Emily Jimenez
Lakeland,FL
Summary
Experienced office manager with a proven track record at Ankle & Foot Centers, adept at enhancing operational efficiency and compliance. Skilled in healthcare claim coding and conflict resolution, I successfully trained staff and streamlined processes, ensuring optimal patient care and satisfaction. Recognized for my strong analytical skills and ability to foster productive team environments.
Overview
11
11
years of professional experience
Work History
Office Manager
Ankle & Foot Centers
Athens, Ga
01.2021 - 05.2025
- Developed office policies to promote a productive work environment.
- Supervised staff members, organized schedules and delegated tasks.
- Trained new employees on administrative procedures and company protocols.
- Maintained accurate records of financial transactions and budgets.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Managed office inventory and placed new supply orders.
- Managed medical records and maintained compliance with healthcare regulations and standards.
- Coordinated with other healthcare professionals to ensure optimal patient care.
- Oversaw day-to-day practice functions, patient care, medical, and administrative staff and business activities.
- Managed front desk operations such as checking in and out patients, taking payments.
- Cut toenails and applied dressings and bandages to patient's feet as directed by podiatrist.
Surgical Coordinator
Georgia Ambulatory Surgery Center
Snellville, GA
04.2016 - 01.2019
- Proficient in CPT and ICD-10 coding/billing.
- Investigated and resolved billing and service discrepancies.
- Gathered current medical information and reviewed histories to gather details for surgeons.
- Checked patient insurance and collected pre-authorizations from providers.
- Worked with operating facilities to schedule procedures on behalf of 5 Podiatric surgeons.
- Processed monthly reports for department performance.
- Identified reasons behind denied claims and worked closely with insurance carriers to have them resolved.
- Contacted insurance companies to obtain the necessary preauthorizations needed for upcoming tests and procedures.
- Determined which party would be liable for payment on medical services by thoroughly reviewing patient insurance coverage.
- Coordinated patient scheduling for surgical procedures efficiently and accurately
Insurance Coordinator
Primera Foot and Ankle Centers
Snellville, GA
06.2014 - 04.2016
- Checked daily doctor schedules and verified insurance.
- Verified all patient insurance for 3 separate locations.
- Addressed customer inquiries and concerns to facilitate decision-making and minimize anxiety or hesitation.
- Collaborated with carriers to resolve discrepancies in insurance payments.
- Entered patient information including insurance, demographic and health history into the system to ensure that all records were up-to-date
- Communicated with all partners throughout the practice including physicians, nursing staff, technicians and medical assistants.
- Observed strict HIPAA guidelines at all times according to company policy.
- Set up appointments for physician visits and procedures using calendar software.
- Identified reasons behind denied claims and worked closely with insurance carriers to have them resolved.
Insurance Customer Service Representative
Greater Florida Insurance
Lakeland, FL
01.2014 - 06.2014
- CSR for clients, quoted auto, home, and workers compensation policies.
- Developed empathetic client relationships and earned reputation for exceeding sales goals.
- Assisted clients by answering questions and solving problems.
- Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
- Resolved issues quickly through meticulous research and quick decision making.
- Maintained a pleasant and cordial attitude at all times, even when issues arose.
- Monitored clients' insurance coverages to ensure changing needs were met.
- Analyzed customer needs and then provided the best options, upselling products and services.
Education
High School Diploma -
Loganville Christian Academy
Loganville, GA2012
Criminal Justice/Sociology
Georgia Gwinnett College
Lawrenceville, GASkills
- Proficient in Microsoft Word, Excel, and Power Point, Internet, and Social Media
- Skilled in IT and assisting with technical issues
- Printers and Scanners
- Program management
- Issue diagnosis and resolution
- Windows operating systems
- Data extraction
- Strong analytical skills
- Conflict resolution
- Computers and electronics
- Healthcare claim coding
- Medical terminology
- Data entry
- Referral verification
- Payment processing
- Office administration
Timeline
Office Manager
Ankle & Foot Centers
01.2021 - 05.2025
Surgical Coordinator
Georgia Ambulatory Surgery Center
04.2016 - 01.2019
Insurance Coordinator
Primera Foot and Ankle Centers
06.2014 - 04.2016
Insurance Customer Service Representative
Greater Florida Insurance
01.2014 - 06.2014
High School Diploma -
Loganville Christian Academy
Criminal Justice/Sociology
Georgia Gwinnett College