JULISSA GOMEZ
El Cajon,CA
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Referral Coordinator
OPSAM Health
05.2023 - Current
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Streamlined referral process by implementing efficient tracking and communication systems.
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
- Improved departmental workflow by assisting colleagues with tasks such as appointment scheduling or insurance verification when needed.
- Assisted with staff training initiatives related to the referral process, sharing expertise gained from professional experience.
Referral/Authorization Specialist
Palmcare Multispecialty
12.2022 - 05.2023
- Kept records of customers' charges and payments
- Collected, arranged, and input information into database system
- Generated reports detailing findings and recommendations
- Developed and updated tracking spreadsheets for process monitoring and reporting
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
- Prepared and processed patient referrals and transfer requests
- Supported office staff and operational requirements with administrative tasks
- Collaborated with healthcare professionals to maintain high-quality care across departments
- Answered incoming calls, routed messages and resolved patient inquiries within target timeframes
- Verified insurance coverage to prepare for upcoming patient appointments
- Assisted with medical coding and billing tasks
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts
- Expertly managed planning, scheduling, and coordination of outpatient procedures
- Developed and maintained strong working relationship with referral sources to streamline processing
- Facilitated referrals to other healthcare providers and resources to bridge service gaps
- Responded to patient inquiries to offer timely updates regarding referral status
- Assisted with completion of referral forms and verified data accuracy and completion
- Scheduled appointments with specialists on behalf of clients
- Called insurance companies to get precertification and other benefits information on behalf of patients.
Referral Coordinator/Receptionist
Cardiology Of Southern California
07.2018 - 05.2023
- Kept records of customers' charges and payments
- Collected, arranged, and input information into database system
- Generated reports detailing findings and recommendations
- Developed and updated tracking spreadsheets for process monitoring and reporting
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
- Prepared and processed patient referrals and transfer requests
- Supported office staff and operational requirements with administrative tasks
- Collaborated with healthcare professionals to maintain high-quality care across departments
- Answered incoming calls, routed messages and resolved patient inquiries within target timeframes
- Verified insurance coverage to prepare for upcoming patient appointments
- Assisted with medical coding and billing tasks
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts
- Expertly managed planning, scheduling, and coordination of outpatient procedures
- Developed and maintained strong working relationship with referral sources to streamline processing
- Facilitated referrals to other healthcare providers and resources to bridge service gaps
- Responded to patient inquiries to offer timely updates regarding referral status
- Assisted with completion of referral forms and verified data accuracy and completion
- Scheduled appointments with specialists on behalf of clients
- Called insurance companies to get precertification and other benefits information on behalf of patients.
Medical Assistant
San Diego Podiatry Group
10.2017 - 04.2018
- Scheduled surgeries, managed pre-certifications and verified insurance coverage
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction
- Received and routed laboratory results to correct clinical staff members
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
- Called and faxed pharmacies to submit prescriptions and refills
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus
- Answered telephone calls to offer office information, answer questions, and direct calls to staff
- Performed medical records management, including filing, organizing and scanning documents
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments
- Obtained and documented patient medical history, vital signs and current complaints at intake
- Sanitized, restocked, and organized exam rooms and medical equipment.
Education
Medical Assistant Certificate - Medical Assisting
Brightwood College
San Diego, CA01.2017
High School Diploma -
Charter School Of San Diego
San Diego, CA01.2015
Skills
- Medical Terminology Knowledge
- Gathering Referrals
- Proficient in Practice Fusion and eClinicalWorks EHR
- Pre-Authorizations
- Interoffice Correspondence
- HIPAA Guidelines
- Outpatient Procedures
- Adaptable and Flexible
- Optimize Staff Performance
- Conflict Resolution
- Clinical Translation
- Spanish Interpreting
References
- Rene Ramirez, Palmcare Multispecialty, (619)581-0509
- Olga Ortega, Cardiology of Southern California, (805)940-9911
Timeline
Referral Coordinator
OPSAM Health
05.2023 - Current
Referral/Authorization Specialist
Palmcare Multispecialty
12.2022 - 05.2023
Referral Coordinator/Receptionist
Cardiology Of Southern California
07.2018 - 05.2023
Medical Assistant
San Diego Podiatry Group
10.2017 - 04.2018
Medical Assistant Certificate - Medical Assisting
Brightwood College
High School Diploma -
Charter School Of San Diego