Jhoanna Taveras
East Providence,RI
Summary
Accomplished healthcare professional with over 15 years of experience in fast-paced hospital environments, recognized for outstanding organizational and leadership capabilities. Expertise in navigating complex regulations while ensuring patient care excellence and enhancing operational efficiency. Committed to continuous improvement initiatives and promoting teamwork among interdisciplinary healthcare teams.
Overview
10
10
years of professional experience
Work History
Referral Specialist
Medix Healthcare Temp Agency
Providence, RI
09.2024 - 11.2024
- Experienced Referral Specialist with 5+ years of experience in the healthcare industry
- Proven ability to develop and maintain strong relationships with patients, providers, and insurance companies
- Highly organized with excellent customer service and communication skills
- Accustomed to working in a fast-paced environment and meeting tight deadlines
- Detail-oriented with exceptional problem-solving abilities
- Proficient in utilizing multiple software systems and analyzing data to improve efficiency
- Knowledgeable with an in-depth understanding of healthcare regulations and protocols
- Skilled in managing referrals, insurance verification, and documentation
- Motivated Referral Specialist offering a comprehensive background in case management and customer service
- Experienced in triaging referrals and coordinating with providers
Referral Specialist
Amergis Healthcare Temp Agency
Providence, RI
05.2024 - 08.2024
- Assemble information concerning the patient's clinical background and referral needs
- Per referral guidelines, provide appropriate clinical information to specialists
- Ensures complete demographic, insurance information and appropriate/pertaining clinical information is sent to referred specialists
- Contact insurance companies to ensure prior approval requirements are met
- Presents necessary medical information such as, history, diagnosis and prognosis to insurance companies if deemed necessary to prove medical necessity of services
- Prioritizes referrals by their urgency and addresses them in a timely manner
- Point of contact for patients and specialists for any questions or rising concerns
- Assist in problem solving potential issues related to their referral due to language or social barriers
Ambulatory Patient Access Supervisor
RI Hospital
Providence, RI
02.2022 - 11.2023
- Revising procedures manuals and program documentation and compiles various statistical reports or performs special projects as assigned
- Secure patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patients privacy
- Responsible for assisting the director in the overall direction and control of the registration functions, operations and personnel with the Patients Access department
- Coaches staff not meeting department accuracy standards and process improvement initiatives
- Participated in the processing of complaints and relates investigations and resolves compliance issues
- Organizing workflow and ensuring that employees understand their duties or delegated task
Referral Specialist
RI Hospital
Providence, RI
10.2019 - 01.2022
- Screened pre-authorization requests
- Called insurance companies to get pre-certification and other benefits information on behalf of patients
- Completed up to 30 referral requests each day for medical provider of services
- Take brief medical histories from patients
- Software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records
- Ensure all referrals were addressed in a timely manner
- Scheduled all appointments for various clinics at MIHS (Maricopa Integrated Health System)
Medical Receptionist
East Bay Healthcare
East Providence, RI
02.2018 - 11.2018
- Entered insurance, demographics and health history into patient database
- Called patients to confirm scheduled appointments and obtain additional details
- Checked patients in and out for appointments and collected co-payments
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files
- Processed patient payments and scanned identification and insurance cards
- Answered multi-line phone system and directed callers to requested personnel and departments
- Greeted each patient pleasantly and offered desk sheet for easy sign-in
- Gathered, transcribed and typed medical information into charts
- Delivered high-quality administrative and customer service to sustain patient and work flows
Education
High School Diploma -
Mount Pleasant High School
Providence, RI07-2000
Skills
- Certified Medical Assistant Expertise
- User Access Management
- Proficient In Microsoft Word
- Team Leadership and Communication skills
- Epic Software-based
- Project Management Skills
- Strong Work Ethic
- Time Management
- Financial Reporting Coordination
- Effective Written and Verbal Communication
- Data entry proficiency
Timeline
Referral Specialist
Medix Healthcare Temp Agency
09.2024 - 11.2024
Referral Specialist
Amergis Healthcare Temp Agency
05.2024 - 08.2024
Ambulatory Patient Access Supervisor
RI Hospital
02.2022 - 11.2023
Referral Specialist
RI Hospital
10.2019 - 01.2022
Medical Receptionist
East Bay Healthcare
02.2018 - 11.2018
High School Diploma -
Mount Pleasant High School
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