Summary
Overview
Work History
Education
Skills
Timeline
Generic

Loretta belardo

jacksonville,Florida

Summary

Experienced scheduling and Authorizations professional with strong focus on patient coordination and administrative efficiency. Adept at managing schedules, ensuring seamless communication between medical teams, and adapting to evolving needs. Known for collaborative mindset, reliability, and achieving optimal outcomes in fast-paced healthcare environments. Proficient in medical terminology, electronic health records, and patient care coordination.

Overview

20
20
years of professional experience

Work History

Surgery Scheduler

TOUCHTON SURGERY CENTER
11.2023 - Current
  • Assist in coordinating surgical schedules to optimize operating room utilization.
  • Communicate with patients and medical staff to confirm appointment details and address inquiries.
  • Support pre-operative processes by ensuring all necessary documentation was collected and verified.
  • Maintain positive communication with medical staff members and their office personnel.
  • monitor and maintain block times
  • prepare daily bank deposits for monies received at the surgery center
  • collect complete and accurate clinical, demographic and insurance information.
  • communicate to the director of nursing, and other appropriate employees, for same day and next day add-on cases.
  • coordinates efforts with the director of nursing to ensure availability of needed equipment.
  • Track cancellations.


  • contact payers to verify patient benefits then contact patient with patient responsibility amount.
  • distributes daily surgery schedule to the nursing managers, RN's, Pre-Op and PACU Nurse and technicians
  • Send requested Medical Records requests from Attorneys
  • Help out with front Desk when needed
  • help out with other clerical duties as directed by the business office manager.





Authorization Specialist

First Coast Heart And Vascular Center
11.2015 - 09.2023
  • Processed patient authorization requests efficiently, ensuring compliance with insurance protocols.
  • Collaborated with healthcare providers to obtain necessary documentation for timely authorization approvals.
  • Utilized electronic health record systems to track and manage authorization statuses effectively.
  • Analyzed denial trends to identify areas for improvement in authorization procedures.
  • Appeal insurance companies after prior authorization refusals, and set up Peer To Peer discussions with providers and insurance companies.
  • reviewed correspondence from insurance companies, and provided feedback to physicians, and patients when required
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
  • Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
  • Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
  • Assisted in training new team members on best practices for handling authorization requests.
  • Maintained accurate records of all authorization activities, enhancing data integrity and retrieval processes.

Payment Poster/Insurance Authorization Specialist

First Coast Cardiovascular Institute
07.2005 - 11.2015
  • Processed payment transactions efficiently, ensuring accurate posting of payments to patient accounts.
  • Reconciled discrepancies in payment records, enhancing accuracy and consistency in financial reporting.
  • Collaborated with billing department to resolve payment issues, improving overall collection rates.
  • Supported audits by providing detailed records of all posted payments and adjustments upon request.
  • responsible for the reconciliation of all insurance and self-pay payments received via ACH, lockbox or physical hospital address
  • initiate refunds of identified overpayments
  • perform appropriate follow-up with payer for payment, and enter refunds in a timely manner

Education

Associate of Arts - Medical Social Work

Jefferson Davis Community College
Gulfport, MS

Skills

  • Schedule coordination
  • Organization and time management
  • Teamwork orientation
  • Patient relations
  • Pre-authorization management
  • Allscripts
  • HST
  • EMR
  • Medical terminology
  • HIPAA compliance
  • Availity
  • Documentation and recordkeeping
  • Obtaining authorizations

Timeline

Surgery Scheduler

TOUCHTON SURGERY CENTER
11.2023 - Current

Authorization Specialist

First Coast Heart And Vascular Center
11.2015 - 09.2023

Payment Poster/Insurance Authorization Specialist

First Coast Cardiovascular Institute
07.2005 - 11.2015

Associate of Arts - Medical Social Work

Jefferson Davis Community College

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