MARISOL DEL VALLE
Revere,MA
Overview
12
12
years of professional experience
Work History
Eye Clinic Administrative Assistant (Volunteer)
Lynn Community Health Center
01.2018
- Answer and redirect incoming calls through the interactive communication platform PureCloud
- Manage recall, no-show, and waitlists by scheduling appointments, creating patient letters via EPIC
- Assist Optical Manager with Spanish interpreting and verification of eyeglasses orders, dispensing and filling
Prior Authorization Specialist
Mass General Brigham
07.2024 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Collaborated with insurance companies to clarify coverage details and expedite review of complex cases.
HIM Specialist
Lynn Community Health Center
01.2018 - Current
- Provide excellent customer service for patients, external facilities and staff who request information from HIM
- Assure completion of all ROI requests in a timely manner including all outgoing such as transition of care, attorney, social security, insurance, workers comp, disability, patient requests by following all state and federal guidelines and confidentiality rules
- Monitor sa133 medical records queue in EPIC for patient related messages, clinical team messages, rx errors, care everywhere incoming messages errors, and requests to assist with faxing applicable patient related documents
- Verify all reports, documents and correspondence are signed by appropriate individuals prior to scanning/indexing in addition to verification of legibility
- Responsible for determining when to use 'Poor Original Stamp' before report is saved into the ONBASE/EMR
- Oversee assignment of appropriate document types to all scanned patient medical reports
Administrative Assistant
WAYS Mental Health Support
01.2017 - 01.2018
- Responsible for organizing, updating, and maintaining administration and patient files for archiving
- Processed accounts receivables and payables for the clinic's information system
- Consulted and interacted with outside referring agencies to update and verify accuracy of information
- Verified all record requests are properly filled, signed and processed in a timely and accurate manner
- Managed data entry, reporting, and patient confidentiality
Bilingual Receptionist
MANE Colombia
01.2013 - 01.2017
- Provided administrative support by maintaining an accurate filing system while also delegating company-wide phone calls from clients, vendors, and external agencies to respective colleagues
- Managed office supply inventory ensuring appropriate and efficient stock of materials while placing and expediting orders as needed
- Responsible for setting up a system to sort, file, and archive company-wide email correspondence and electronic deliveries in a timely manner
- Served as the face of the organization for in-person client and vendor visitors by greeting them, pre-recording necessary messages and responding to inquiries
- Utilized both English and Spanish skills to deliver exceptional customer service for a French-multinational
Education
Administrative and Clerical Training -
Pathways Skill Development
London, ON01.2017
WHMIS -
Pathways Skill Development
London, ON01.2017
CPR/First Aid -
Pathways Skill Development
London, ON01.2017
Worker Health and Safety Awareness in 4 Steps -
Pathways Skill Development
London, ON01.2017
Business Excellence/Service Excellence -
St. Stephens Employment Training Centre
Toronto, ON01.2009
High School Diploma -
North Cambridge Catholic High School
Cambridge, MA01.2002
Skills
- Over 10 years of successful experience working in administrative and clerical medical environments
- Highly organized and task oriented with proven ability to complete paperwork and maintain organized filing systems in accordance with hospital standards
- Proficient across Microsoft applications, practice manager system EPIC, and PureCloud
- Strong attention to detail, ability to follow directions, and learn new processes quickly
- Exceptional communicator with the ability to form strong relationships with patients and colleagues
- Proficient in Spanish and English - written and verbal
Relevanteducationandcertifications
- Administrative and Clerical Training, Pathways Skill Development, London, ON, Canada, 01/01/17
- WHMIS, Pathways Skill Development, London, ON, Canada, 01/01/17
- CPR/First Aid, Pathways Skill Development, London, ON, Canada, 01/01/17
- Worker Health and Safety Awareness in 4 Steps, Pathways Skill Development, London, ON, Canada, 01/01/17
- Business Excellence/Service Excellence, St. Stephens Employment Training Centre, Toronto, ON, Canada, 01/01/09
- High School Diploma, North Cambridge Catholic High School, Cambridge, MA, 01/01/02
Volunteer Experience
Eye Clinic Administrative Assistant, Lynn Community Health Center, 01/01/18 - 12/31/18, Answer and redirect incoming calls through the interactive communication platform PureCloud., Manage recall, no-show, and waitlists by scheduling appointments, creating patient letters via EPIC., Assist Optical Manager with Spanish interpreting and verification of eyeglasses orders, dispensing and filling.
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Prior Authorization Specialist
Mass General Brigham
07.2024 - Current
Eye Clinic Administrative Assistant (Volunteer)
Lynn Community Health Center
01.2018
HIM Specialist
Lynn Community Health Center
01.2018 - Current
Administrative Assistant
WAYS Mental Health Support
01.2017 - 01.2018
Bilingual Receptionist
MANE Colombia
01.2013 - 01.2017
Administrative and Clerical Training -
Pathways Skill Development
WHMIS -
Pathways Skill Development
CPR/First Aid -
Pathways Skill Development
Worker Health and Safety Awareness in 4 Steps -
Pathways Skill Development
Business Excellence/Service Excellence -
St. Stephens Employment Training Centre
High School Diploma -
North Cambridge Catholic High School
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