Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jonathan Valles

Camarillo,CA

Summary

Seeking opportunities to utilize skill sets obtained to contribute to growth and success of organizations while also attaining both professional and personal growth.

Overview

14
14
years of professional experience

Work History

Referrals/Authorizations Clerk

Anacapa Surgical & Associates
06.2022 - Current
  • Receive requests from referring physicians via phone/fax and Cerner, referring cases for clinical review when appropriate.
  • Request prior authorization from insurance companies for services that will be provided.
  • Provide information to referring physicians offices regarding covered services.
  • Schedule appointments within appropriate time frame depending on case.
  • Receive and handle general information requests via telephone and fax from various external sources.
  • Initiate, maintain and update tracking systems for incoming and outgoing referrals.

Medical Office Assistant II

Magnolia Family Medical Center
08.2016 - 06.2022
  • Consult with RN/MD's to assess cases and enhance care.
  • Assist with placement of patients in Skilled Nursing Facilities/Home Health Agencies.
  • Provision of DME, obtain prescription, select provider, coordinate delivery, follow up with patient.
  • Coordinate completion of paperwork, ranging from home health treatment plans, DMV forms, transportation applications, etc.
  • Write letters as requested by physicians for housing, shelters, DMV, jury duty, pet therapy, etc.
  • Assist with mental health/substance abuse resources and referrals.
  • Schedule follow up hospital/urgent care appointments within required time frames.
  • Link patients to any community resources available such as food pantries, shelters, alcohol and drug abuse programs, IHSS, counseling services, etc.
  • Greet/screen and register a high volume of patients at the Family Practice/Specialty Clinic and Urgent Care settings via telephone and in person.
  • Educate and process paperwork for any programs available to patients.
  • Collect patient co-pays at time of visit as well as closing out daily collections.
  • Handle unexpected changes to provider schedules as well as prepping their schedules for next day(confirming appointments/verifying insurance/authorizations)
  • Train/orientate new employees.
  • Open and close the Specialty Clinic/Urgent Care.

Customer Accounts Representative

Executive Business Services, LLC
01.2015 - 01.2016
  • Devised tactics to grow customer base and boost sales.
  • Increased customer satisfaction ratings through proactive and actionable resolutions to questions, concerns or challenges.
  • Accounting client payments and balances.
  • Assisted with Press Release process/distribution.

Medical Office Clerk/Health Data Technician

Clinicas Del Camino Real, Inc
12.2009 - 12.2014
  • Coordinated patient scheduling, check-in, check-out and payments/outstanding balances.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Fielded concerns surrounding patients and care, liaising between physician and patient, directing people to appropriate locations and explaining routine procedures/processes.
  • Adeptly managed multi-line phone system at call center averaging over 100 calls a day, determining how calls needed to be routed.
  • Verified coverage and payer eligibility as well as processed applications for programs.
  • Oversaw Medical records department when paper charts were used.
  • Monitored Electronic RX/Lab results system for any failures.
  • Provided on-site training to physicians regarding use of e-RX system during the transition to Electronic Health Records.

Education

High School Diploma -

Adolfo Camarillo High School
Camarillo, CA

Skills

  • Bilingual: English/Spanish
  • Customer Service
  • Insurance Knowledge
  • Electronic Health Records Savvy
  • Detail Oriented
  • Multitasking Ability

Timeline

Referrals/Authorizations Clerk

Anacapa Surgical & Associates
06.2022 - Current

Medical Office Assistant II

Magnolia Family Medical Center
08.2016 - 06.2022

Customer Accounts Representative

Executive Business Services, LLC
01.2015 - 01.2016

Medical Office Clerk/Health Data Technician

Clinicas Del Camino Real, Inc
12.2009 - 12.2014

High School Diploma -

Adolfo Camarillo High School

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Jonathan Valles