Nancy M. Hernandez
Port Murray,NJ
Summary
Dedicated Medical Administrative professional with strong expertise in insurance eligibility verification and patient scheduling. Committed to improving patient experiences by efficiently managing prior authorizations and ensuring timely communication with insurance providers.
Overview
25
25
years of professional experience
Work History
Medical Office Associate II
Atlantic Medical Group
08.2005 - Current
- Coordinated referral requests and prior authorizations for medical services and medications, facilitating timely access to necessary care.
- Verify insurance eligibility and schedule patient appointments.
- Communicate with insurance providers to ensure timely approvals.
- Organize and prioritize daily follow-ups for efficient resolution.
- Handled billing processes for collaborative care programs, nursing facilities, and office billing, ensuring accuracy and compliance with insurance requirements.
- Conducted patient interviews for case histories prior to appointments, gathering essential information to support effective care.
- Perform clerical duties including phone handling and customer service.
- Send out recalls and communicate through MyChart.
- Proficient in systems: Advance Data System, Relay Health, NaviNet, Cover My Meds, Availity, One Source, UHC.
- Daily use of Microsoft Outlook for communication and coordination.
Medical Receptionist
Boro Healthcare of Union, PC
05.2002 - 08.2005
- Scheduled appointments and managed patient check-in/check-out.
- Verified insurance coverage and arranged payment plans.
- Maintained organized work environment and accurate patient charts for streamlined operations.
- Managed multi-line telephone and switchboard systems to ensure efficient communication.
- Assisted in training new clerical staff and maintained productivity reports.
Radiation Oncology Receptionist
Newark Beth Israel Medical Center
12.2001 - 05.2002
- Directed incoming calls and coordinated with departments to facilitate timely patient service.
- Created and updated patient charts and files to ensure accurate patient records.
- Collaborated with departments to fulfill project requirements, enhancing overall operational efficiency.
Education
Medical Office Technology -
Drake College of Business
Elizabeth, NJ05-2002
Business Management -
Fairleigh Dickinson University
Teaneck, NJ05-2001
Skills
- Referral coordination
- Prior authorization coordination
- Insurance eligibility verification
- Patient intake
- Patient scheduling
- Billing management
- Patient relationship management
Languages
Spanish
Timeline
Medical Office Associate II
Atlantic Medical Group
08.2005 - Current
Medical Receptionist
Boro Healthcare of Union, PC
05.2002 - 08.2005
Radiation Oncology Receptionist
Newark Beth Israel Medical Center
12.2001 - 05.2002
Medical Office Technology -
Drake College of Business
Business Management -
Fairleigh Dickinson University