JOHNNIE M ROMERO

• Registered patients went over triage, verified insurance details, and scheduled appointments within electronic medical records for a complex multispecialty practice.
• Gathered patient-specific demographics, confirmed insurance eligibility, and collected provider information to ensure accurate appointment assessments. Advised patients on referral authorizations and pre-service deposits, providing necessary preparation information for timely arrivals and readiness for procedures or visits.
• Interacted with a diverse range of individuals, including patients, customers, referring physicians, healthcare providers, allied health staff, family members, and third-party vendors.
• Interpreted and applied medical scheduling criteria and Mayo policies to enhance patient care and appointment accuracy. Navigated multiple systems and maintained communication with patients and referring physician offices throughout the day.
• Managed complex scheduling workflows, including telephone calls, specialty contract requests, online inquiries, fax requests, and internal departmental needs.
• Ensured accuracy and thoroughness in all patient-related activities, including electronic communications, to improve service delivery. Requested, obtained, and reviewed medical records to guarantee appropriate patient scheduling.
• De-escalated patient concerns with empathy, effectively communicated scheduling outcomes, and informed patients of triage processes and timeframe expectations.

Worked with the Case management nurses during the inpatient stay through the admission process with Case Approvals, Discharge calls, Front end review, Denials, and building cases for the patients based off clinical documents provided from the various facilities. During this process talking with so many hospitals and nurses the communication is great and established a good work flow not only for us but the patient and the providers.

• Maintained all utilization review documentation through CGX.
• Inbound clinical review
• Case management

• Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication
• Upheld confidentiality requirements and regulatory compliance guidelines in all areas
• Verified eligibility and compliance with authorization requirements for service providers
• Lab orders and billing for other hospitals
• Prior Authorizations for Inpatient and Observation hospital status
• Compliance and Auditing
• Notifications
• Upgrading or Downgrading patient stay
• Trauma/stroke patients
• Medical records
• Medical insurance

• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Assisted patients in filling out check-in and payment paperwork.
• Balanced deposits and credit card payments each day.
• Outpatient services
• Admissions, Discharges, and Bed transfers ADTS
• Updated patient demographics as well insurance
• Checked in Emergency room patients
• Notified insurance companies for Admission
• Emergency room deposit
• Trained team members

• Compared shipment contents with orders to confirm accuracy.
• Checked products for damage or other issues before packing into boxes.
• Organized items on racks, shelves and bins to maintain established order.
• Labeled and shrink-wrapped pallets for shipment.
• Inspected ingoing and outgoing shipments to verify accuracy and prevent errors.
• Created shipping labels to complete daily order processing.
• Packed and shipped items securely and effectively to minimize breakage.
• Added packed boxes to conveyor belts for movement to shipping stations.
• Maintained tidy and clean work areas to promote optimal productivity and safety standards.
• Used appropriately sized boxes to pack products with care, minimizing shifting and damage during transport.