Miriam Del Rio
Las Vegas,United States
Summary
Dynamic bilingual medical receptionist with over 10 years of experience in fast-paced clinical environments. Proven ability to manage schedules, maintain accurate records, and oversee front desk operations while fostering positive relationships with diverse personalities. Friendly and adaptable professional committed to enhancing patient experiences through exceptional service and efficient multitasking. Strong organizational skills and quick learning aptitude contribute to seamless office functionality and patient satisfaction.
Overview
10
10
years of professional experience
Work History
Referrals and Medical Authorizations
Nevada Pediatric Specialists
01.2021 - 07.2025
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Managed multi-line phone system and pleasantly greeted patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Process referrals in timely manner and accordingly to insurance protocol.
- Aquire referral authorization if needed.
- Obtain imaging authorization through insurance portals or via phone.
- Facilitate scheduling patient’s imaging or specialist appointments.
Authorization Specialist
Heart Center Of Nevada
05.2019 - 06.2021
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Tracked referral submission during facilitation of prior authorization issuance.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Verified eligibility and compliance with authorization requirements for service providers.
Front Office Lead
Nevada Pediatric Specialists
02.2015 - 05.2019
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Trained new hires to all areas of front desk tasks.
- While being front office lead still managed referral specialist position.
Education
High School Diploma -
Western High School
Las Vegas, NV06.2013
Skills
- Organization and Time Management
- Customer service
- Dependable and responsible
- Front Desk Operations
- Detail Oriented
- Bilingual
- EMR Knowledge
- Timely Processing
- Multitasking
- High-Volume Environments
Languages
Spanish
Native or Bilingual
Timeline
Referrals and Medical Authorizations
Nevada Pediatric Specialists
01.2021 - 07.2025
Authorization Specialist
Heart Center Of Nevada
05.2019 - 06.2021
Front Office Lead
Nevada Pediatric Specialists
02.2015 - 05.2019
High School Diploma -
Western High School
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