Magela Martinez Toppin
Miami,FL
Summary
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Patient-focused [Job Title] equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals and policy enforcement. Talented in finding balanced solutions and resolving conflicts. Responsible [Job Title] enthusiastic about supporting best practices in hospital operations, compliance and healthcare management. Demonstrated strengths in multi-area management, quality assurance and service. Resourceful professional and collaborative team player.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Patient Referral Coordinator
Clinical Care (Miami Beach Medical Group)
Miami , FL
09.2020 - Current
- Assisted in the coordination of patient referrals to other medical providers.
- Maintained a database of referral information and tracked referrals received and sent out.
- Provided timely follow up on all outstanding referrals ensuring they are completed within required timelines.
- Screened incoming requests for referrals, verifying accuracy of information and eligibility requirements.
- Collaborated with internal departments such as clinical staff, billing department and health insurance companies to ensure efficient processing of referrals.
- Communicated with patients regarding their referral status, providing updates when necessary.
Virtual Patient Scheduler
HCA Parallon
Tennessee Ridge , TN
01.2018 - 08.2020
- Provided support to physicians in the form of appointment scheduling, answering phones, verifying insurance coverage and handling other administrative duties as needed.
- Assisted patients with billing inquiries, resolving any issues quickly and efficiently.
- Maintained a high level of customer service when interacting with patients over the phone or in person.
- Performed clerical tasks such as filing paperwork, entering data into computer systems and managing electronic health records.
- Answered incoming calls from patients inquiring about their upcoming appointments or requesting changes to existing ones.
Patient Service Specialist
Conviva Care Solutions
Miami , Florida
03.2013 - 08.2020
- Greeted patients upon arrival and verified patient information.
- Provided assistance with completing paperwork, such as insurance forms and medical history.
- Answered incoming calls and responded to inquiries in a timely manner.
- Scheduled appointments and managed patient records using electronic health record software.
- Processed payments from patients, including cash, check, or credit card transactions.
- Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.
- Provided general customer service support by answering questions about services provided by the practice.
- Maintained knowledge of current insurance requirements for billing purposes.
- Verified patient coverage prior to appointment scheduling.
- Collected co-pays at time of visit according to office policy.
- Ensured all required documentation was completed accurately before submitting claims.
Administrative Assistant
Estrella Insurance
Miami , Florida
02.2011 - 03.2013
- Provided administrative support to the executive team, including scheduling meetings and managing calendars.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Managed incoming calls while providing information or transferring callers to appropriate personnel.
- Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
- Ensured efficient operation of office equipment such as printers, copiers and fax machines.
- Coordinated mailings including sorting mail, preparing packages for shipping via courier service or postal service.
- Processed invoices for payment using accounting software applications.
- Entered data into spreadsheets using Microsoft Excel or other similar programs.
- Prepared expense reports on behalf of executives in accordance with company policies and procedures.
Education
Bachelor of Science - Biology
Miami Dade College
Miami, FL05-2019
MBA - Business Administration
Western Governors University
Salt Lake City, UTCertified Professional Coder -
MCCI
Skills
- Medical Terminology Knowledge
- Patient Flow Management
- Healthcare Operations
- Patient Care Coordination
- Appointment Scheduling
- HIPAA Compliance
- Database Coordination
- Office Administration
- Insurance Practices
Certification
- AAPC CPC Certified
Languages
English
Professional
Spanish
Professional
Timeline
Patient Referral Coordinator
Clinical Care (Miami Beach Medical Group)
09.2020 - Current
Virtual Patient Scheduler
HCA Parallon
01.2018 - 08.2020
Patient Service Specialist
Conviva Care Solutions
03.2013 - 08.2020
Administrative Assistant
Estrella Insurance
02.2011 - 03.2013
Bachelor of Science - Biology
Miami Dade College
MBA - Business Administration
Western Governors University
Certified Professional Coder -
MCCI
- AAPC CPC Certified
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