Julia Carrizales
Lincolnville,SC
Summary
B.S. in Public Health and Nationally/ State Certified Phlebotomist. 7 years of experience in customer service and 4 years in the laboratory, clinical research, and pharmacy department. Completed CPT Certification and eager to return to the medical career field. Strong critical thinking, planning, and management skills. Ability to build professional connections with co-workers, management, and patients. Well-rounded skill set to contribute to company growth and success.
Overview
5
5
years of professional experience
Work History
Server
Fuji Nexton
04.2023 - Current
- Provides exceptional customer service by taking orders, delivering food and beverages, and ensuring a positive dining experience
- Accurately communicate orders to the kitchen staff, handle payments, and address customer inquiries or concerns promptly
- Maintain a clean and organized dining area, adhere to health and safety standards, and contribute to a welcoming atmosphere for guests
- Strong multitasking, communication, and interpersonal skills are essential for this role
Medical Insurance/Authorization Specialist
Carolina Eyecare Physicians
01.2023 - 06.2023
- Assess diagnosis and treatment requests, assigning appropriate billing codes (ICD-10 and/or CPT/HCPC codes)
- Determine and procure if any prior authorization is needed for surgeries, injections and/or appointments
- Communicated with patients on amounts covered under benefits plans or any patient’s responsibility prior to surgeries to ensure easy to understand terminology and expectations
- Tracks physician referrals, patient paperwork accuracy and completeness, and provides necessary details to billing staff to ensure clean claims
- Verified patients had proper insurance coverage and eligibility with private or government carriers prior to any procedures or appointment scheduling
- Worked directly with the physician to ensure accurate interpretation, coding and reimbursement
- Maintained knowledge of benefits claims processing, claims principles, medical terminology and procedures and HIPAA regulations
- Ensure all insurance, demographic and eligibility information is obtained and entered in the system accurately
- Provide accurate and efficient computer entries for authorization requests and provider inquiries through phone, mail, or fax
Lab Technician
Coastal Carolina Research Center
02.2022 - 01.2023
- Blood collecting, centrifuging, aliquoting, labeling tubes from plasma and serum samples, urine tests, stool samples or other substances using the correct testing equipment
- Using blood from lavender tubes to construct microscopic slides
- Worked on as many as 6 different studies in one day with the lab always maintaining up to 23 studies with constant rotation of 50 patients a day
- Successfully collected 600 COVID-19 saliva samples, recorded mL data and patient information, labeled tubes and prepared all packaging for shipment, independently
- Recording all experimental data and test results accurately in study logs (written and electronic)
- Organizing and storing all chemical substances, fluids, sharps, and compressed gases according to safety instructions
- Disposing of sharps containers and biohazardous material while meeting safe laboratory guidelines
- Ensuring that safety guidelines are always adhered to within the laboratory
- Maintaining daily logs and equipment record books
- Cleaning, sterilizing, maintaining, and calibrating laboratory equipment
- Ordering laboratory supplies, as needed
- Keeping up to date with relevant scientific and technical developments
Registered Pharmacy Technician
Publix Pharmacy
06.2021 - 02.2022
- Greet customers and respond to questions and requests for medicinal needs and information
- Order and receive prescription drugs and supplies
- Initiate refill requests
- Ensure that product is rotated, within date, and properly displayed
- Count and label prescription drugs and supplies
- Generate third-party billing in print and electronic formats and reconcile weekly
- Properly dispose of outdated, discontinued, and/or unsaleable medications and vaccinations
- Keep EMRs using computerized and hard copy systems
- Reconcile insurance discrepancies
- Provide the customer financial relief through practiced knowledge of all discount/savings options available
- Initiate data entry completion for electronic and written prescriptions
- Professionally answers telephone with a standard greeting, identity, and relays messages in an accurate and timely manner
- Ensure that the above duties are completed in compliance with Publix policy and all federal, state, and local laws and regulations
Patient Access Representative for COVID Clinic, Breast Cancer Center and Pediatrics
MUSC
08.2020 - 03.2021
- Consistently collects patient payments and provides receipt accurately completing all required fields
- Accurately reconcile receipts with cash collected and complete required balancing forms; clear all edits/bill holds within 48 hours
- Demonstrate compliance with established policies associated with HIPPA, time and attendance, professionalism and time keeping
- Demonstrate a commitment to achieving organizational goals and problem resolution by embracing a creative approach and focusing on efficient and effective solutions to promote the desired outcomes
- Consistently performs Check in and check out procedures for multiple providers within the EPIC Electronic Medical Records operating system and/or update all required demographic data and insurance information on patient and guarantor in registration system(s)
- Ensure all required referrals/pre-certifications are obtained for the visit to schedule consults and tests for patients ensuring most convenient appointment date and time with referring physician and/or patient for multiple locations
- Secure and/or explain copies of insurance card(s), forms of ID, and signature(s) on all required forms and scan into the appropriate imaging documentation system
- Verify insurance using Real Time Eligibility, Payer Website, or phone number to determine coordination of benefits and obtain authorization and/or referrals as required
Education
CPT - Phlebotomy
Phlebotomy Training Specialists
Charleston, SC12.2024
B.S. - PUBLIC HEALTH
COLLEGE OF CHARLESTON
Charleston, SC05.2020
Skills
- Accurate Aliquoting
- Centrifuge Operation
- Blood and Plasma Management
- Venipuncture Proficiency
- Capillary Blood Collection
- Phlebotomy Draw Sequence
- Laboratory Inventory Control
- High-volume data entry(2500daily)
- EKG data input
- EDC/EMR systems
- HIPAA/OSHA Compliant
- Proficient in Data Analysis Tools
- Development and implementation of research methods
- Workflow optimization
- Rapid Software Adaptation
- Deadline-Oriented Efficiency
- Strong written/verbal communication
- Effective Multitasking
Timeline
Server
Fuji Nexton
04.2023 - Current
Medical Insurance/Authorization Specialist
Carolina Eyecare Physicians
01.2023 - 06.2023
Lab Technician
Coastal Carolina Research Center
02.2022 - 01.2023
Registered Pharmacy Technician
Publix Pharmacy
06.2021 - 02.2022
Patient Access Representative for COVID Clinic, Breast Cancer Center and Pediatrics
MUSC
08.2020 - 03.2021
CPT - Phlebotomy
Phlebotomy Training Specialists
B.S. - PUBLIC HEALTH
COLLEGE OF CHARLESTON
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