Karen Ortiz

• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Verified eligibility and benefits through insurance companies
• Ensured complete and accurate documentation and maintained confidentiality of patient information
• Coordinated with facilities to set up surgeries for 2 otolaryngologist surgeons.
• Worked closely with operating room staff to ensure proper setup and sterilization of instruments prior to each case.
• Assisted surgeons in preparing for procedures, ensuring all necessary equipment and supplies were readily available.
• Contributed to a reduction in surgery cancellations by closely monitoring patient compliance with pre-surgical instructions.
• Improved patient experience by efficiently coordinating pre-operative preparations and post-operative follow-up care.
• Coordinated with anesthesia providers to ensure timely arrival and preparation for scheduled surgeries.
• Collaborated with insurance providers to verify coverage and obtain necessary authorizations for surgical procedures.
• Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times.

• Coordinated with 4 orthopedic surgeons, nurses, anesthesiologists, and other healthcare professionals to schedule surgeries based on availability, operating room capacity, and patient needs
• Ensuring that all necessary equipment, supplies, and personnel are available for each surgery
• Ensuring that all necessary documentation, including consent forms, medical records, and insurance information, is complete and accurate
• Serving as a point of contact for patients and their families, providing support, answering questions, and addressing concerns throughout the surgical process
• Faxing, scanning

• Tracking appropriate documentation on referrals
• Ensuring completion and accurate patient demographic and current insurance information
• Answering phones and transferring calls to the correct departments
• Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
• Called insurance companies to get precertification and other benefits information on behalf of patients.
• Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
• Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
• Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
• Provided thorough follow-up support after completion of referred services, ensuring proper billing procedures were followed.
• faxing/Scanning

Boston Mass General Hospital-Hematology Cancer Center

• Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
• Verified patient insurance eligibility and entered patient information into system.
• Greeted and assisted patients with check-in/check-out procedures.
• Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
• Assisted in the development of care plans tailored to individual patient needs, improving overall health outcomes.
• Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
• Answered incoming calls, scheduled appointments and filed medical records.
• scheduled infusion appointments/ follow-ups.