Julie Saucedo
Mansfield,TX
Summary
Patient-focused Patient Care Coordinator equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals and policy enforcement. Talented in finding balanced solutions and resolving conflicts. Strong knowledge of medical terminology, pharmacology, and pharmacy practices. Very detail oriented and proficient in Microsoft Office.
Overview
19
19
years of professional experience
Work History
Patient Admissions Specialist
Coram Healthcare/CVS Specialty Infusion Services
Mansfield, TX
12.2023 - Current
- Processing incoming prescriptions for tube-fed patients.
- Dosage calculations.
- Ensuring the correct feeding equipment is sent to patients.
- Responsible for managing three support Outlook inboxes.
- Workload distribution.
- Assisting team members and patients with urgent prescription escalations.
- Overflow phone support.
- Consistently met daily performance goals set by management team members.
Patient Care Coordinator
US Bioservices/CVS Specialty Pharmacy
Carrollton, TX
05.2017 - 10.2022
- Processing initial fills and refills of Biologics, Hepatitis C, RSV and gastrointestinal drugs for patients.
- Assisting medical office staff with medication delivery coordination.
- Setting up new patient profiles with demographics, insurance and prior authorization information, clinical and physician information.
- Running test claims to verify eligibility and pharmacy benefits.
- Assisting patients with copay assistance enrollment.
- Ensuring proper supplies are shipped with medications. (i.e. sharps containers, needles, syringes, and alcohol pads).
- Training new hires
- QA analysis
- Reporting adverse events and reactions to drug manufacturers and the FDA.
- Maintaining documentation of patient drug therapy and pharmacy care plan.
- Working closely with pharmacists, nurses, physicians to ensure dosage accuracy.
- Physician outreach for new scripts when needed and ensuring the script is written to the specifications of prior authorization and plan rules.
- Managing "high touch" accounts, resolving the issue and following up monthly to ensure a positive experience with our pharmacy.
- Maintaining a strict adherence to HIPAA and Medicare regulations.
PBX Operator/Registrar/Emergency Communications Dispatcher
Medical City Arlington
Arlington, TX
08.2005 - 04.2020
- Answering all inbound calls to hospital and dispatching to appropriate destinations.
- Contact person for the hospital emergency phone.
- Dispatching appropriate emergency response team per situation.
- Recording, transmitting, and reporting information accurately.
- Preparing patient charts for billing.
- Registering incoming patients in the Emergency Room, including walk-ins, and ambulance intake.
- Day Surgery scheduling as needed.
Patient Care Coordinator
USMD Practice Management
Irving, TX
07.2015 - 05.2017
- Scheduling appointments for office visits, procedures, and lab work for 60+ urologists and nurse practitioners.
- General office duties as assigned.
Pharmacy Service Representative
Express Scripts/Legacy Medco
Fort Worth, TX
12.2007 - 06.2014
- Online prescription refills and submission to filling pharmacy.
- Working with providers' offices and patients to clarify plan rules for different medications. Advising when PA's and PLA's are needed.
- Inbound and outbound calls as needed pertaining to patient and physician inquiries.
- Maintaining documentation pertaining to patient care plans.
- Strict adherence to standard operating procedures and HIPAA compliance guidelines.
- General office duties as assigned.
Education
Diploma - Medical Billing And Coding
Everest University
Arlington, TX10.2012
High School Diploma -
South Grand Prairie High School
Grand Prairie, TX06.1995
Skills
- Office Administration
- Data Collection
- Filing and recordkeeping
- Emergency Preparedness
- Hospital Emergency Dispatch
- Payment Collection
- Articulate Communication orally and in writing
- New Hire Training
- Healthcare Operations
- HIPAA compliance
- Patient care coordination
- Insurance verification
- Appointment scheduling
Affiliations
- Member of the Benevolent and Protective Order of Elks - Elks Lodge #2114, Arlington TX
Timeline
Patient Admissions Specialist
Coram Healthcare/CVS Specialty Infusion Services
12.2023 - Current
Patient Care Coordinator
US Bioservices/CVS Specialty Pharmacy
05.2017 - 10.2022
Patient Care Coordinator
USMD Practice Management
07.2015 - 05.2017
Pharmacy Service Representative
Express Scripts/Legacy Medco
12.2007 - 06.2014
PBX Operator/Registrar/Emergency Communications Dispatcher
Medical City Arlington
08.2005 - 04.2020
Diploma - Medical Billing And Coding
Everest University
High School Diploma -
South Grand Prairie High School
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