Ofelia Fernandez
ASPIRE HOSPITAL
CONROE,TX
1
Language
19
years of professional experience
Dynamic leader and organizational problem-solver with advanced management, team-building, and customer service expertise. Proven ability to swiftly implement positive changes and drive operational excellence. Committed to leveraging training, monitoring, and morale-boosting strategies to enhance employee engagement and performance.
Work History
MANAGER OUTPATIENT SERVICES
3 Years 6 Months- Managed outpatient scheduling, frontline, and authorization operations to optimize patient flow and service delivery.
- Supervised incoming physician orders, ensuring timely and accurate scheduling of modalities by visit type and location.
- Resolved patient and doctor office complaints regarding access, wait times, and customer service to enhance overall patient satisfaction.
- Supervised incoming physician orders, ensure modalities are scheduled correctly and in a timely manner by visit type and location.
- Addressed patient/doctor office complaints related to access, wait times, accumulations, frontline customer service, scheduling and authorizations.
- Guide departments in medical documentation to expedite approvals, ensure follow up to the provider and member in a timely manner regarding authorization status and other important factors, submit appeals for denied cases when necessary.
- Conducted performance evaluations, managed employee attendance issues, and initiated PIPs.
- Direct and track preauthorization request with strong attention to detail, enter data necessary to process claims required to maximize medical necessity for reimbursement.
- Establish and communicate job responsibilities and performance expectations to staff to ensure mutual understanding and achieve performance results.
- Lead onboarding and training new hires, ensuring competency within defined timelines.
- Conduct performance evaluations, manage employee attendance issues, and initiate PIP’s when necessary.
Operations Manager
3 Years 2 Months- Oversee day-to-day front office workflow and staff performance.
- Streamlined patient check-in/check-out process to enhance service efficiency.
- Manage insurance verifications, pre-authorizations and eligibility checks.
- Ensure efficient patient check -in/check -out process.
- Monitor daily charges, payment posting, and finalizing daily transaction process.
- Oversaw inventory management processes to ensure adequate supply levels., purchase medical supplies according to the budget.
- Ensure accurate ICD-10 coding, claim submission, and timely follow up on denials.
- Tracked and reconciled deposits, payments, and all incoming revenue to ensure financial accuracy.
- Facilitate effective communication and cooperation among healthcare teams, resulting in reduction in communication-related errors.
- Assist physicians in daily clinic operations, demonstrating appropriate decision making under stressful situations.
- Managed inventory, purchase medical supplies according to the budget.
Human Resources & Accounts Payable
4 Years 7 Months- Drafted and submitted job postings to external platforms to attract qualified candidates.
- Review resumes, run background checks, interview candidate’s.
- Collect, process new hire paperwork, and assist with new employee orientation.
- Tracked employee attendance and PTO to ensure accurate records for payroll.
- Processed accounts payable with proper documentation and approval, verified purchase orders, and investigated discrepancies to maintain financial accuracy.
Recruiter
3 Years 3 Months- Delivered human resources services to industry managers by recruiting qualified candidates, drafting and submitting employment postings, reviewing resumes, scheduling interviews, collecting and processing new hire paperwork, and assisting with new hire orientation.
- Developed targeted recruitment strategies to attract diverse talent pools.
- Streamlined candidate screening processes, enhancing overall efficiency in hiring.
- Conducted comprehensive interviews, assessing candidates' qualifications and cultural fit.
Education
Certified Professional Biller Course
Online
MBA - Human Resource Management
Major
Bachelor of Business Administration
Graduated
Skills
Authorization Management
Payer Relations
Medical Coding
Claims Management
Regulatory Compliance
Health Regulations
Project Management
Operations Management
Leadership
Employee Relations
Time Management
Problem Solving
Human Resources
Languages
Spanish
Full Professional
Timeline
MANAGER OUTPATIENT SERVICES
ASPIRE HOSPITAL
02.2023 - CurrentRead More
Operations Manager
DOCTORS CLINIC HOUSTON
09.2015 - 11.2018Read More
Human Resources & Accounts Payable
CR CONSTRUCTION
01.2011 - 08.2015Read More
Recruiter
THE WORKSOURCE - EMPLOYMENT TRAINING CENTERS
05.2007 - 08.2010Read More
American InterContinental University
Bachelor of Business Administration
Read More
University of Phoenix
MBA from Human Resource Management
Read More
American Academy of Professional Coders
Certified Professional Biller Course
Read More