Maria Barrera
Lindsay,CA
Summary
Healthcare industry for 19 years of demonstrated success in healthcare. Experience with patients records, healthcare policies, fast-paced setting. Successful in managing time, prioritizing task, and exercising the sound judgment required to improve the quality of patient care.
Overview
19
19
years of professional experience
Work History
Clinical Administrative Coordinator
Optum (UHG)
09.2023 - Current
- Customer service, handle resolution/inquiries from members and or providers in the prior authorization department.
- Manage administrative intake of members.
- Manage approximately 30 - 50 faxes per day from providers.
- Work with hospitals, clinics, facilities and clinical team to manage requests for services from members and or providers.
- Process incoming and outgoing referrals, prior authorizations, including intake, notification and census roles with speed and accuracy.
- Assist clinical staff with setting up documents/triage cases for clinical coverage review.
- Assist supervisor with special assignments as needed.
- Skilled at working independently and collaboratively in a team environment.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked effectively in fast-paced environments.
- Responded to providers/members inquiries via phone and email, providing accurate information and resources while maintaining a professional demeanor.
Care Coordination Specialist
Kaweah Health Medical Center
06.2017 - 09.2023
- Home health coding: assign codes to diagnoses and procedures for home health, using correct ICD-10 on diagnoses and procedures of outpatient services.
- Verify patients eligibility and benefits.
- Call patients and advise of any co-pays, deductibles and co-insurance.
- Request precertification; maintain current authorizations.
- Managed approximately 30 - 50 referrals per day.
- Work with physicians and verify all face to face are done correctly.
- Scanned and assigned documents to patient charts.
- Answer and transfer phone calls.
- Assist RN manager with referrals, ensuring that patients receive care and make sure all information has been recorded correctly in EMR system.
- Managed time efficiently in order to complete all tasks within deadlines.
Intake Coordinator
Integrated Care Systems
08.2005 - 06.2017
- Admission and registration of incoming patients referrals.
- Data entry to EHR system.
- Answer and transfer phone calls.
- Verify eligibility and benefits and request precertification for major insurances.
- Maintain current authorizations.
- Call patients and advise them of any co-pays, deductibles and co-insurance.
- Scanned and assigned documents to patient charts as well as discharge and closing patient's charts.
- Call new doctors to get their NPI and Tax ID, type welcoming and survey letters to new doctors.
- Send letters to new patients and discharged patients.
- Managed approximately 30 - 50 incoming calls, emails and faxes per day from providers.
Education
General Education -
College of The Sequoias
Visalia, CA12.2008
High School Diploma -
Lindsay High School
Lindsay, CA06.2002
Skills
- Communication
- Leadership
- Problem Solving
- Creativity
- Project Management
- Organization
- Quick Learner
- Attention to Detail
- Teamwork
- Customer Service
- Computer Literacy
- Multi-task
- Work in fast past environment
- Self-discipline
- Maintaining Productivity
- EMR Systems
- ICD-10
- Healthcare Insurance
- HIPAA Knowledge
- Data Entry
- Medical Terminology
- Medical Records and Documentation
Languages
Spanish
Native or Bilingual
Timeline
Clinical Administrative Coordinator
Optum (UHG)
09.2023 - Current
Care Coordination Specialist
Kaweah Health Medical Center
06.2017 - 09.2023
Intake Coordinator
Integrated Care Systems
08.2005 - 06.2017
General Education -
College of The Sequoias
High School Diploma -
Lindsay High School
References
- Sylvia Contreras, 559-723-6482
- Christine Alfaro, 559-308-4102
- Rebecca Guerrero, 559-356-4047
References
- Sylvia Contreras, 559-723-6482
- Christine Alfaro, 559-308-4102
- Rebecca Guerrero, 559-356-4047
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