Katherine Baires
Summary
Bilingual Accomplished and energetic Administrative Assistant with a solid history of achievement in the office administration field. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include Customer Service, Microsoft Programs and Office administration.
Overview
14
14
years of professional experience
Work History
Financial Services Representative
Northwell Health
09.2022 - Current
- Physical Therapy Prior Authorizations
- eligibility and Benefits verificatin
- Workers’ Compensation Authorizations
- Submission and Tracking of Authorization Requests
- Appeals and Denial Management
- Knowledge of CPT, ICD-10, and HCPCS Codes
- Coordination with Physical Therapists and Referring Providers
- EMR/EHR Systems
- Communication with Insurance Carriers
- Multi-State and Commercial Insurance Plans
- Time Management and Attention to Detail
Spine Surgical Coordinator
Total Orthopedics Spine and Sports Medicine
06.2015 - 09.2022
- Obtaining Prior Authorization for Spine Surgeries
- Communicating with multiple Physician’s offices to obtain surgical clearances
- Obtaining authorization for Pain Management ( ESI’s, Facet/MBB, RFA, Spinal Cord Stimulators)
- Obtaining Prior Authorization for Diagnostic Testing (MRI’s, Cat Scan, etc)
- Submitting authorizations through Workers Compensation Provider Portal
Front Desk Receptionist
Orlin & Cohen Orthopedic Associates
06.2013 - 05.2014
- Scheduled patient appointments, check-ups and physician referrals.
- Greeted visitors, affirm purpose of visit, and direct them to appropriate staff.
- Compiled and recorded medical charts, reports, and correspondence.
- Answered telephones and direct calls to appropriate staff.
Front Desk Receptionist
Islandia MRI Associates
06.2012 - 07.2013
- Answering Incoming calls and directing them to proper parties
- Ensure the front reception area is covered at all times
- Managing the scheduling calendar
- Collecting Co-Payments
Education
New York State Advanced Regents Diploma -
Bay Shore High School
06-2011
Skills
- Strong Communication, Organizational and time management skills Proficient in Microsoft Word, Excel and Windows
Languages
English
Spanish
Timeline
Financial Services Representative
Northwell Health
09.2022 - Current
Spine Surgical Coordinator
Total Orthopedics Spine and Sports Medicine
06.2015 - 09.2022
Front Desk Receptionist
Orlin & Cohen Orthopedic Associates
06.2013 - 05.2014
Front Desk Receptionist
Islandia MRI Associates
06.2012 - 07.2013
New York State Advanced Regents Diploma -
Bay Shore High School