Johnica Alaniz

• Multi Practice Clinics obtaining Insurance benefits, prior authorizations for specialist, surgeons, family practice and pediatrics for all procedures, surgery and referrals
• Ensuring all Outgoing referrals for office visits, procedures, and testing have been authorized and processed

Manage 100+ employees in union, non-union onsite and virtual settings

• Manage multiple departments including authorizations, registration, scheduling (call center), and switch board operator
• Monitor department work-queues, formulate plans, develop timelines, collect productivity and quality metrics to implement process improvements to systems, staffing and procedures as needed to improve operations
• Collaborate with Patient Financial Services and system Patient Access, to investigate and resolve reimbursement and denial issues
• Collaborate with clinical staff to address specific needs and resolve issues associated with efficient service delivery
• Communicate and implement changes with departmental team members
• Develop and Manage cost center(s) appropriately to meet or exceed budget targets for productivity, salary and non-salary expenses.
• Timecard keeping, staff recruitment, performance reviews and wage incentives

Manage 100+ employees in union, non-union onsite and virtual settings

• Manage multiple departments including authorizations, registration, scheduling (call center), and switch board operator
• Monitor department work-queues, formulate plans, develop timelines, collect productivity and quality metrics to implement process improvements to systems, staffing and procedures as needed to improve operations
• Collaborate with Patient Financial Services and system Patient Access, to investigate and resolve reimbursement and denial issues
• Collaborate with clinical staff to address specific needs and resolve issues associated with efficient service delivery
• Communicate and implement changes with departmental team members
• Develop and Manage cost center(s) appropriately to meet or exceed budget targets for productivity, salary and non-salary expenses.
• Timecard keeping, staff recruitment, performance reviews and wage incentives

• Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
• Built highly-efficient scheduling team through ongoing coaching and professional development opportunities.
• Optimized organizational systems for payment collections, investigate and resolve reimbursement and denial issues.
• Monitored call center and registration areas so that calls and customers needs were promptly addressed.
• Staff recruitment, performance reviews, timekeeping, disciplinary action and employee performance implementations
• Monitor department work-queues, formulate plans, develop timelines, collect productivity and quality metrics to implement process improvements to systems, staffing and procedures as needed to improve operations.

• Verified patient insurance eligibility and entered patient information into system.
• Answered incoming calls, scheduled appointments and processed medical orders.
• Point of service collections, payment plans and financial assistance applications
• Managed high call volumes effectively while maintaining a positive attitude and professional demeanor at all times.
• Trained new hires onboarding and continuing education amongst the team
• Software superuser

• Responsible for obtaining complete and accurate patient/guarantor information at the time of service.
• Processes patient registration in a timely and accurate fashion.
• Receives and interviews incoming patients or relatives to obtain pertinent data in a courteous and professional manner.
• Obtains and witnesses necessary legal signatures for records.
• Point of service collections, posting and reconciling at the end of day.
• Quality assurance audits.

• Prepared and processed patient orders and transfer requests.
• Supported hospital clinical staff
• Performed various administrative tasks by filing, copying and faxing documents.