Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Leticia Leon

Phoenix,AZ

Summary

Healthcare Administrator with proven to deliver an exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. Plan and implement strategies for developing improved healthcare management. Proven problem solver and an excellent communicator. Strong organizational skills and superb understanding of data collection and performance metrics. Recognized for staff development leading to high-performing teams.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Financial Clearance representative

Atlas healthcare Partners
05.2022 - Current
  • Assisted in developing a new role that minimizes insurance denials related to authorizations
  • Research doctor's surgery trends using data analytics reports gathered from the current EMR system.
  • Track physician trends when surgery changes occurred
  • Built role responsibilities for authorization denials.
  • Conducted research to answer questions and handle issues using multiple systems and resources.
  • Compiled and analyzed data to determine approaches to improve authorization denials.

Patient Relations Coordinator

Stamp Medical
09.2020 - 05.2022
  • Facilitated and coordinated patient care with attorneys.
  • Tracked medical liens.
  • Coordinated patient care through various specialists.
  • Managed schedules for eight providers and five facilities
  • Increase patient appointment compliance to 90%.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Helped address client complaints through timely corrective actions and appropriate referrals.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Provided excellent customer service to patients and medical staff.
  • Engaged with patients to provide critical information.
  • Facilitated communication between patients and various departments and staff.
  • Recommended service improvements to minimize recurring patient issues and complaints.
  • Resolved customer complaints using established follow-up procedures.

Financial Clearance

Optum, UnitedHealth Group
02.2018 - 07.2020
  • Facilitated and coordinated inpatient and outpatient authorizations for four facilities
  • Handled customer relations issues, enabling quick resolution and client satisfaction.
  • Maintained an ethical and positive working environment to reduce turnover and promote high retention rates.
  • Decreased patient cancellations due to authorizations
  • Increased patient collections.
  • Reviewed patient benefits and created estimates
  • Ensured data accuracy and maintained 100% quality and productivity scores.

Administrative Assistant

Phoenix Spine
09.2016 - 02.2018
  • Increased office participation in special events by creating newsletter with detailed calendars and other office updates.
  • Performed research to collect and record industry data.
  • Developed strategies to streamline and improve office procedures.
  • Drafted correspondence and other documents for CEO and department heads in company's voice.
  • Completed forms, reports, logs and records to quickly handle all documentation for human resources.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Volunteered to help with special projects of varying degrees of complexity.
  • Supported company leaders by managing budgets, scheduling appointments and organizing itinerary.
  • Continually sought methods for improving daily operations, communications with clients, recordkeeping and data entry for increased efficiency.
  • Recorded new hires, transfers, terminations, changes in job classifications and merit increases to main human resources files.

Patient Access Representative

Phoenix Children's Hospital
02.2011 - 09.2016
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.
  • Contacted patients on annual renewal dates to offer assistance.
  • Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
  • Compiled and maintained patient medical records to keep information complete and up-to-date.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Addressed bad debts in line with set protocols.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Verified patient insurance eligibility and entered patient information into system.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Resolved patient billing issues in line with established guidelines.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Trained new staff on hospital processes and procedures.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.

Education

Bachelors - Healthcare Administration

Grand Canyon University
Phoenix, AZ
08.2023

High school diploma -

Alhambra High School
Phoenix, AZ
05.2002

Skills

  • Knowledge of Medicare, Medicaid, commercial, and limited liability health plans
  • Quality assurance
  • Medical interpreter certificate
  • Various EMR Systems
  • Medical terminology, ICD-10, and CPT
  • HIPAA
  • Affordable Care Act regulations
  • Data Analysis
  • Strategic Initiatives
  • Staff Meetings
  • Critical Thinking
  • Microsoft Office
  • Office Organization

Certification

  • CNP - Certified Notary Public
  • Medical Interpreter Certificate

Languages

Spanish
Native or Bilingual

Timeline

Financial Clearance representative

Atlas healthcare Partners
05.2022 - Current

Patient Relations Coordinator

Stamp Medical
09.2020 - 05.2022

Financial Clearance

Optum, UnitedHealth Group
02.2018 - 07.2020

Administrative Assistant

Phoenix Spine
09.2016 - 02.2018

Patient Access Representative

Phoenix Children's Hospital
02.2011 - 09.2016

Bachelors - Healthcare Administration

Grand Canyon University

High school diploma -

Alhambra High School
Leticia Leon