Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Juanita D. Dominguez

Summary

Dynamic bilingual professional with extensive experience in service-oriented roles focused on enhancing patient and client satisfaction in fast-paced environments. Expertise in reconciling insurance information and ICD-10 codes, along with a proven ability to manage complex projects and provide comprehensive administrative support that consistently surpasses organizational goals. Strong collaborator dedicated to fostering a positive workplace culture while adeptly resolving intricate issues and prioritizing demanding workloads through exceptional organizational skills. Committed to embracing new challenges and contributing to the overall success of the organization, supported by a solid foundation in clinical administration and a track record of improving office efficiency through effective patient communication.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Clinical Administrative Asst (WHS HB3)

UC San Diego Health
01.2021 - Current
  • Responsible for customer service, registration, appointment scheduling and insurance verification.
  • Receives patients into the clinic/ check in / registration / financial assistance / scheduling / check out patients.
  • Answers multiple telephone lines with accuracy and clarity with emphasis placed on quality Customer Service.
  • Scheduling protocols and telephone scripting and behavioral standards.
  • Interviews customer via telephone to obtain demographic and financial information necessary to secure patient account.
  • Completes registration for new or previously registered patients, timely and accurately.
  • Registers bulk accounts as needed.
  • Verifies insurance eligibility for outpatient services on all Third-Party Payers.
  • Provides authorization support as needed.
  • Utilizes various automated eligibility systems to obtain basic eligibility information.
  • Communicates clearly and effectively with patient/clinic staff when services are deemed unauthorized.
  • Advises patients of clinic deposit requirements based upon UCSD Medical Group Financial Policy.
  • Collects co-pays etc.
  • Researches and responds to patient basic billing inquiries, assists with resolution of minor billing problems.
  • Refers patient to appropriate agency/resource for financial assistance.
  • Refers patient to alternate source of healthcare when appropriate.
  • Maintains workstation in an organized manner as outlines by management to facilitate efficient and effective retrieval of information.
  • Reads and adheres to policy changes within Registration and Scheduling.
  • Attends and actively participates in staff meetings, sharing information and ideas with co-workers to maintain and environment conducive to learning and supports cohesive team atmosphere.
  • Performs other related duties as assigned.

Administrative/INS Authorizations (Women's Health Care)

Medical Group of North County, Inc.
03.2019 - 12.2020
  • Insurance Authorizations for OBGYN obtain approval from patient's ins.
  • Work Que duties 50 -40 authorizations pending daily.
  • Collect Copays, Check in patients, Assist front desk staff.
  • Call center high volume calls, & registration of patient's demographic info, insurance & guarantor accts, Verify Ins.

Billing/Administrative (Women's Health Care)

ATI Staffing
11.2018 - 03.2019
  • Call insurance payer to obtain eligibility/benefits information from payer.
  • Calculated patient responsibly for balance due.
  • Pre-pare OB contracts for new OB patients.
  • Help front desk staff/call center/ for any inquiries on insurance related questions.
  • Audit account-review in Kareo, Insurance refund request, call payers and verify claim processed or reason for refund request, patient refund request.
  • Credentialing, contracts, Usernames & passwords
  • A/R spreadsheets, unpaid claims, patient balances

Billing/Posting

South Bay OBGYN
02.2018 - 11.2018
  • Accounts receivables posting patient payments, Insurance payments for AETNA, UHC, MEDI-CAL, Blue Shield, Blue Cross, Tri-Care, Sharp, Health Net, Vantage, Tribal Health.
  • Applying EOB's to patient accounts, for deductibles, co-insurance, share of cost & copays.
  • Assisting patients with medical approvals.
  • Assisting coworkers & covering front desk duties.

Patient Account Representative (Kidney & Dialysis)

Balboa Nephrology Medical Group
05.2016 - 07.2017
  • Medical billing & accounts receivable experience.
  • Working in a high-volume environment, patient A/R, working insurance denials and generating appeals, verifying eligibility, and obtaining authorizations.
  • Ability to distinguish between primary and secondary payers and identify insurance product Collection/appeals experience with HMOs, PPOs and IPAs, Current knowledge of third-party coverage, reimbursement policies and trends.

Financial Coordinator (Infertility)

Fertility Specialists Medical Group
10.2011 - 05.2016
  • Strengthened communication and people skills by developing strong relationships with patients and insurance company personnel.
  • Researched patient eligibility utilizing a variety of websites, submit requests for authorizations for SCMG & SRS, post charges & payments for IVF/IUI/Banking services Etc.
  • Contracted insurance agencies regarding denial letters, authorizations, Tars, appeals, Resubmission Turnaround Docs (RTD's), Claims Inquiry Form (CIF's) posted payments, rebill claims and processed EOB's, secondary paper claims.

Financial Counselor II (Rady's Children Hospital)

ATI Staffing
08.2015 - 02.2016
  • Liaise and counsel uninsured or under insured families with navigation of the process related to applying for various government-sponsored healthcare resources; Medi-Cal, CCS, Covered Ca.
  • Verify eligibility and perform collection related tasks with payment plans, or other options related to resolving patient account balances.
  • Coordinate reimbursement sources and other activities related to securing reimbursement for admission services provided to patients who are either already admitted to our hospital, or who may be seeking to obtain services at RCHSD.

Education

GED -

Palomar High School
San Diego, CA
03-2026

Skills

  • Epic management
  • Proficient in HIPAA standards
  • Experienced in QuickBooks software
  • Excel data analysis skills
  • Debt collection proficiency
  • Experience with Microsoft applications
  • Experienced with Acrobat software

Certification

  • Medical Billing & Insurance Coding , United Education International College - 2009

Languages

Spanish
Professional Working

Timeline

Clinical Administrative Asst (WHS HB3)

UC San Diego Health
01.2021 - Current

Administrative/INS Authorizations (Women's Health Care)

Medical Group of North County, Inc.
03.2019 - 12.2020

Billing/Administrative (Women's Health Care)

ATI Staffing
11.2018 - 03.2019

Billing/Posting

South Bay OBGYN
02.2018 - 11.2018

Patient Account Representative (Kidney & Dialysis)

Balboa Nephrology Medical Group
05.2016 - 07.2017

Financial Counselor II (Rady's Children Hospital)

ATI Staffing
08.2015 - 02.2016

Financial Coordinator (Infertility)

Fertility Specialists Medical Group
10.2011 - 05.2016

GED -

Palomar High School

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