Natasha Arevalo
Edinburg,Texas
Summary
Highly effective and experienced assistant with extensive knowledge of the general office, hospital-based procedures, and support required to effectively assist in any environment. Experienced in maintaining office and client records by applying excellent organizational and office management skills daily. A strong team player that effectively maintains working relationships with co-workers, supervisors, and clients.
Overview
8
8
years of professional experience
Work History
Case Manager Assistant
Doctors Hospital At Renaissance Health System
07.2023 - Current
- Run daily census, discharge, high dollar, and unbill reports.
- Identify assignments and document all payor communication.
- Submit daily initial clinical request assignments to UR nurses.
- Fax time-sensitive concurrent clinical and discharge clinical to insurance plans.
- We forward denied days to the denial team.
- Ensure all faxes go through and document the confirmations.
- Follow up on pending cases then close cases after the length of stay has been approved.
- Manage inpatient, outpatient, and observation authorizations.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Streamlined authorization processes by implementing a centralized tracking system for pending and approved requests.
- Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
- Conducted thorough reviews of medical records to identify and address potential issues affecting authorization approvals.
Administrative Assistant/ Insurance Coordinator
RGV Cosmetic Surgery & Vein Center
11.2017 - 06.2023
- Administrative Assistant for the surgical line director, surgical patient coordinator, and director of operation
- Assisted with the preparation of payroll edits and monitoring of overtime.
- Provided IT assistance to nursing staff and employees. Managed clinic passwords for medical resources.
- Assisted in patient coordination (surgeon fees, facility fees) Composed correspondence, prepared reports, and managed a variety of administrative tasks
- Verified patient insurance coverage explained insurance billing procedures and entered patient information and billing portion into the system
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Streamlined authorization processes by implementing a centralized tracking system for pending and approved requests.
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
- Maintained up-to-date knowledge of insurance policies, enabling accurate evaluation of coverage eligibility criteria for patients.
- Coordinated and implemented training programs for staff to ensure compliance with company policies and procedures
- Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
- Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and authorizations promptly and empathetically.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Developed and implemented effective policies and procedures for HR, finance, and other administrative functions and compliance policies
- Coached and mentored administrative staff, resulting in improved job performance and knowledge, and trained new employees
- Arrange meetings and conferences, schedule appointments and interviews
- Operated cash register, credit card machine, and other electronic equipment accurately and efficiently
- Ran financial reports, and commission reports and made bank deposits, ensuring accurate record-keeping
- Processed and verified invoices from vendors to ensure the accuracy and completeness of information
- Assisted with recruiting and onboarding processes, including conducting interviews and completing background checks
- Operated office equipment such as printers, copiers, fax machines, and scanners, ensuring smooth operation of office operations
- Ordered office supplies and equipment, ensuring that the office was adequately stocked
- Conducted medical office administrative tasks, such as answering phones and greeting visitors in a professional manner
- Accepts and screens calls and routes calls appropriately; promptly and graciously responds to calls and visitors and determines the urgency of the situation
- Ensured the accuracy and confidentiality of all patient records
- Processed incoming and outgoing mail and packages
Medical Office Specialist
Texas Gastroenterology Institute
06.2017 - 10.2017
- Operated office equipment such as printers, copiers, fax machines and scanners, ensuring smooth operation of office operations
- Conducted medical office administrative tasks, such as answering phones and greeting visitors in a professional manner
- Assisted in daily operations of the medical office, including filing and maintaining patient and office records
- Processed payments for services and products, accurately recording all transactions
- Managed multiple phone lines while greeting visitors in a professional and friendly manner
- Scheduled and confirmed appointments with clients, ensuring that all necessary information was obtained
- Maintained a professional appearance and demeanor at all times
- Ensured the accuracy and confidentiality of all patient records
- Verified insurance coverage and collected payments for services rendered
- Updated and maintained patient information in the electronic health record system
- Handled cash, credit card, and check payments.
Medical Office Specialist
Dermatology Clinic of McAllen
09.2015 - 06.2017
- Operated office equipment such as printers, copiers, fax machines and scanners, ensuring smooth operation of office operations
- Conducted medical office administrative tasks, such as answering phones and greeting visitors
- Assisted in daily operations of the medical office, including filing and maintaining patient and office records
- Processed payments for services and products, accurately recording all transactions
- Managed multiple phone lines while greeting visitors in a professional and friendly manner
- Scheduled and confirmed appointments with clients, ensuring that all necessary information was obtained
- Maintained a professional appearance and demeanor at all times
- Ensured the accuracy and confidentiality of all patient records
- Verified insurance coverage and collected payments for services rendered
- Updated and maintained patient information in the electronic health record system
- Handled cash, credit card, and check payments.
Education
Billing and Coding Certificate in Medical Administrative Assistant Tech -
South Texas Vocational Technology at McAllen
09.2015
High School Diploma -
McAllen High School at McAllen
05.2011
Skills
- Teamwork
- Ability to work under pressure
- Ability to multitask
- Fast Learner
- Care Coordination
- Records Management
- Utilization Management
- Communication Skills
- Microsoft Office
- Customer Service
- Hospital experience
- Secretarial experience
- Good written skills
Timeline
Case Manager Assistant
Doctors Hospital At Renaissance Health System
07.2023 - Current
Administrative Assistant/ Insurance Coordinator
RGV Cosmetic Surgery & Vein Center
11.2017 - 06.2023
Medical Office Specialist
Texas Gastroenterology Institute
06.2017 - 10.2017
Medical Office Specialist
Dermatology Clinic of McAllen
09.2015 - 06.2017
Billing and Coding Certificate in Medical Administrative Assistant Tech -
South Texas Vocational Technology at McAllen
High School Diploma -
McAllen High School at McAllen
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