Maricela Bueno

• Assess work, productivity, instruct, and train employees in the work to be performed and the order in which it is to be completed and explains changes in departmental rules and procedures.
• Prepare performance evaluation reports as the immediate supervisor
• Arrange work schedules, vacations, and holidays; approve time off requests of subordinates; prepare time reports
• Enforce or assist the immediate supervisor in the enforcement of departmental rules, procedures, policies, and discipline, etc.
• Review and approve timesheets
• Maintain a uniform flow of work by determining priority on requests for information, rush assignments, etc., and shifting personnel to meet emergency conditions
• Ensure staff are compliant with mandatory trainings

• Provide customer service in assisting the public by listening, identifying, and recommending services to help meet patients needs.
• Assist patients by providing available PCP information and directing to the proper department for PCP assignment and financial clearance.
• Retrieve and monitor patients voicemails and return calls in a timely manner.
• Ability to register check-in high volume patients for appointments and obtain signatures for consents.
• Schedule patient appointments based off Provider requests
• Confirm appointments to reduce reschedules and cancellations.
• Verify patient insurance eligibility and benefits coverage by providing on going communication with PFS and use of healthcare eligibility benefit inquiry and response 270/271.
• Actively monitor and help coordinate multiple provider schedules and maintain appointment templates for clinic providers.
• Manage/build provider and clinic templates (specialized work) working alongside clinicians to complete the request as assigned.
• Review, modify, and validate schedules for completeness and accuracy in spreadsheets, Orchid, and Amion.
• Schedule maintenance by blocking, adding, and shuffling schedule slots as needed.
• Respond quickly to staff personnel questions and inquiries via Orchid messaging, phone, and email.

• Provide customer service in assisting the public by listening, identifying, and recommending services to help meet patients needs.
• Assist patients by providing available PCP information and directing to the proper department for PCP assignment and financial clearance.
• Retrieve and monitor patients voicemails and return calls in a timely manner.
• Ability to register check-in high volume patients for appointments and obtain signatures for consents.
• Schedule patient appointments based off Provider requests
• Confirm appointments to reduce reschedules and cancellations.
• Verify patient insurance eligibility and benefits coverage by providing on going communication with PFS and use of healthcare eligibility benefit inquiry and response 270/271.
• Actively monitor and help coordinate multiple provider schedules and maintain appointment templates for clinic providers.
• Manage/build provider and clinic templates (specialized work) working alongside clinicians to complete the request as assigned.
• Review, modify, and validate schedules for completeness and accuracy in spreadsheets, Orchid, and Amion.
• Schedule maintenance by blocking, adding, and shuffling schedule slots as needed.
• Respond quickly to staff personnel questions and inquiries via Orchid messaging, phone, and email.

• Supported clinical operations by providing outstanding customer service to new and long-standing customers by attending closely to concerns and developing solutions.
• Registered patients, collected payments, obtained and scanned ID and insurance cards for all appointments.
• Scheduled walk-in X-Rays, Ultrasounds, CT’s, MRI’s, and IR procedures over the phone and in person with patients and healthcare professionals to maximize productivity.
• Helped prep patients prior to exams and procedures, by providing contrast drinks, intake forms, consents, and labs to expedite the check-in process.
• Accessed referrals through websites like Facey, Regal Lakeside, Health Care Partners and other medical groups.
• Accessed authorizations through websites like Medicare, Medi-cal, Blue Shield, Blue Cross, and other insurance carriers.
• Verified patient information accuracy and resolved discrepancies through various web-based information systems for electronic billing and insurance eligibility status.
• Called patients to confirm all appointments to reduce cancellation and reschedules.
• Answered high volume telephone calls.
• Obtained proper authorization and identification to release confidential medical records.

• Data entry of demographic and insurance information into the billing information system (BIS) from source documents
• Reviewed and verified accuracy of patient insurance information and billing documents.
• Used personnel knowledge of billing rules and requirements along with critical/analytical eye in order to determine if the information provided appears to be incorrect of incomplete information such as invalid ID format for specific insurance, ID number not provided on copy of insurance card or hand written requisition not legible.
• Quality control of requisitions and attachments.
• Maintained productivity and quality standards as set by management.
• Responsible for reporting problems and errors to management in an effective and efficient manner.