Giavanna Flores
North Las Vegas
Summary
Detail-oriented professional with a strong background in health information management and bilingual communication in Spanish. Skilled in coordinating communication among patients, providers, and payers, ensuring seamless operations and exceptional customer service.
Overview
10
10
years of professional experience
Work History
Administrative Medical Assistant
Heart Center Of Nevada
Las Vegas
01.2018 - Current
- Processed prior authorization requests using electronic health record systems.
- Collaborated with healthcare providers to gather necessary documentation for approvals.
- Resolved authorization discrepancies by coordinating with insurance companies to ensure timely approvals.
- Researched patient eligibility, coverage information, and benefit levels.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Facilitated communication among providers, patients, payers, and departments to streamline authorization processes.
- Drafted appeal letters for patients to address and resolve insurance disputes effectively.
- Coordinated with patients and physicians to ensure accurate scheduling of surgeries.
- Provided customer service assistance to help resolve any issues that arose during check-in or checkout processes.
Medical Assistant
Advaced Adolescent Pediatric Gastroenterology
Las Vegas
02.2016 - 01.2018
- Assisted physicians with patient care by preparing patients for examinations and documenting vital signs and histories.
- Documented patient medical histories and vital signs to ensure accurate health assessments.
- Coordinated specialist referrals to enhance patient care continuity.
- Maintained cleanliness and organization of examination rooms.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
Education
Certification of Medical Assistant -
Nevada Career Institute
NVSkills
- Patient registration
- Patient scheduling
- Insurance verification
- Prior authorization processing
- Patient billing
- Medical coding
- Health information management
- Electronic health records
- Patient care coordination
- Appeals process proficiency
- Scheduling procedures
- Front desk operations
- Customer service
- Bilingual Spanish communication
- Data entry
- Paperwork management
- Patient procedure explanation
Timeline
Administrative Medical Assistant
Heart Center Of Nevada
01.2018 - Current
Medical Assistant
Advaced Adolescent Pediatric Gastroenterology
02.2016 - 01.2018
Certification of Medical Assistant -
Nevada Career Institute