Karina Vega Gonzalez
Gresham,Oregon
Summary
Dedicated PAS-Resource Specialist with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various scheduling tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
1
1
Certification
Work History
PAS Resource Specialist
Oregon Health Science University
12.2019 - Current
- Schedule New/Return patients in General GI dept and IBD dept.
- Followed up with patients to reschedule missed appointments.
- Schedule Dietitian and Behavioral Health appointments when needed.
- Managed schedule for multiple medical practitioners, verifying accuracy of all appointments. Prioritized tasks to meet demands of fast-paced work environment.
- Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
- Answered phone calls and messages for 8-12 providers; scheduled appointments, and handled patient inquiries.
- Coordinated with other departments to facilitate patient care - such as General Surgery, Registration and Radiology.
- Responded to inquiries from providers and medical team regarding image prior authorization requests. Document appropriately of my process so they can communicate any updates with patient/provider.
- Train new employees when needed
- Always would be available when my team is in need.
- Entered orders for the procedure unit as per the medical review indicated.
Referral and Authorization Coordinator
The Oregon Clinic
06.2018 - 12.2019
- Responsibilities include verifying eligibility, checking benefits, documenting physician direct referrals, and pre-certification or authorizations of certain services as defined by the patient’s health insurance plan, via phone, fax or written requests
- Experience with Managed Care referrals and insurance authorizations including PPO, POS, HMO, and Medicare
- Previous experience with Centricity, EPIC, and clinical background
- I’m experienced with Microsoft Office Word, Excel, and Power point.
Patient Services Representative
The Oregon Clinic
05.2017 - 06.2018
- Welcome and greet patients in a friendly manner, in person or over the phone
- I provide excellent communication, keeping people informed, responding to messages in a timely manner, and asking if there is any further information needed
- Schedule new/returning patients according to guidelines
- Obtain appropriate screening forms from the patient and reviews forms for completeness
- Collect patient co-pays
- Updates and maintains current patient demographics
- Performs routine duties associated with the request of medical records
- Perform routine duties associated with answering phones
- Obtains and prepares charts for scheduled appointments in a timely manner.
Education
High School Diploma -
Reynolds Highschool
Troutdale, OR03.2015
Skills
- Customer care
- Organizational skills
- Bilingual Advanced
- Patient care
- Documentation
- Teamwork and Collaboration
- High-Volume Call Environments
- Insurance Verification
- Attention to Detail
- Critical Thinking
- Schedule Management
- Insurance Authorizations
- Organization and Time Management
- Schedule Coordination
- Office Coordination
- Pre-Authorization Management
Certification
Emerging Leader: Building Trust
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
PAS Resource Specialist
Oregon Health Science University
12.2019 - Current
Referral and Authorization Coordinator
The Oregon Clinic
06.2018 - 12.2019
Patient Services Representative
The Oregon Clinic
05.2017 - 06.2018
High School Diploma -
Reynolds Highschool
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