Summary
Overview
Work History
Education
Skills
References
Timeline

Emma Canales

Inglewood,CA

Summary

Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.

Overview

20
20
years of professional experience
1
1
Language

Work History

Office Manager

Raymond Renaissance Surgery Center
11.2022 - Current
  • Joint Commission, and AAAHC Accreditation
  • Completed thorough opening, closing and shift change functions to maintain operational
    standards each day
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Prepared agendas for board meetings along with taking minutes during sessions.
  • Supervised staff members, organized schedules and delegated tasks.
  • Administered payroll and maintained proper documentation of employee personnel.
  • Staffing of surgery personnel (Anesthesia, Nurses, and Scrub Technicians)
  • Develop and implement organizational policies and procedures
  • Quarterly employee performance evaluations to identify and improve deficiencies
  • Used judgment and initiative in handling confidential matters and requests.
  • Managed office budget to handle inventory, postage and vendor services.
  • Implemented and maintained company protocols to facilitate smooth daily activities.
  • Trained and mentored administrative staff members in company policies, daily task execution and industry best
    practices.
  • Resolved customer inquiries and complaints requiring management-level escalation.
  • Delegated work to staff, setting priorities and goals.
  • Recruited and trained new employees to meet job requirements.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
  • Mediated conflicts between employees and facilitated effective resolutions to disputes.
  • Planned and led team meetings to review business results and communicate new and ongoing priorities.
  • Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
  • Analyzed business performance data and forecasted business results for upper management.
  • Created and managed budgets for travel, training and team building activities.
  • Responded to inquiries from internal and external sources regarding credentialing status.
  • Maintained database of provider information, including contact details and licensure expiration dates.
  • Collaborated with other organizations to obtain required documents for verification purposes.
  • Developed effective communication strategies between providers, staff, and management.
  • Prepared monthly reports summarizing status of provider credentials.
  • Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access.
  • Verified documentation against compliance standards and communicated deficiencies to resolve issues.
  • Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
  • Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.
  • Implemented new policies and procedures for streamlining workflow processes within the revenue cycle
    department.
  • Prepared monthly budget forecasts and monitored expenses related to the revenue cycle operations.
  • Developed and implemented office policies and procedures.
  • Cultivated interpersonal skills by building positive relationships with others.

Patient Service Representative II

Cedars-Sinai Medical Center
Los Angeles, CA
08.2019 - 11.2022
  • Surgery scheduling
  • Assisted in the scheduling of surgeries for patients, ensuring accuracy and timeliness.
  • Coordinated with medical staff to ensure that all necessary paperwork was completed prior to scheduled procedures.
  • Maintained an up-to-date list of available operating rooms and equipment for surgical teams.
  • Communicated with insurance companies to determine coverage for specific procedures.
  • Scheduled follow-up appointments according to post-operative protocols.
  • Worked closely with doctors' offices to coordinate patient referrals for surgery services.
  • Reviewed incoming requests from physicians regarding potential surgeries, confirming that they meet eligibility criteria.
  • Resolved any discrepancies between patient records and pre-surgery documentation.
  • Responded promptly to inquiries from patients or their families regarding upcoming surgeries.
  • Ensured compliance with HIPAA regulations during the scheduling process.
  • Answered phone calls from prospective patients seeking information about surgical options available at the facility.
  • Prepared detailed summaries outlining expected costs associated with various surgical procedures.
  • Facilitated communication between surgeons, nurses, technicians and other healthcare professionals involved in the care of patients undergoing surgery.
  • Booked surgeries according to physician volume and maintained prompt turnaround times.
  • Checked patient insurance and collected pre-authorizations from providers.
  • Distributed treatment and procedural information to patients.
  • Collaborated and established strong working relationships with physicians, supervisors and colleagues.
  • Coordinated work processes and routed paperwork to appropriate physicians and staff members.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Communicated with patients with compassion while keeping medical information private.
  • Scheduled and confirmed patient appointments and consultations.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Arranged hospital admissions for patients as required.
  • Routed laboratory or diagnostic results to appropriate staff.
  • Located scheduling barriers and implemented appropriate solutions.
  • Maintained patient records in accordance with HIPAA regulations and monitored office compliance with all applicable laws.
  • Scheduled appointments for patients, prepared necessary paperwork, and provided information regarding pre-operative instructions.
  • Assisted surgeons during surgeries by providing instruments or materials when requested.
  • Ordered supplies and equipment needed for surgical procedures.
  • Communicated effectively with patients to answer questions about their treatment plans and upcoming surgeries.
  • Collaborated with insurance companies to verify coverage for surgical procedures.
  • Provided post-operative care instructions to patients prior to discharge from hospital or clinic setting.
  • Facilitated communication between surgeons and other healthcare professionals involved in a patient's care plan.
  • Managed schedules for multiple surgeons within the same facility.
  • Reviewed patient charts prior to surgery date to ensure accuracy of data entered into system.
  • Advised patients on preparation requirements before undergoing a particular type of surgery.
  • Arranged and scheduled post-operative visits during appropriate timeframe after surgery.

