Norma P. Hernandez
Houston
Summary
Skilled administrative team member with in depth understanding of medical standards, compliance requirements and operational procedures. Practical problem solver with demonstrated competencies in case management and service coordination. Patient, focused and knowledgeable with excellent decision making, time management and communication skills. I enjoy taking on new tasks and always willing to work as a team to ensure our patients satisfaction, as a number one priority.
Overview
17
17
years of professional experience
Work History
Sr. Patient Insurance Verification /Scheduling Coordinator
Houston Methodist Urology Associates
11.2023 - Current
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Collect Copays, deductibles, co-insurance and cash pay collections from patients before surgical procedures.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Communicated surgery requirements to nursing teams for smooth operation delivery.
Insurance Verification Specialist
Houston Methodist
03.2022 - 12.2022
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Maintained up-to-date knowledge of industry trends, changes in regulations, and benefit updates to provide accurate guidance to clients.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
Medical Office Specialist
Dr. Fernando Romero- Opthamologist
10.2019 - 02.2022
- Registered and verified patient records before triage with most up-to-date information.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Updated patient information and insurance details for accurate electronic medical records.
- Coordinated patient scheduling, check-in, check-out and payments for billing..
- Performed various administrative tasks by filing, copying and faxing documents.
- Obtained payments from patients and scanned identification and insurance cards.
Operating Room Scheduler
Bayshore Medical Center
05.2007 - 08.2016
- Managed daily OR schedules, ensuring optimal utilization of operating rooms and staff.
- Updated patient records to reflect upcoming surgeries and medical histories.
- Communicated surgery requirements to nursing teams for smooth operation delivery.
- Updated surgeons on any changes to their schedules promptly, ensuring proper adjustments were made when necessary.
- Kept up-to-date on industry best practices related to OR scheduling methodologies, incorporating new ideas into existing workflows as appropriate.
- Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
- Handled emergency add-on cases promptly, minimizing disruptions to scheduled surgeries.
- Collaborated with pre-admission testing departments for seamless patient preparation and scheduling processes.
- Maintained strict privacy standards while handling sensitive patient information during the scheduling process.
- Reduced cancellations and delays by closely monitoring and adjusting the schedule as needed.
- Coordinated with surgeons, anesthesiologists, and nursing staff to ensure timely case start times.
- Facilitated smooth transitions between cases through effective coordination of room turnovers and equipment setups.
- Improved communication among surgical teams by implementing an efficient scheduling system.
- Proved successful working within tight deadlines and a fast-paced environment.
Education
High School Diploma -
James Pace / South Houston High School
Brownsville, TX / Houston Tx.06.1995
Skills
- Scheduling Tests and Procedures
- Time Management
- Bilingual
- Patient confidentiality
- Understanding of medical terms
- Prior authorization processing
- Appointment Scheduling
- Understanding of medical terminology
- EMR Software- Epic and Meditech
Languages
Spanish
Timeline
Sr. Patient Insurance Verification /Scheduling Coordinator
Houston Methodist Urology Associates
11.2023 - Current
Insurance Verification Specialist
Houston Methodist
03.2022 - 12.2022
Medical Office Specialist
Dr. Fernando Romero- Opthamologist
10.2019 - 02.2022
Operating Room Scheduler
Bayshore Medical Center
05.2007 - 08.2016
High School Diploma -
James Pace / South Houston High School
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