Oana Giraldo
Acworth,GA
Summary
Experienced professional in healthcare, well-versed in scheduling and database management functions for streamlined communications . Organized, dependable and successful at managing multiple priorities with a positive attitude and willingness to take on added responsibilities to meet team goals. Collaborative team leader with dedication to partnering with coworkers to promote engaged, empowering work culture.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Team Lead - Care Navigator
United Healthcare Group
09.2022 - Current
- Coached new team members on service techniques and provided scoring through quality assurance program.
- Mentored and guided employees to foster proper completion of assigned duties.
- Trained new team members by relaying information on company procedures .
- Assisted in recruitment of new team members, hiring highest qualified to build team of top performers.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Offered team lead support to multiple teams, ensuring all team members receive appropriate assistance in a timely manner.
Care Navigator
United Healthcare Group
01.2022 - 09.2022
- Educated member on gaps in care and assisted with scheduling provider appointments, facilitating closure of gaps
- Assisted members with social determinants of health and linked to appropriate community resources.
- Maintained confidential health information according to state and federal regulations.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Collaborate and coordinate across multiple teams and departments to ensure members receive best care
- Working closely with clinical team to make sure members are seen promptly post hospital discharge.
- Maintain metrics by calling 20-30 members daily and maintaining a quality assurance score of over 93%
- Responded proactively and positively to rapid change.
Ophthalmic Technician
Eye Consultants Of Atlanta
08.2017 - 07.2019
- Gathered patient histories, took measurements and completed diagnostic tests as part of detailed ophthalmic evaluations.
- Operated ophthalmic equipment for patient eye examinations and prepared patients for examinations and surgeries.
- Explained pre- and post-operative procedures to patients and carefully reviewed surgical plans.
- Triaged phone calls from patients and outside contacts and handled in order of importance.
- Worked well with patients, staff, and manufacturer representatives to carry out successful office- and patient-related work each day.
Ophthalmic Technician
Cobb Eye Center
01.2008 - 07.2017
- Recorded patient history to help ophthalmologists determine diagnoses and treatment plans.
- Promoted positive and smooth patient flow throughout facility, encouraging more efficient operations and boosting patient satisfaction.
- Educated patients and relations on ocular health and safety, promoting good eye care.
- Responsible for stocking medical supplies and maintaining vendor relations.
- Working knowledge of ICD 10 and CPT codes related to in office procedures.
- Filing insurance claims electronically and using appropriate modifier and codes.
- Answering billing inquiries and questions from patients.
Education
No Degree - English/French
Lucian Blaga University
Sibiu, RomaniaHigh School Diploma -
M. Viteazul High School
Turda, Romania06.2000
Skills
- Bilingual in Spanish and English
- Time Prioritization
- Resource Coordination
- Supporting Navigation
- Insurance Authorizations
- Billing Issue Resolution and Support
- Claims Handling and Coverage Verification
- Clerical and Filing Support
Certification
- Certified Ophthalmic Assistant
Languages
Romanian
Native or Bilingual
Spanish
Full Professional
Timeline
Team Lead - Care Navigator
United Healthcare Group
09.2022 - Current
Care Navigator
United Healthcare Group
01.2022 - 09.2022
Ophthalmic Technician
Eye Consultants Of Atlanta
08.2017 - 07.2019
Ophthalmic Technician
Cobb Eye Center
01.2008 - 07.2017
No Degree - English/French
Lucian Blaga University
High School Diploma -
M. Viteazul High School
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