Melissa Felix
Los Banos,CA
Summary
Organized Scheduler known for high productivity and efficient task completion. Specialize in time management, coordination of resources, and workflow optimization. Excel in communication, problem-solving, and adaptability, ensuring seamless scheduling operations across various environments.
Overview
7
7
years of professional experience
Work History
Specialty Surgey Scheduler
El Camino Health
Los Gatos, CA
08.2024 - Current
- Scheduled and confirmed appointments.
- Maintained positive working relationship with fellow staff and management.
- Handled incoming calls and directed callers to appropriate department or employee.
- Assisted organizational efforts by filing, entering data and answering phones.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
Patient Service Representative
Silicon Valley Medical Develpoment
San Jose, CA
09.2019 - 08.2021
- Greeted patients upon arrival and directed them to the appropriate area.
- Provided customer service by answering patient questions and addressing concerns.
- Verified insurance information, collected payments, and scheduled appointments.
- Assisted with the completion of medical forms and records.
- Maintained a clean and organized reception area.
- Answered incoming calls in a professional manner.
- Processed referrals from primary care physicians to specialists for further treatment or evaluation.
- Ensured all necessary paperwork was completed prior to patient visits.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Scanned documents into electronic health record system as needed.
- Performed administrative duties such as filing, faxing, photocopying.
- Reviewed patient accounts for accuracy on a regular basis.
- Assisted with scheduling follow-up appointments according to provider availability.
- Adhered to HIPAA regulations when handling confidential patient information.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Documented and managed patient information in computer system.
Patient Service Representative
Blossom Ridge Medical group
Los Gatos
03.2017 - 09.2019
- Maintained a clean and organized reception area.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Performed administrative duties such as filing, faxing, photocopying.
- Adhered to HIPAA regulations when handling confidential patient information.
- Counselled patients on potential financial liabilities and payment requirements.
- Received patient inquiries or complaints and directed to appropriate medical staff members.
- Collaborated with clinical and administrative staff to meet patient needs.
- Explained policies, procedures and services to patients.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
- Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
- Reviewed eligibility responses to assess patient benefit level and prepare estimates.
Education
High School Diploma -
Los Banos High School
Los Banos, CA05-2010
Skills
- Problem-Solving
- Telephone Etiquette
- Calendar Management
- HIPAA Compliance
- Epic system
- Patient Scheduling
- Payment Collection
- Insurance pre-certifications
- Pre-authorization management
- Office Administration
- Insurance Verification
- Patient Relations
Timeline
Specialty Surgey Scheduler
El Camino Health
08.2024 - Current
Patient Service Representative
Silicon Valley Medical Develpoment
09.2019 - 08.2021
Patient Service Representative
Blossom Ridge Medical group
03.2017 - 09.2019
High School Diploma -
Los Banos High School
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