Experienced healthcare professional with expertise in medical record management, Insurance verification and surgery scheduling. Skilled in ensuring HIPPA compliance and maintaining high standards of patient care. Proven leadership in enhancing operational efficiency and data accuracy. Bilingual in Spanish English, offering strong communication skills.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Admitting/Surgery Scheduler/Health Records Clerk
Inland Valley Medical Center
Wildomar, CA
10.2017 - Current
Coordinate surgery schedules efficiently to meet critical deadlines.
Analyze medical data to identify necessary additional testing.
Resolve discrepancies in patient records to maintain data integrity.
Ensure that all necessary forms are completed accurately and timely submitted.
Review medical records for accuracy and completeness of patient information data.
Collaborate with healthcare staff to ensure accurate clinical data collection.
Identify and report all documentation errors and discrepancies to the nurse in charge.
Organize, sort, scan, and maintain patient files, completing clerical tasks within the Electronic Medical Record (EMR) workflow.
Accurately input patient information into Electronic Health Record (EHR) systems, ensuring that records are up to date.
Oversee the organization, filing, and storage of patient records, ensuring meticulous documentation of medical history and treatment plans.
Print, scan/fax, and send instructions to patients, confirming details to ensure accurate and timely delivery.
Maintain patient consent forms, checking for accuracy, addressing incompleteness via email, and attaching them to medical records.
Coordinate with internal and external medical staff to address missing testing, documentation, and report the findings to the appropriate leaders.
Implement and uphold strict confidentiality protocols under HIPAA regulations.
Collaborate closely with healthcare providers, nurses, and administrative staff to obtain and update patient information, ensuring seamless communication within the healthcare team.
Respond to inquiries from healthcare professionals, patients, and external entities regarding medical records in a professional and timely manner.
Surgery Scheduling Coordinator
Trinity Women's Health
Murrieta, CA
01.2014 - 11.2016
Managed a team of schedulers, ensuring accurate and timely surgery bookings.
Resolved any discrepancies between patient records and pre-surgery documentation.
Reviewed incoming requests from physicians regarding potential surgeries, confirming that they meet eligibility criteria.
Communicated with insurance companies to determine medical coverage, deductibles, and co-insurance.
Ensured compliance with HIPAA regulations when handling confidential patient information.
Provided support to surgeons by preparing documents needed for surgeries, such as consent forms and discharge instructions.
Request surgery authorizations with the correct coding of treatment, such as ICD-9 or ICD-10 codes.
Ensured all medical documentation has been provided prior to surgery.
Complete all pre-operative documentation, including scheduling forms, consents, H&Ps, and disclosures.
Confirm surgery details with patients, and communicate pre- and post-op instructions.
Ensure medical clearance and pre-surgical testing are obtained.
Coordinate with providers and facility teams to ensure case readiness.
Refractive Surgery Conselor/Surgery Scheduler at Holland Eye Surgery and Laser CenterRefractive Surgery Conselor/Surgery Scheduler at Holland Eye Surgery and Laser Center