Monique Ortega
Goodyear,AZ
Summary
Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving, and communication skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Credentialing Specialist
Surgical Elite of Avondale
04.2022 - Current
- As a Credentialing Specialist, I excel in navigating the intricate landscape of credentialing processes, ensuring compliance with industry standards and regulations
- My responsibilities include meticulously verifying and validating professional qualifications, licensure's, and certifications for healthcare providers.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Surgery Coordinator/verifications
Surgical Elite of Avondale
06.2016 - Current
- The Scheduling Coordinator is responsible for scheduling all patients for the surgery center
- The position has significant communication requirements with practice offices and requires excellent communication skills to build collegial relationships with surgeons, patients, and staff.
- Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
- Collaborated with surgical team members to maintain a well-organized and efficient operating room environment.
Surgery Coordinator
The Orthopedic Clinic Association-TOCA
02.2013 - 06.2016
- Responsibilities included answering multiple lines, greeting patients, handling correspondence, handling billing and bookkeeping, and serving as a liaison between patients, insurance, and outside facilities.
- Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
- Collaborated with surgical team members to maintain a well-organized and efficient operating room environment.
Medical Assistant/ Surgery Coordinator
Arizona Podiatric Specialist
11.2007 - 02.2013
- Performed administrative and clinical tasks to keep the office and healthcare professionals working efficiently, including taking medical histories, recording vital signs, and assisting physicians during examinations.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Education
Bachelor of Science in Healthcare Administration -
Aspen University
03.2024
Certificate in Radiology/Medical Assistant -
The Bryman School
12.2007
High School Diploma -
Estrella High School
05.2003
Skills
- Microsoft office
- EMR
- GE centricity
- Bilingual
- Strong multitasker
- Medical Records
- Insurance Verification
- Medical Scheduling
- Pain Management
- Patient Care
- Medical Office Experience
- HIPAA
- Medical receptionist
- EHR systems
- Filing
- Organizational skills
- Communication skills
- Customer service
- Bookkeeping
- Hospital experience
HIPAA Compliance
Data Management
Application coordination
Certification
- CPR Certification, 2024 to 2025
- BLS Certification, 2024 to 2025
- Driver's License
Additionalinformation - References
References upon request
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Languages
Spanish
Timeline
Credentialing Specialist
Surgical Elite of Avondale
04.2022 - Current
Surgery Coordinator/verifications
Surgical Elite of Avondale
06.2016 - Current
Surgery Coordinator
The Orthopedic Clinic Association-TOCA
02.2013 - 06.2016
Medical Assistant/ Surgery Coordinator
Arizona Podiatric Specialist
11.2007 - 02.2013
Bachelor of Science in Healthcare Administration -
Aspen University
Certificate in Radiology/Medical Assistant -
The Bryman School
High School Diploma -
Estrella High School
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