Indira Diaz
Allentown,PA
Summary
Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience. Highly-motivated with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Health Concierge (Remotely)
CVS Health
Allentown, PA
01.2022 - Current
- Fully remote position
- Gathered personal and insurance information from each member
- Answered 30 or more average daily phone calls to address members inquiries
- Managed incoming telephone calls, took messages and directed callers to their dedicated service centers
- Communicated with members to gather intake data and verify any update insurance information
- Adhered to HIPAA requirements to safeguard patient confidentiality
- Assisted members with their plan of benefits, Aetna policies and procedures as well as having knowledge of any resources, programs or discounts the members may qualify for
- Explain the members rights and responsibilities in accordance with their contract
- Assist the member in filing an appeal or any prior authorization that are needed if necessary
- Assisted members with their medical or hospital claims
- Send any claims to the appropriate department if it needs to be reworked/Corrected.
Medical Office Assistant (Hybrid Remote)
Eastern Pennsylvania Infectious Disease
Allentown, PA
12.2020 - 12.2021
- Answered phones that involve patient, physician interactions and Home infusion services within in office setting or remotely from home
- EMR and Records request
- Completed all work from start to finish to prepare for in-person office appointments and telemedicine patient days
- Uploaded patient charts and Demographics, identification and insurance cards
- Paged medical providers for consults, prescription approvals and patient concerns
- Took new patient intakes
- Scheduled appointments
- Preformed verbal orders for patient prescriptions and faxed over orders
- Practiced calendar maintenance for any office and Hospital rounds for providers.
Medical Records Clerk
HCR ManorCare
Allentown, PA
11.2018 - 12.2020
- Gather patient demographic and personal information
- Distribute medical charts to the appropriate departments of the facility
- Ensure patient charts, paperwork and orders are being signed by physicians
- Supply the nursing department with the appropriate documents and forms when needed
- Answer phones from specialty offices and transportation services to ensure residents have transport set for their appointments and processing patient admission and discharge records
- Complete all insurance audits for all ManorCare residents and provide medical records to Business office
- Complete all MA-51 forms for all ManorCare residents and provide to the physician to review and provide signatures and return them to the Business office
- Schedule all appointments for all current and new admission daily
- Retrieve all Medical records for current and or discharged residents for Disability, Home health facilities and litigation cases and or for personal resident request
- Fax all medical records request to Legal Department and wait for response to Release Records
- Print all Electronic medical records and copy paper medical for each request received
- File all patients' medical records active and discharged information for all ManorCare residents, also collect all loose files from ManorCare's current and discharged residents that need to be filed in Medical records
- Print out daily a list of all Appointments for the next day and make all transportation packets that need to go along with the residents to their appointments so we can get and update on all follow up appointment when they return
- Maintain records of all discharges and admission from the facility.
Patient Service Representative
Lehigh Family Health Center
Allentown, PA
09.2016 - 03.2018
- Greeting and directing patients to examination rooms
- Scheduling patient appointments and making reminder calls
- Informing patients about delays and waiting times
- Obtaining patients' addresses, contact details, insurance information, and medical histories
- Updating and verifying patient information at every visit
- Assisting patients in filling out patient history forms, consent forms, and payment contract forms, when necessary
- Receiving and processing cash and credit card payments for medical services rendered
- Reviewing patient accounts, identifying delinquent accounts, and collecting overdue payments
- Answering, investigating, and/or directing patient inquiries or complaints to the appropriate medical staff member
- Following up with patients to ensure their inquiry or complaint has been satisfactorily resolved
- Performing administrative and clerical duties, such as filing paperwork, when necessary.
Administrative Partner for 4KS and 5B
Lehigh Valley Health Network
Allentown, PA
02.2013 - 09.2016
- Experience in working with Centricity, Tele-Tracking and Epic
- Exceptional organization and time management skills, especially when following the Move on Green and also assigning patients to their rooms
- Able to work well with others and respond to multiple urgent requests in a work environment that can become hectic
- Preparing for incoming patients by preparing admission kits, charts and room labels.
Education
Associates in Electronic Health Records -
McCann School of Business and Technology
10.2012
Associate's degree in Medical Billing & Coding -
Pennsylvania School of Business
01.2010
Diploma in Medical Office -
Lehigh Carbon Community College
12.2007
Associates Degree in Medical Assistant -
The College of Advanced Technology
10.2006
Skills
- EPIC
- Call Center
- Front Desk/Office
- Hospital
- Scheduling
- Electronic Medical Records
- MicroSoft Office
- Clerical Experience
- Medical Coding/Billing
- EMR Systems
- Microsoft Outlook
- Medical Terminology
- Typing 40 wpm
- Medical Office Experience
- Training & Development
- HIPAA Compliance
- Clinical Documentation
- Triage
- Documentation review
- Research Abilities
- Customer Assistance
- Time management
- Customer Support
- Healthcare Policy Knowledge
- Multi-line phone systems
- Phone etiquette
- Writing skills
- Insurance Verification
- Appointment Scheduling
- Healthcare Knowledge
- Office Administration
- Call Center Operations
- Detailing Plans
- Data Entry
- Health insurance
Personal Information
Work Permit: Authorized to work in the US for any employer
Languages
English
Professional
Spanish
Professional
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Health Concierge (Remotely)
CVS Health
01.2022 - Current
Medical Office Assistant (Hybrid Remote)
Eastern Pennsylvania Infectious Disease
12.2020 - 12.2021
Medical Records Clerk
HCR ManorCare
11.2018 - 12.2020
Patient Service Representative
Lehigh Family Health Center
09.2016 - 03.2018
Administrative Partner for 4KS and 5B
Lehigh Valley Health Network
02.2013 - 09.2016
Associates in Electronic Health Records -
McCann School of Business and Technology
Associate's degree in Medical Billing & Coding -
Pennsylvania School of Business
Diploma in Medical Office -
Lehigh Carbon Community College
Associates Degree in Medical Assistant -
The College of Advanced Technology