Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennifer Sanchez

Oceanside,United States

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

13
13
years of professional experience

Work History

Patient Service Representative

Scripps Healthcare
Encinitas, CA
01.2020 - Current
  • Created an effective insurance manual through Excel for the scheduling department to follow to improve workflow.
  • Work closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Coordinate multiple tasks, authorization process, appeals, referrals, meetings, assist with interviews.
  • Determine estimated self-pay portion by calculating charges, co-insurance and deductibles.
  • Actively part of a pilot program for centralized scheduling, participating in all meetings and requirements.
  • Manage insurance benefits for the Brain injury program.
  • Review clinicals for compliance , and collaborate with staff to a advocate for individual patient needs based on insurance coverage.

Secretary II

Tri city Medical Center
Oceanside , CA
10.2017 - 07.2019
  • Drafted agendas, meeting notes and other documents to enhance collaborative process.
  • Followed up with customer to identify and resolve service, account or technical issues and maintain satisfaction.
  • Developed effective scheduling processes to achieve production objectives.
  • Utilized MS Office and Excel to analyze data and create spreadsheets.
  • Scheduled patients according to availability, urgency and insurance authorization guidelines.
  • Managed up to 40 patient referrals daily through multi-line telephone system.
  • Prioritized referrals according to urgency and adhered to appropriate referral deadlines.

Referral Coordinator

Orthopaedic Specialists North County
Oceanside , CA
06.2012 - 04.2013
  • Managed up to 80 patient referrals daily through Epic System.
  • Selected by supervisor to train new hires on departmental processes and software.
  • Developed and administered a project for a referral auth team for the office to manage the flow of approvals.
  • conducted peer to peer reviews on denials.
  • Notarized documents upon request

  • Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
  • Maintained awareness of government regulations, health insurance changes and financing options.

Education

Data Entry

Palomar College
San Marcos, CA
07.2002

High School

Rancho Buena Vista High School
Vista, CA
07.2000

Skills

  • Organization and Time Management
  • Appointment Scheduling
  • HIPAA Compliance
  • Bilingual English/Spanish
  • Proficient in phone etiquette and managing multiple lines
  • Epic Systems, Cerner
  • Knowledge of medical terminology and coding
  • understanding of appeals and denied claims process
  • 10 year experience insurance verification/ submission of authorizations, appeals, data collection

Timeline

Patient Service Representative

Scripps Healthcare
01.2020 - Current

Secretary II

Tri city Medical Center
10.2017 - 07.2019

Referral Coordinator

Orthopaedic Specialists North County
06.2012 - 04.2013

Data Entry

Palomar College

High School

Rancho Buena Vista High School

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Jennifer Sanchez