Nataly Navarreto
Philadelphia,PA
Summary
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, and inner-office operations.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Insurance Verification Representative
Medix Staffing Solution~ University Hospital Ohio
04.2023 - Current
- Identified denials and corresponding with insurance companies with the EPIC medical records software
- Submit reverification to insurance accordingly to correct facilities to start correcting timing of billing and collections for each facility
- Submit proper documentation of required authorization and certification, including renewals
- Made appropriate adjustment to clear backlog accounts to have insurance cleared for payout.
Coordinator Lead, Contact Center Health
VAPOTHERM~ formerly known as HGE Health Care solution LLC
Fort Washington PA
09.2020 - 09.2022
- Worked closely with Patient Recruitment cross-functional teams to implement corrective actions and improve customer experience
- Conducted customer feedback surveys and analyzed data to identify areas of improvement
- Ensure that all communications adhere to HGE’s approved marketing messaging and regulatory requirements for on-label use of products and devices
- Serve as a liaison between patients and Patient Engagement teams, providing additional support in communication and documentation as necessary.
- Provided technical support to staff members regarding software applications and hardware systems.
- Maintained calendars of upcoming events, meetings and deadlines in order to keep task up to date.
- Facilitated communication between different departments in order to resolve issues quickly for acute patients.
- Analyzed data to identify trends in patient behavior and preferences.
Contact Center Health Coordinator
HGE Health Care Solutions, LLC
Fort Washington PA
03.2019 - 09.2020
Medix
- Review letters, brochures, and text correspondence for the Spanish customer service with the mitigation department.
- Maintained accurate records of patients interactions and data collected for survey survey.
- Ensure that all communications adhere to HGE’s approved marketing messaging and regulatory requirements for on-label use of products and devices
- Serve as a liaison between patients and Call Center Nurses, providing additional support in communication and documentation as necessary
- Report any concerns on site by the health coordinator throughout the shift to department Manager and reassigning daily tasks to other coordinators
- Communicated with patients with compassion while keeping medical information private.
Supervisor OICC/ Quality of Life Department
CANCER TREATMENT CENTER OF AMERICA
Philadelphia, PA
07.2016 - 06.2018
- Developed and implemented operational policies and procedures to ensure efficiency and accuracy of workflows.
- Tracked progress on projects and provided timely feedback to staff members.
- Created new strategies for improving customer service standards within the organization.
- Collaborated with other departments to coordinate workflow processes between teams.
- Provided ongoing training to address staff needs.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Evaluated needs of departments and delegated tasks to optimize overall production.
- Maintained positive working relationship with fellow staff and management.
- Works to resolve concerns and coordinate patient experience to ensure the Mother Standard of patient care
- Developed and delivered program status reports to executive leadership team
- Work with a team to eliminate process and time waste by using the Lean Six Sigma skill set
- · Develop and implement Contract project activities and events with Cocur Travels and Angel flights Aviation
- · Monitored the nonrefundable report with CTS travel cooperation and established to have patient applied to the Silver Club.
Lead, Allied Health Instructor for Medical Assistant and Medical Office
Thompson Institute: Kaplan University
Philadelphia, PA
01.2002 - 06.2007
- Developed and implemented comprehensive lesson plans for allied health students.
- Provided individualized instruction to students with diverse learning needs.
- Conducted classroom activities to promote critical thinking, problem solving, and communication skills.
- Collaborated with other instructors to ensure consistency in course materials and teaching methods.
- Works creatively in all classes to encourage student to continue programs and avoid withdrawal and maintain 93% retention course completion and job placement
- Attended continuing education courses related to allied health topics.
- Organized field trips to health care facilities to provide practical experience for students.
- Managed daily operations by delivering laboratory instruction, curriculum implementation, student advisement and continuous improvement of industry best practices.
- Taught complete requirements to help participants pass official CPR certification.
Registered Medical Assistant
Interim House, Inc
Philadelphia, PA
01.1999 - 09.2001
- Performed patient assessments, including vital signs and medical history documentation.
- Prepared laboratory specimens for analysis and organized lab results.
- Verified insurance coverage and processed payments from patients.
- Maintained clinical records according to HIPAA regulations.
- Greeted patients upon arrival at the recovery facility and managed scheduling of appointments.
- Educated patients about health maintenance activities such as diet modification, exercise programs, smoking cessation advice.
- Perform random drug testing, ensure accurate medical information, review monthly medical administration records (MAR)
- Oversee weekly medication exchange and assist nurses monthly
- Attended an appointment with a Psychologist upon client's request for support during counseling.
Education
Bachelor of Business Administration - Business Management
Strayer University
06.2017
Associates, Medical Assistance Program -
Kaplan University
06.1996
Skills
- Epic
- Strong communion
- Conflict resolution
- Customer service cross-functional training and development
- Data analysis and reporting
- Communication and presentation skills
- Excellent time management skills
- Knowledge of clinical policies and procedures, medical terminology and CPT and ICD-9 coding
- Public Speaking Program management
- Proficient in following: Microsoft office,PRM, MAR, SCM software, RMS software,CTS Corporate,Travel software,Click book, IDX software,Cisco SIP IP phone software,Power Point, ES systems,Share Point,Hudson software, Medallion software
- Revation Communicator
- Coordination and Scheduling
- Knowledge Base, Salesforce
- QuickBase, HSX (Health Share Exchange)
- Sales force
- Electronic Medical Records
- Coverage and Authorizations
- Radiology Knowledge
Certification
A3/ Lean six sigma, Customer Service, 09/2010
Languages
Spanish
Professional
Timeline
Insurance Verification Representative
Medix Staffing Solution~ University Hospital Ohio
04.2023 - Current
Coordinator Lead, Contact Center Health
VAPOTHERM~ formerly known as HGE Health Care solution LLC
09.2020 - 09.2022
Contact Center Health Coordinator
HGE Health Care Solutions, LLC
03.2019 - 09.2020
Supervisor OICC/ Quality of Life Department
CANCER TREATMENT CENTER OF AMERICA
07.2016 - 06.2018
Lead, Allied Health Instructor for Medical Assistant and Medical Office
Thompson Institute: Kaplan University
01.2002 - 06.2007
Registered Medical Assistant
Interim House, Inc
01.1999 - 09.2001
Bachelor of Business Administration - Business Management
Strayer University
Associates, Medical Assistance Program -
Kaplan University
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