Summary
Overview
Work History
Education
Skills
I was awarded the Patient Safety compliance award on April 3rd 2023
Timeline
Generic

Kishauna Diaz

Henrico,VA

Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple tasks with a high degree of accuracy. I have a excellent customer service skills and I demonstrate strength in decision making and problem solving. All of these skills are needed to be an effective employee and team mate.


Overview

10
10
years of professional experience

Work History

Workers' Compensation Specialist

OrthoVirginia
01.2023 - Current
  • Correspond with nurse case managers and adjusters to get approvals for treatment.
  • Maintained claims data in Epic .
  • Set up claim information in medical charts.
  • Obtain panel information for patient 's to be seen at specific work comp approved medical facilities.
  • Schedule Appointments for injured workers.
  • Fax MRI and physical therapy orders to adjusters using Biscom faxing system.

Patient Registrar

OrthoVirginia
05.2018 - Current
  • Verified insurance coverage to confirm patient coverage for necessary medical services.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Gathered demographic and insurance information to register patients for medical appointments.
  • Used Epic to schedule and manage patient appointments.
  • Collected and processed co-payments and out-of-pocket charges
  • Resolved scheduling conflicts to avoid double-booked appointments and provider availability issues.
  • Prepared and processed patient referrals.


Patient Scheduler

OrthoVirginia
01.2016 - 05.2018
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Confirmed patient appointments day before scheduled.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Verified insurance coverage and obtained pre-authorizations.

Registrar

St Mary's Hospital
02.2014 - 12.2015
  • Greeted every patient with personable approach and provided knowledgeable service.
  • Checking patients in for their appointments and escorting them to the appropriate waiting area.
  • Schedule appointments
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Collected patient co-pays
  • Assisted in the adult and pediatric emergency room registration.
  • Offered financial counseling to those patients in the Er without insurance.

Education

High School Diploma -

Harry S Truman High School
Bronx, NY

Skills

  • Microsoft Word
  • Workflow Processes
  • Administering Claims
  • Workers Compensation
  • Inbound Phone Calls
  • Interpreting Coverage
  • Intake Interview
  • HIPAA Guidelines

I was awarded the Patient Safety compliance award on April 3rd 2023

I was awarded the Patient Safety Compliance award on April 3rd 2023 for exceptional contributions to patient safety, while exhibiting OrthoVirginia's core values of Unity excellence and Compassion.

Timeline

Workers' Compensation Specialist

OrthoVirginia
01.2023 - Current

Patient Registrar

OrthoVirginia
05.2018 - Current

Patient Scheduler

OrthoVirginia
01.2016 - 05.2018

Registrar

St Mary's Hospital
02.2014 - 12.2015

High School Diploma -

Harry S Truman High School

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Kishauna Diaz