Monica Ortega
The Bronx
Summary
Bilingual Flexible Medical Receptionist known for prioritizing patient care experience and supporting individual needs on personal level. Empathetic liaison between physician and doctor with focus on balancing patient concern with physician caseload. Multitalented, diplomatic communicator of broad-scale announcements to patients with confidence and sensitivity to unique impacts on community members. Skilled using EPIC and ARIA appointment scheduling system to manage over 100 patients weekly. Organized and accurate in managing patient flow.
Overview
16
16
years of professional experience
Work History
Patient Access Specialist Authorization
Hospital For Special Surgery, Main Campus
08.2023 - Current
- Proactively identified potential issues in patient accounts, communicating with other departments as necessary to resolve discrepancies that could impact billing accuracy or timely reimbursements from insurance carriers.
- Collaborated closely with the Medical Records Department to obtain required documentation for claim submissions or appeals promptly as requested by insurance carriers.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Reconciled statements with patient records.
- Obtain Authorizations for Radiology of MRI and CT through Evicore
- Obtain Surgical authorizations for Hip an Knee as well as CT makos through insurance carriers.
Medical Receptionist
Advanced Radiation Centers Oncology
08.2021 - 08.2023
- Coordinated patient scheduling, check-in, check-out and payments for billing with Aria EMR.
- Checked patient insurance, demographic and health history to keep information current.
- Organized paperwork such as charts and reports for office and patient needs.
- Completed patient referrals to other medical specialists and obtain authorizations.
- Supported office staff and operational requirements with administrative tasks.
- Helped patients complete necessary medical forms and documentation.
- Maintained current and accurate medical records for patients.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Work closely with urologist to schedule surgical procedures.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
Ambulatory Care Representative Part-Time
Jamaica Hospital Medical Center
01.2020 - 08.2021
- Verified insurance benefits, processed payments and issued receipts for over 100 patients in day.
- Collected demographic and insurance information from patients for Pediatrics, and Emergency Triage.
- Used Epic EMR to record and organize patient data, including insurance and medical information.
- Assisted other Registration Clerks with front desk duties, answering questions and accurately using reservation system.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Contacted third-party payors to obtain and confirm authorization for services and communicated necessary related clinical information.
Medical Receptionist
New York Radiation Associates/ East Side Oncology
05.2018 - 12.2019
- Copied, logged and scanned supporting documentation into Electronic medical record system with Aria EMR.
- Entered details such as payments, account information and call logs into computer system
- Analyzed departmental documents for appropriate distribution and filing
- Responded to customer requests via telephone and email
- Greeted each patient pleasantly and provided desk sheet for sign-in
- Received packages and mail that came to front desk and dispersed them to correct employees
- Monitored office supplies inventory and placed orders
- Reported maintenance problems to appropriate personnel
- Carefully wrote down all phone messages and relayed them to appropriate personnel
- Handling of all patient schedules and follow-ups for over 50 patients
- Responsible for managing and retrieving Medical records and following HIPAA regulations
- Input data into computer programs and filing systems
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
- Kept patients' appointments on schedule by informing provider of Patient arrival and any delays
- Aided with prescription refill requests
- Entered procedure codes and diagnosis codes into medical billing software
Unit Secretary
Village Care Rivington House
06.2008 - 02.2018
- Provided information for patient admissions and discharges to foster timely processing for over 200 patients
- Maintained rapport with all unit staff, including physicians, nurse and other healthcare personnel
- Monitored inventory levels and advised management of need for replenishment
- Drafted unit correspondence, including memos, emails and department updates
- Performed clerical duties, including typing, answering phones and completing forms
- Managed reception area, including responding to telephone calls, in-person requests, internal and external communications and greeting visitors
- Cleaned and organized reception area to maintain company appearance standards.
- Operated office photocopiers, coordinated travel arrangements, maintained office bulletin board and assisted staff with clerical or procedural requirements
- Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff, greeting public, typing, proofreading, filing, sorting and handling incoming and outgoing mail
- Coordinated office inventory by restocking supplies and placing purchase orders
- Assisted with correspondence, reports and special projects
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Delivered charts to assigned areas of hospital by following established routing procedures.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
Education
Associate of Science - Health Administration
LaGuardia Community College of The City University of New York
Long Island City, NY12.2025
Certification - Veterinarian Assisting
Animal Behavioral School
Valencia, CA06.2022
GED -
University of State of New York
New York, NY11.2015
Skills
Computer proficient in Microsoft Word, Excel Outlook,
- Bilingual capability
- Decision-making abilities
- Verbal and written communication
- Skillful customer service experience
- Medical Terminology Knowledge
- Telephone etiquette
- Records maintenance
- Appointment Scheduling
- Insurance Verification
- Electronic Medical Records
- Organization and Time Management
- Epic Systems and Aria
Timeline
Patient Access Specialist Authorization
Hospital For Special Surgery, Main Campus
08.2023 - Current
Medical Receptionist
Advanced Radiation Centers Oncology
08.2021 - 08.2023
Ambulatory Care Representative Part-Time
Jamaica Hospital Medical Center
01.2020 - 08.2021
Medical Receptionist
New York Radiation Associates/ East Side Oncology
05.2018 - 12.2019
Unit Secretary
Village Care Rivington House
06.2008 - 02.2018
Associate of Science - Health Administration
LaGuardia Community College of The City University of New York
Certification - Veterinarian Assisting
Animal Behavioral School
GED -
University of State of New York
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