Marion Garcia

• Coordinated patient referrals to specialists, ensuring timely and appropriate care delivery.
• Managed scheduling and follow-up communications between patients and healthcare providers.
• Streamlined referral processes, improving efficiency of patient transitions between services.
• Collaborated with multidisciplinary teams to enhance patient care coordination efforts.
• Served as primary contact for patients regarding referral inquiries and concerns.
• Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
• Responded to patient inquiries to offer timely updates regarding referral status.
• Called insurance companies to get precertification and other benefits information on behalf of patients.
• Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
• Processed and researched Grievances and complains for the department
• processed insurance authorations when needed

• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.
• Training and up training new hires
  

Covid -19 testing calls and results

• Team lead - running reports assisting in chat taking escalated calls .
• Assist members with all benefit question's and reviewing all policy details. Assisting with claims information and disputes. Assisting with all billing questions and issues. Also processing payments and setting up Automatic payments. Knowledge of various lines of business in the field of health insurance. Main point of contact for team of 8-16 agents while Supervisor is off or away. Working with Supervisor on improving team moral and engagement. Assigned to new agents to mentor, conduct side by sides, debriefings as well as filled out evaluation sheets on performance. Assisted in group chat with questions and needs of other agents. Handed escalated calls related to member issues. Created a team and developed a training to retrain a group of agents having difficulties.

• Oversaw daily front desk operations, ensuring efficient patient flow and service quality.
• Trained and mentored new reception staff on procedures and customer service best practices.
• Implemented scheduling systems to optimize appointment management and reduce wait times.
• Collaborated with healthcare providers to coordinate patient care and improve communication.
• Scheduled medical appointment for patients. Organized schedules for 5 different physicians.
• Processed incoming new and established patient referrals.
• Review and upload all new patient paperwork.
• Processing billing to medical insurance companies sending payment reminders and processing patient payments.
• Processing Patients prior authorizations for upcoming surgeries.

• Coordinated patient appointments and managed scheduling to optimize clinic operations.
• Assisted patients with inquiries and provided clear information about services offered.
• Maintained accurate patient records using electronic health record systems to ensure data integrity.
• Collaborated with healthcare providers to streamline communication between patients and medical staff.
• Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
• Checked daily doctor schedules and verified insurance.
• Scheduled patient appointment and procedures with software.

• Provided direct patient care, including assistance with daily living activities and mobility support.
• Monitored vital signs and reported changes to nursing staff for timely interventions.
• Assisted in maintaining a clean and safe environment for patients through adherence to infection control protocols.
• Collaborated with healthcare team members to ensure coordinated and effective patient care plans.