JANICE RIVERA
Jacksonville,FL
Summary
Looking for a position in a results-oriented company that seeks an ambitious and career-conscious person, where acquired skills and education will be utilized toward continued growth and advancement. Successful with experience supporting patient care by answering and responding to inquiries from inbound calls. Accurately gathered and processed referral information and documentation. Poised when communicating with referring physician office staff and working closely with patients.
Overview
17
17
years of professional experience
Work History
Front End Manager
Rowe's Iga Supermarket
Jacksonville, FL
03.2021 - Current
- Helped resolve checkout problems and delays, checked prices and issued rain checks for out-of-stock sale items.
- Balanced daily deposits and safe counts and prepared bank deposits.
- Verified cashier compliance with directives and checked identifications of customers seeking to buy alcohol and tobacco products.
- Coached employees on cashier job functions and provided cross-training for other front-end positions.
- Trained new hires in company policies, work processes and job-specific tasks.
- Supervised front-end associates in fast-paced and demanding environment.
- Assisted cashiers with providing credits or refunds to customers.
- Scheduled front end to meet needs of business and keep team productive.
- Prepared weekly schedules for cashiers and maintained adequate coverage at peak shopping times.
- Reviewed daily reports in detail and resolved identified discrepancies.
- Worked with cashiers to resolve money shortages, overages and counterfeit bills.
Referral Coordinator
Optum
Kissimmee, FL
02.2020 - Current
- Worked batch files, scanned, printed and scheduled medical and diagnostic services appointments requested by patients and doctors' offices.
- Communicated appointment status to referring physician.
- Tracked incoming physician referrals by urgency and addressed to meet established timelines.
- Answered requests from consumers, businesses and medical professionals.
- Monitored medical services to assess care quality and resource allocation.
Patient Financial Advocate
Baptist Medical Center
Jacksonville, FL
01.2016 - 01.2020
- Help patients communicate with their healthcare providers so they get the information they need to make decisions about their health care.
- Help patients set up appointments for doctor visits and medical tests and get financial, legal, and social support for them.
- Process and obtaining approval from a health insurance companies before receiving healthcare services.
- Keep track of the patient's referrals and ensure that patients are scheduled for their recommended non-PCP appointments.
- Maintain a list of all preferred specialists and ancillary providers.
- Obtain referral authorization if required by the health plan.
- Call referring provider and schedule appointments for patients.
- Communicate respectfully and effectively will with patients regarding appointments.
- Update referrals status as PENDING or COMPLETED as needed.
Referral Coordinator
Conviva Care Center
Jacksonville, FL
03.2011 - 01.2016
- Communicated appointment status to referring physician.
- Monitored and adjusted upcoming calendar for schedule optimization.
- Addressed daily physician reports for pending appointments as well as following up with patients on referral wait list.
- Tracked incoming physician referrals by urgency and addressed to meet established timelines.
Medical Supervisor
Orlando Medical Center
Orlando, FL
09.2008 - 03.2011
- Streamlined office processes, regulated communications and standardized filing systems to facilitate smooth operations.
- Addressed customer inquiries and promptly resolved complaints.
- Served management team as executive assistant handling busy phone system and primary liaison between customers and upper-level management.
- Monitored physician schedules for best practices and coordinated physician availability with clinic needs.
- Handled patient check-in and check-out processes with co-payment collection, follow-up exam scheduling and account reviews.
- Supervised medical staff to ensure compliance with hospital protocols.
Education
GED -
Eastern district high school
Brooklyn, NYSkills
- Time Management
- Team Player
- Detailed-oriented
- Organizational Skills
- Administration skills
- Client Retention
- Communication Skills
- Cash handling
- Employee training
- Schedule management
- Customer service
- Appointment coordination
- Quality assurance
- Team leadership
- Performance evaluation
References
References Available Upon Request
Languages
- English, Advanced
- Spanish, Advanced
Languages
English
Professional
Spanish
Professional
Timeline
Front End Manager
Rowe's Iga Supermarket
03.2021 - Current
Referral Coordinator
Optum
02.2020 - Current
Patient Financial Advocate
Baptist Medical Center
01.2016 - 01.2020
Referral Coordinator
Conviva Care Center
03.2011 - 01.2016
Medical Supervisor
Orlando Medical Center
09.2008 - 03.2011
GED -
Eastern district high school
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