Summary
Overview
Work History
Education
Skills
References
Timeline
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Marisa Ochoa Gamez

SURPRISE,AZ

Summary

Determined Motivated Medical Administrative Assistance, seeking to join a medical clinic. Where I would be able to demonstrate my medical knowledge and experience. With a Positive Work Environment where medical care is the focus.

Overview

18
18
years of professional experience

Work History

Patient Benefit Representative

Arizona Oncology
Goodyear, AZ
02.2009 - Current
  • Estimate insurance coverage, financial obligation & complete patient cost estimates for treatments
  • Prepare and complete appropriate reimbursement & liability forms for patients first appointment
  • Educates patient on insurance coverage, pre-authorizations, benefits co-pays, deductibles, & out-of-pocket expenses
  • Assesses patients ability to meet expenses & discusses payment arrangements
  • Financial Assistance: Help patients find & apply for financial assistance programs or resources
  • Insurance Verification: Verify patient eligibility and benefits with insurance companies
  • Responsible for obtaining, Pre-Authorization or referral approval codes prior to each treatment
  • Reviewing patients treatment orders, & to make sure diagnosis is not a reimbursement risk if so completing all forms necessary with the corresponding pharmaceutical company to make sure they can assist with appeals or replace the corresponding drugs
  • Ensure that patients co-pays amounts is correctly entered into the system allowing front desk to collect appropriately
  • Patient inquiries, resolving issues & assist with appeals or denials, claims follow up
  • Review and process refund request and adjustments
  • Help educate patients with insurance plans/Supplemental insurance
  • Responsibly for obtaining authorization for STAT treatment orders
  • Patient service Coordinator: Responsibly for scheduling new patients for all physicians – Obtain records & Referrals
  • Check in & check out- arriving patients and collecting co-pays if applicable
  • Coordinating patients: outside consultations, Ct scans, Pet CT scan, Transfusions, Hospital admits, Chemotherapy treatment ordered in the hospital
  • Obtaining Authorization request for all outside procedures for all STAT/ASAP/ROUTINE orders

Surgical Scheduler

Heart & Lung Institute of St. Joseph’s Hospital
Phoenix, AZ
03.2008 - 01.2009
  • Responsible for Coordination Surgery’s & Heart Catheterizations for 9 Physicians
  • Pediatric Cardiothoracic Surgeons,Cardiovascular & Thoracic Surgeons,General Thoracic Surgeons,Cardiac Catheterizations/Ablations
  • Coordinated Pre-Operative Testing for Various Doctors in the Office,Coordinated Pre-Op testing for patients within various departments in the hospital
  • Pre-Operative Center, Radiology, Hyperbaric Lab, Nuclear Medicine Department
  • Obtained Insurance Authorization for all surgeries, Heart Catheterization & Procedure testing if required
  • Coordinated cases with Representatives if any surgical equipment is needed
  • Collated pre-operative lab and imaging results to facilitate surgery planning.
  • Enhanced patient satisfaction by efficiently scheduling surgeries and coordinating necessary pre-operative appointments.
  • Ensured adequate staffing levels were maintained across all scheduled surgeries by working closely with nursing personnel and anesthesia providers during scheduling process.
  • Coordinated with insurance companies to obtain pre-authorizations for scheduled surgeries, minimizing financial barriers for patients.
  • Collaborated with surgeons to optimize schedules, ensuring timely access to necessary procedures.

Front Office Manager’s Assistant

PainCare of Arizona
Avondale, AZ
03.2007 - 03.2008
  • Scheduling Patients – Chiropractic, Physical Therapy, Pain Management & Women’s health Appointments
  • Obtain Insurance Authorization & Insurance Verification
  • Re-Questing Referrals From out-side clinics
  • Daily use of CPT/ICD-9 codes
  • Posting Payments from insurance carriers
  • Billing paper & electronical claims
  • Claims follow up/Billing & Coding
  • Assisting patients with Financial Agreements
  • Re-Questing Authorizations for office visits, therapy and procedures done in the office
  • Attending Physicians & Patients in the recovery rooms
  • Sending out referrals to outside facilities
  • Setting up New Patients File’s, filling clinical notes in charts – Medical Records
  • Re-Questing medical records from outside sources
  • Sending out medical records to insurance companies, Attorney’s offices and other medical clinics
  • Sending out claims to insurance companies – Billing
  • Answering multiple phone lines/Screening Calls
  • Creating new patient Spanish packets for our Spanish speaking population
  • Setting up patients in Exam rooms – Taking vitals
  • Scheduling meetings with Clinical Representatives & Doctors
  • Coordinated Marketing Events

Education

Certified Medical Administrative Assistant -

Apollo College
Phoenix, AZ
01.2007

High School Diploma -

Maya High School
Phoenix, AZ
01.2006

Skills

  • Scheduling Patients
  • Telephone Technique
  • Billing/Coding
  • Insurance Verification
  • OSHA/CLIA
  • Surgery Scheduling
  • Radiology Test Scheduling
  • Insurance Follow-up
  • Posting Payments
  • Filling Insurance Appeals
  • Microsoft Word
  • Microsoft Office Excel
  • Microsoft Office Power Point
  • Familiar With Various Medical Software
  • Fluent in Speaking, Reading and Writing Spanish
  • Benefits explanation
  • Teamwork and collaboration
  • Leadership skills
  • Multitasking Abilities
  • Report management
  • Process improvement

References

References Available Upon Request

Timeline

Patient Benefit Representative

Arizona Oncology
02.2009 - Current

Surgical Scheduler

Heart & Lung Institute of St. Joseph’s Hospital
03.2008 - 01.2009

Front Office Manager’s Assistant

PainCare of Arizona
03.2007 - 03.2008

Certified Medical Administrative Assistant -

Apollo College

High School Diploma -

Maya High School

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Marisa Ochoa Gamez