Experienced administrative team member with comprehensive knowledge of medical standards, compliance requirements, and operational procedures. Skilled in problem-solving with a friendly and caring approach, and excellent communication skills. Proficient in inventory management, customer service, and inner-office operations.
Overview
16
16
years of professional experience
Work History
Elderly Caregiver
Self Employed
01.2024 - Current
Offered companionship and kindness to elderly patients.
Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
Assisted with personal hygiene tasks such as bathing, grooming, dressing, feeding, toileting giving attention to detail.
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Maintained clean, safe, and well-organized patient environment.
Assisted clients in maintaining a safe and clean living environment, promoting health and wellbeing.
Provided emotional support to seniors, fostering positive relationships and enhancing their overall mental health.
Enhanced elderly residents'' quality of life by providing compassionate care and assistance with daily activities.
Observed health status of clients to report changes and unusual occurrences to appropriate medical personnel.
Provided safe mobility support to help patients move around personal and public spaces.
Assisted disabled clients to support independence and well-being.
Supported seniors during nighttime hours by providing assistance and comfort, ensuring a restful night''s sleep.
Prepared nutritious meals tailored to individual dietary requirements for elderly clients while considering their preferences.
Managed medication administration for clients, ensuring proper dosages and adherence to prescribed schedules.
Documented daily activities and changes in client condition to enable tracking history and maintain accurate records.
Conducted regular home safety checks to identify potential hazards ensuring a secure environment for the elderly.
Maintained client confidentiality and adhered to HIPAA regulations while documenting and sharing pertinent information with authorized parties.
Maintained clean and safe living environments, significantly reducing risk of falls and infections.
Provided emotional support, significantly improving residents' mental health and overall happiness.
Precertification Specialist
South Tx Oncology and Hematology
01.2022 - 10.2023
Tracked and expedited pending precertifications to avoid delays.
Created reports, invoices, and letters using word processing tools.
Employed electronic medical record systems to streamline data input.
Outlined rationale for disapprovals and provided guidance on next actions.
Managed intake of new claims and performed routine follow-ups.
Checked benefit parameters prior to processing precertification submissions.
Evaluated patient records to assess service necessity.
Maintained strict confidentiality of patient information per HIPAA guidelines.
Provided compassionate patient communication, ensuring privacy of medical details.
Answered provider inquiries about preauthorization requirements and processes.
Contacted client references and employers to determine legitimacy of applicant information.
Coordinated with internal teams to gather information.
Coordinated necessary hospital admissions.
Addressed discrepancies found during precertification process.
Investigated existing payer policies for designated services or diagnoses.
Ensured timely submission of precertification requests for payer review.
Assessed reasons for claim rejections linked to missing authorizations.
Sent correspondence including medical documents using multiple transmission methods.
Executed appeal processes upon rejection of claims due to insufficient authorization.
Processed necessary claim paperwork efficiently.
Attended training sessions held by insurers regarding changes in policies.
Earned recognition from leadership for superior customer support.
Followed both oral and written instructions flawlessly.
Elderly Caregiver
Self Employed
06.2014 - 04.2022
Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
Offered companionship and kindness to elderly patients.
Assisted with personal hygiene tasks such as bathing, grooming, dressing, feeding, toileting giving attention to detail.
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Maintained clean, safe, and well-organized patient environment.
Assisted clients in maintaining a safe and clean living environment, promoting health and wellbeing.
Provided emotional support to seniors, fostering positive relationships and enhancing their overall mental health.
Enhanced elderly residents'' quality of life by providing compassionate care and assistance with daily activities.
Provided safe mobility support to help patients move around personal and public spaces.
Increased client satisfaction by offering companionship and engaging in meaningful conversations throughout the day.
Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.
Supported seniors during nighttime hours by providing assistance and comfort, ensuring a restful night''s sleep.
Prepared nutritious meals tailored to individual dietary requirements for elderly clients while considering their preferences.
Managed medication administration for clients, ensuring proper dosages and adherence to prescribed schedules.
Administered medications following prescribed instructions to alleviate symptoms and discomfort, monitoring client reactions.
Established nutritious meal plans and prepared daily offerings to meet patient dietary needs.
Maintained clean and safe living environments, significantly reducing risk of falls and infections.
Improved elderly residents' quality of life by providing compassionate daily care and companionship.
Facilitated mobility, aiding residents in moving around to promote physical health.
Trained new caregivers, sharing best practices and ensuring high-quality care across team.
Front Office Team Lead
Cardiovascular Institute of South
01.2021 - 01.2022
Analyzed documentation to confirm alignment with healthcare policies.
Completed various additional tasks as needed.
Conducted thorough checks to confirm eligibility accuracy.
Managed office communications effectively.
Evaluated work performance against standards.
Maintained general office organization and cleanliness.
Implemented effective management strategies for employee performance.
Provided insights for new hires, increasing their understanding of various initiatives.
Enhanced customer satisfaction through innovative problem-solving.
Patient Service Representative
Dr. Jirka Medfirst Primary Care
04.2015 - 01.2021
Managed multiple tasks simultaneously with organizational skills.
Addressed complex work-related issues with strategic plans.
Efficiently managed calls, emails, and correspondence on time.
Handled photocopying and faxing tasks efficiently.
Coordinated appointments with robust calendar software.
Offered expert mentorship when necessary.
Guided new hires on company policies.
Ensured accuracy in all cash handling processes.
Ensured efficient management of incoming and outgoing calls.
Maintained patient information within digital systems.
Clarified required actions for different types of medical visits.
Continuously monitored patient account information for discrepancies.
Directed incoming patients to the correct sections.
Assisted with the completion of medical forms and records.
Maintained confidentiality of sensitive medical records under HIPAA.
Ensured accurate verification of patients' insurance and payment.
Upheld an orderly and tidy welcome space.
Medical Office Specialist
Bocanegra Community Family Medicine
10.2008 - 08.2013
Guided front office team with effective motivation and mentoring.
Registered and scheduled patients promptly while maintaining accuracy.
Checked patient information to ensure precision prior to scheduled visits.
Adhered to standards set by HIPAA for handling sensitive patient data.
Maintained proper billing by validating updates for patients, physicians and insurers.
Provided assistance via phone for various patient healthcare questions.
Processed payments accurately by ensuring correct insurance application.
Collected and verified photo IDs and insurance cards.
Ensured coverage accuracy before appointment scheduling.
Facilitated patient understanding of insurance processes and clarified billing matters.
Supervising large caseloads handled by medical staff.
Managed high volume of incoming clinic calls for scheduling medical evaluations.
Performing duties of insurance verification with computer software programs
Managed paperwork for patient referrals and authorizations.
Scheduled and confirmed patient appointments and consultations.
Scheduled appointments for patients via phone and in person.
Crafted precise clinical phone messages for doctors.
Updated electronic health records with patient data.