ILANY PRIETO ALTAMIRANO
Santa Rosa,CA
Summary
Dedicated Referral Coordinator/ Medical Receptionist whom works productively with diverse personalities and is experienced in busy clinical settings. Knowledgeable in Community Health Centers, Pain Management, Urology, Otolaryngology, Emergency room and as a Behavioral Specialist. Offering successful career history comprising more than seven years.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Referral Coordinator
Providence Medical Group
2021.03 - 2023.06
- Processed over 20 referral requests each day from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Attended continuing education courses to stay current on referral processes and best practices.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Medical Receptionist
St Joseph Heritage Healthcare
2019.12 - 2023.06
- Manages over 50 customer calls per day and routes appropriately
- Checks in, registers, and documents patient demographics and insurance information for new and existing patients.
- Hands out appropriate forms to patients.
- Collects co pays, handles money drawer, and turns in completed batch at end of day.
- Faxes, scans, copies, files, and mails out.
- Works closely with Medical Assistants, Otolaryngology & Urology doctors and other Administrative staff.
- Handles referrals and authorizations.
- Schedules surgery appointments and requests authorizations if necessary.
- Covers other offices when needed
Records Management Tech
Center Point Drug Abuse Alternative Center
2019.11 - 2019.12
- Knowledgeable with SWITS database, client records, Turning Point and Drug Court programs, data entry and filing systems.
- Works closely with counselors and other administrative staff.
- Scans, faxes, photo copies, answers calls and forwards to appropriate staff.
- Greets clients and follows check in protocol.
- Follows HIPAA policy
- Managed over 10 referrals per day
- Collects co pays
- Manages time effectively, punctual, and great team player.
Behavior Specialist
Center For Social Dynamics
2018.12 - 2019.10
- Implements consistent evidence-based mental health services and Applied Behavioral Analysis programs to clients with Autism Spectrum Disorder and other co-morbid developmental disabilities in response to recommendations of Program /Coordinator and Clinical Director in home, school and/or other natural settings.
Patient Access Specialist
Sonoma West Medical Center
2016.07 - 2018.06
- Checked patient data including insurance, demographic, and health history to ensure all information was current.
- Completed and processed necessary registration paperwork into Harmoni.
- Obtained payments from patients and scanned identification and insurance cards.
- Verified insured patients eligibility, collected co-pays, deductibles, and coordinated inpatient admissions with social worker or other designee to assist patient financial assistance through state or federal programs.
- Worked closely with Emergency Room, Medical Surgical, Paramedic, Outpatient Surgery, Radiology, Laboratory, and Administration Staff.
- Obtained signatures for financial responsibility, and treatment procedures from patients or guardians.
- Managed over 40 patients per day
- Prepared patient identification band and completed admissions papers.
- Greeted, assisted, and directed visitors, vendors and general public, employing professional, courteous and respectful demeanor.
- Carefully wrote down all phone messages and relayed them to appropriate personnel.
- Adhered to strict HIPAA guidelines at all times according to company policy.
Medical Receptionist
Vista Family Health
2014.03 - 2016.07
- Answered phones, routed calls, and scheduled patients appointments
- Collected and accounted fees for service
- Counseled patients for eligibility programs including Sliding Scale and Family Pact
- Complied with all federal, state, and local laws and regulations, and Santa Rosa Community Health Center policies
- Worked toward making patients feel valued and supported within health center
- Assisted with clinical data outcome reporting and actively participated in quality improvement projects
- Assisted other office staff with copying, scanning, faxing, filing, and other general office duties as may be assigned from time to time
- Managed over 50 check in/registrations per day
Education
High School Diploma -
Roseland University Prep
Santa Rosa, CA06.2012
Some College (No Degree) - Nursing
Santa Rosa Junior College
Santa Rosa, CASkills
- ABA/ Autism knowledge
- Call center/ front desk experience
- Knowledgeable with health insurances
- Bilingual (Spanish)
- ECW/ Harmoni/ IDX/Allscripts/Phreesia knowledge
- Excel/outlook knowledge
- Customer/Client relations
- Time management
- Attention to detail
- Leader
- Meet challenges
- Create work flows/ train new hires
Certification
- Basic Arrhythmia
- Behavior Technician-Level One
Timeline
Referral Coordinator
Providence Medical Group
2021.03 - 2023.06
Medical Receptionist
St Joseph Heritage Healthcare
2019.12 - 2023.06
Records Management Tech
Center Point Drug Abuse Alternative Center
2019.11 - 2019.12
Behavior Specialist
Center For Social Dynamics
2018.12 - 2019.10
Patient Access Specialist
Sonoma West Medical Center
2016.07 - 2018.06
Medical Receptionist
Vista Family Health
2014.03 - 2016.07
High School Diploma -
Roseland University Prep
Some College (No Degree) - Nursing
Santa Rosa Junior College
- Basic Arrhythmia
- Behavior Technician-Level One
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