Erika Navarro
Lompoc,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Versatile customer service worker that will be reliable and hard working in all aspects.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Patient Services Representative
Sutter Health
11.2023 - Current
- Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
- Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
- Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
- Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
- Provided exceptional customer service to build strong relationships with patients, leading to increased loyalty and return visits.
- Improved patient satisfaction by efficiently managing appointment scheduling and coordinating follow-up care.
- Conducted pre-registration tasks including verifying insurance eligibility requirements were met before scheduled appointments.
- Took copayments and compiled daily financial records.
- Coordinated referrals to specialists when necessary, ensuring seamless continuation of care for patients with complex needs.
- Facilitated communication between patients and various departments and staff.
- Maintained an organized and systematic Prior Authorization Process for multiple providers.
Store Manager
Cups & Crumbs
03.2019 - 10.2023
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Rotated stock to achieve optimum appeal and minimize shrinkage.
- Managed inventory control, cash control and store opening and closing procedures.
- Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
- Supervised guests at front counter, answering questions regarding products.
- Completed point of sale opening and closing procedures.
- Set effective store schedules based on forecasted customer levels, individual employee knowledge and service requirements.
Office Manager
Cura Dermatology
02.2017 - 10.2019
- Assessed processes and procedures, complying with OSHA and HIPAA regulations.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
- Built relationships with physicians to create steady referral pipeline.
- Assisted with regulatory issues such as compliance.
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Developed and maintained electronic record management systems to analyze and process data.
- Created and implemented organizational policies and procedures.
- Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
- Developed policies and procedures for effective practice management.
- Successfully established procedures, maintained clear and concise records, and fulfilled all necessary requirements to obtain the initial MOHS certification for the office.
- Contacted insurance companies to obtain prior authorization for medical procedures and medications.
- Processed new medication and refill requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Input all patient data regarding claims and prior authorizations into system accurately.
Medical Service Coordinator
Sansum Clinic
08.2015 - 02.2017
- Contacted insurance companies to verify coverage, deductibles and payments.
- Coordinated patient appointments and scheduling to promote optimal clinician productivity and patient satisfaction.
- Organized and updated charts with clinic notes, retrieved scans, obtained medical records and verbally confirmed appointments via telephone.
- Multitasked general office duties by answering multiple telephone lines, responding to emails and completing insurance forms.
- Prepared patient charts by properly filing charts and transcribing pertinent information.
Education
Santa Barbara City College
Santa Barbara, CAMedical Assistant Certificate -
Oxnard Adult School
Oxnard, CA12.2015
High School Diploma -
Cabrillo High School
Lompoc, CA06.2013
Skills
- Office Management
- Reliable and Prompt
- Managing Appointments
- Contracts and Vendor Agreements
- Schedule Protocol Implementation
- Documentation
- Customer Service
- Multitasking and Organization
Certification
Medical Assistant Certificate
Timeline
Patient Services Representative
Sutter Health
11.2023 - Current
Store Manager
Cups & Crumbs
03.2019 - 10.2023
Office Manager
Cura Dermatology
02.2017 - 10.2019
Medical Service Coordinator
Sansum Clinic
08.2015 - 02.2017
Santa Barbara City College
Medical Assistant Certificate -
Oxnard Adult School
High School Diploma -
Cabrillo High School
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