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
2023.04 - 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
2020.09 - 2022.09
- 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
2019.03 - 2020.09
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
2016.07 - 2018.06
- 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
2002.01 - 2007.06
- 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
1999.01 - 2001.09
- 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
2023.04 - Current
Coordinator Lead, Contact Center Health
VAPOTHERM~ formerly known as HGE Health Care solution LLC
2020.09 - 2022.09
Contact Center Health Coordinator
HGE Health Care Solutions, LLC
2019.03 - 2020.09
Supervisor OICC/ Quality of Life Department
CANCER TREATMENT CENTER OF AMERICA
2016.07 - 2018.06
Lead, Allied Health Instructor for Medical Assistant and Medical Office
Thompson Institute: Kaplan University
2002.01 - 2007.06
Registered Medical Assistant
Interim House, Inc
1999.01 - 2001.09
Bachelor of Business Administration - Business Management
Strayer University
Associates, Medical Assistance Program -
Kaplan University
A3/ Lean six sigma, Customer Service, 09/2010
Similar Profiles
Julia HanesJulia Hanes
Talent Resource Coordinator at Medix Staffing SolutionTalent Resource Coordinator at Medix Staffing Solution
Kim TorresKim Torres
AR Collections Specialist at Medix Staffing SolutionsAR Collections Specialist at Medix Staffing Solutions
Kim TorresKim Torres
AR Collections Specialist at Medix Staffing SolutionsAR Collections Specialist at Medix Staffing Solutions