Nayeli Sandoval
Summary
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities.
Overview
10
10
years of professional experience
Work History
Front Desk
GROSSMONT SURGERY CENTER (SCA)
08.2014 - 11.2014
- Enhanced guest satisfaction by efficiently managing check-ins and checkouts.
- Chart Filing.
- Prepared new patients chart carefully and accurately for scheduled procedures.
- Greeting patients to medical facility
- Performed front desk functions for thriving and busy surgical facility.
- Checked patients in for appointments, retrieved files for physicians and escorted patients to exam rooms.
Crew Member
McDonald's
05.2014 - 11.2014
- Worked well with teammates and accepted coaching from management team.
- Worked front counter, drive-thru and other areas.
- Provided excellent customer service by greeting customers and meeting quality expectations.
- Cleaned and maintained all areas of restaurant to promote clean image.
- Operated all cash register and processed various forms of payment.
- Ensured accurate order fulfillment with diligent attention to details while assembling meals.
Patient Service Associate
LIFECARE SOLUTIONS
11.2014 - 03.2018
- Managed multiple phone lines, addressing patient inquiries and directing calls to appropriate departments as needed related to DME.
- Maintained confidentiality by properly handling sensitive patient information in accordance with HIPAA guidelines.
- Collaborated with interdisciplinary teams to ensure timely delivery of appropriate medical equipment.
- Verified patient insurance eligibility and entered patient information into system.
- Enhanced patient satisfaction by effectively managing and coordinating DME services.
Patient Access Representative
Rady Children's Hospital Of San Diego
03.2020 - 04.2021
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Optimized scheduling efficiency by managing and coordinating appointments for multiple departments.
- Central scheduling – Assisting all callers schedule, reschedule, confirm and cancel future appointment for a variety of specialist from Rady Children's.
ER Admitting Clerk
Sharp Coronado Hospital
09.2022 - Current
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Improved patient satisfaction by efficiently registering and verifying insurance information, leading to a streamlined admission process.
- Contributed to increased hospital revenue by diligently verifying insurance coverage and obtaining necessary pre-authorizations.
- Expedited delivery of urgent messages to appropriate personnel, improving response time to emergent situations.
- Managed the coordination of STAT ambulance transportation, communicating vital details due to higher level of care.
- Facilitated admission paperwork, discharges, and transfers of patients to improve overall ER operations.
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
- Calculated collectible amount due for ER Visits.
- Answered unit calls and took messages for healthcare staff to maximize team productivity.
- Arranged patient transportations when necessary.
- Prepared admissions charts and scanned records.
- Answered multi-line telephone system, provided information and directed calls.
- Coordinated radiology appointments for multiple departments, ensuring optimal resource utilization.
- Enhanced patient care by efficiently managing medical records and transcribing physician orders.
- Streamlined workflows for nurses and doctors by accurately maintaining patient charts and updating information as needed.
- Maintained a clean and organized work area, contributing to a safe and efficient environment for patients and staff.
- Improved patient experience through compassionate interaction with families during difficult situations.
- Expedited insurance verification processes by gathering accurate information from patients upon arrival.
- Ensured HIPAA compliance while handling sensitive patient information with utmost confidentiality and discretion.
Education
Medical Office Administration -
Concorde College
General Education -
SAN DIEGO CITY COMMUNITY COLLEGE
General Education -
LINCOLN HIGH SCHOOL
Skills
- Bilingual – English and Spanish
- CPR
- Computer Proficiency
- Telephone Etiquette
- Effective Communication
- Attention to Detail
- EPIC
- HIPAA Compliance
- Problem Solving
- Organizational Skills
- Insurance Verification
- Registration/Admitting
- Referral Verification
- Payment Collection
Awards
Customer Service Excellence Award (LCS) Dean’s List (Concorde College) Administration Assistant (Lincoln H.S.) Nurse Assistant (Lincoln H.S.)
Languages
Spanish
Native or Bilingual
Timeline
ER Admitting Clerk
Sharp Coronado Hospital
09.2022 - Current
Patient Access Representative
Rady Children's Hospital Of San Diego
03.2020 - 04.2021
Patient Service Associate
LIFECARE SOLUTIONS
11.2014 - 03.2018
Front Desk
GROSSMONT SURGERY CENTER (SCA)
08.2014 - 11.2014
Crew Member
McDonald's
05.2014 - 11.2014
Medical Office Administration -
Concorde College
General Education -
SAN DIEGO CITY COMMUNITY COLLEGE
General Education -
LINCOLN HIGH SCHOOL
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