Office Manager

Southern California Neurology Consultants
03.2017 - 07.2019
  • Coordinate all administrative front office operations of the medical practice, Assist in the development review, and revisions of standard operating policies and procedures, Coordinate or serve as a liaison for administrative support activities including facilities management, risk management, human resources, oversees and performs administrative functions to include answering and triaging telephone calls, chart preparation, check-in, filing, appointment scheduling, referral processing, check-out and payroll, assign and monitoring clerical functions, monitoring incoming and outgoing calls, patient complaints, monitor provider schedules for new patient availability and office maximization, maintain smooth and efficient office and patient flow for a positive patient experience, collaborate with providers to coordinate day-to-day patient care, facilitate appointment access for members, serve as backup for staff inclusive of scheduling appointments for all new and established patients, rescheduling, insurance verification and fee collection, develop and implement organizational policies and procedures, preparation of activity reports to inform management of the status and implementation plans of programs, services, and quality initiatives, organize and scheduled weekly meetings, review of contracts and negotiations, credentialing of physicians and nurses, maintain up to date licensures and hospital privileges, responsible for ordering of office supplies, surgery supplies, maintain supply inventory, scheduling of EEG's, EMG's and sleep study technicians, counseling and disciplining of employees, review of all electronic health records, tracking of budget expense, knowledge in billing, authorizations, coding CPT, ICD-10 and HCPCs, appeals, collections, and month end reports, interact personally with physicians, staff and patients, contributing to team effort by accomplishing related tasks as needed.

Administrative Assistant

Pasadena Advanced Surgery Institute
11.2007 - 03.2017
  • Coordinate all administrative front office operations of the medical center, work closely with the Director or Nursing, Administrator, and Physicians, Assist the Director of Nursing with the Joint Commission Accreditation, credentialing of physicians and nurses, maintain up to date licensures, staffing of surgery personnel (nurses, scrub technicians, and anesthesia), organize and schedule MEC meetings, develop and implement organizational policies and procedures, preparation of activity reports to inform management of the status and implementation plans of programs, services, and quality initiatives, tracking of budget expense, reviewing and approving vacation requests, assigning and monitoring of clerical functions, manage relationship with vendors (McKesson, Henry Schein, Allergan and Mentor) and service providers, manage contracts and price negotiations with insurance companies and vendors, payroll ADP, maintaining office staff job results by coaching counseling and disciplining of employees, ordering of office supplies, surgical supplies, and equipment, maintain inventory of medical supplies, knowledge in billing CPT coding, ICD-10 and HCPCs, appeals, authorizations, account collectibles and receivables, and month end reports, interact personally with physicians, staff, patients and family members, contributing to team effort by accomplishing related tasks as needed.

Office Manager

Four Seasons Surgery Centers
01.2004 - 10.2007
  • Staffing, managing, supervising, tracking budget expense, responsible for daily operations of the front office and staff, organize office operations and procedures on a daily basis, assigning and monitoring of clerical functions, payroll, staffing of surgery personnel (nurses, scrub techs, anesthesia), credentialing of physicians and nurses, maintain up to date licensures, ordering of surgical supplies, office supplies and equipment, knowledge in billing, coding CPT, ICD-10 and HCPCs, appeals, collections, and month end reports, interact personally with physicians, staff patients and family members.

Education

Schurr High School, Los Angeles Occupational Center.

Skills

  • Office Administration
  • Payroll and budgeting
  • Policy Implementation
  • Regulatory Compliance
  • Organizational Skills
  • Workflow Optimization
  • Staff Training
  • Payroll Processing
  • Performance Improvement

References

References available upon request.

Timeline

Office Manager - Raymond Renaissance Surgery Center
11.2022 - Current
Patient Service Representative II - Cedars-Sinai Medical Center
08.2019 - 11.2022
Office Manager - Southern California Neurology Consultants
03.2017 - 07.2019
Administrative Assistant - Pasadena Advanced Surgery Institute
11.2007 - 03.2017
Office Manager - Four Seasons Surgery Centers
01.2004 - 10.2007
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Emma Canales