to specialized care.
  • Reviewed referral requests for completeness and appropriateness, ensuring compliance with protocols.
  • Scheduled appointments with specialists on behalf of patients.
  • Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
  • Maintained accurate documentation of referrals for compliance and reporting purposes.
  • Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
  • Handle high volume of incoming calls from PCP, Specialist, and Facilities to submit prior authorizations over the phone.

Front Desk/Referral Coordinator/Medical Records

Vanguard Medical Group
08.2020 - 03.2021
  • Checked in and out patients while also scheduling their Follow Up and Lab appointments.
  • In charge of closing the office and did End of Day Reports.
  • Maintained and organized patient records in compliance with HIPAA regulations and healthcare policies.
  • Retrieved, filed, and archived medical records electronically in our EHR system.
  • Scanned and indexed documents such as lab reports, physician notes, and imaging records.
  • Coordinated patient referrals to ensure timely access to specialized care.
  • Managed scheduling and appointment confirmations to enhance patient experience.
  • Maintained accurate documentation of referrals for compliance and reporting purposes.

HEDIS/Referral Coordinator/Medical Records

SMR Health PPLC/Cano Health
07.2019 - 08.2020
  • Coordinated patient referrals to ensure timely access to specialized care.
  • Maintained accurate documentation of referrals for compliance and reporting purposes.
  • Supported data entry tasks related to patient information management for operational efficiency.
  • Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
  • Medical coding for HEDIS measures and handled all processes and results.
  • Audited and trained MA's on measures and workflows.
  • Maintained and organized patient records in compliance with HIPAA regulations and healthcare policies.
  • Retrieved, filed, and archived medical records electronically in our EHR system.
  • Scanned and indexed documents such as lab reports, physician notes, and imaging records.


Education

Licensed Esthetician -

Sheridan Technical College
Hollywood, FL
06-2021

Hialeah Gardens High School
Hialeah Gardens, FL
06-2019

Skills

  • Bilingual
  • Organized
  • Time management
  • Multi-Task
  • Medical terminology
  • Able to work independently and as a Team
  • EMR/EHR (ECW, Epic, Athena)
  • Microsoft (Excel, Word, Outlook, One note)
  • Detailed documentation - Data entry and accuracy
  • Programs used for Authorizations: Availity, CGX, PNS, Health Help, NCH, Careplus, Evicore, RadMD, Avmed, Cigna

Timeline

Referral Coordinator/UM Administration Coordinator

Conviva Care Center
11.2021 - Current

Front Desk/Referral Coordinator/Medical Records

Vanguard Medical Group
08.2020 - 03.2021

HEDIS/Referral Coordinator/Medical Records

SMR Health PPLC/Cano Health
07.2019 - 08.2020

Licensed Esthetician -

Sheridan Technical College

Hialeah Gardens High School

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