Raeann Soriano
Las Vegas,NV
Summary
Skilled and diverse health care worker knowledgeable about monitoring metrics and maximizing team success in fast-paced health care settings. Performance- and quality-driven with 18 years of experience. Natural leadership talent with motivational approach.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Clinical Administrative Coordinator
UHC Optum
Las Vegas, NV
09.2002 - Current
- Performed administrative tasks such as filing, photocopying, data entry, and record keeping.
- Coordinated with insurance companies to ensure proper coverage of services provided by the clinic.
- Handled incoming phone calls from patients and responded to inquiries accordingly.
- Ensured all necessary medical records were properly filed and updated regularly.
- Maintained a clean and organized work environment to ensure efficient workflow processes.
- Acted as a liaison between patients, physicians, nurses, and other healthcare staff members.
- Assisted with preparing documents for billing purposes including coding information into appropriate fields.
- Monitored compliance with HIPAA regulations in regards to patient privacy rights.
- Developed training materials for new employees on procedures related to clinical operations.
- Collaborated with clinical team members regarding administration and filing for patient referrals and service authorization.
- Processed patient data documents, reports and case management files to assist clinical staff operations.
- Streamlined clinical operations by supervising patient authorization, referral and census.
- Checked cases to evaluate need for escalation to RNs.
- Performed in-depth reviews of claims to assess billing status.
- Improve policies and procedures through development, implementation, revision and evaluation of new protocols.
- Introduced new departmental policies and oriented staff to facilitate adoption of changes.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Guided employees in handling difficult or complex problems.
Lead Unit Secretary/Management Asst/Lead for EE
Kaiser Permanente
Honolulu, HI
03.2006 - 07.2022
- Greeted visitors and patients in a courteous and friendly manner.
- Maintained patient records, medical histories, test results and other pertinent information in the hospital's computer system.
- Assisted nursing staff with administrative tasks such as scheduling appointments, ordering supplies and preparing charts.
- Answered high volume/high urgency telephone calls promptly and directed them to appropriate personnel or departments.
- Maintained strong and trusting rapport with patients and all healthcare staff to build relationships.
- Monitored unit supply levels and notified management of ordering needs.
- Compiled physical and digital documents, charts and reports.
- Transcribed doctors' orders, including medication and lab test requests.
- Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
- Conducted patient intake interviews to collect medical information and insurance details.
- Provided clerical support including filing, faxing, photocopying and data entry of patient information into electronic health record systems.
- Prepared documents for signature by physicians or other authorized personnel.
- Processed physician orders ensuring accuracy of documentation prior to submission for approval.
- Responded to requests from internal staff regarding patient information in accordance with HIPAA regulations.
- Assisted with admitting processes including completing forms, obtaining signatures and verifying insurance coverage.
- Scheduled diagnostic tests and procedures for patients according to established protocols.
- Organized laboratory specimens for pick-up by courier service.
- Coordinated with other departments to ensure timely delivery of services to patients.
- Compiled reports on daily activities for review by supervisor.
- Managed the front desk area ensuring neatness at all times.
- Collected discharge summaries from nurses or physicians before release of patients from the facility.
- Conducted follow-up phone calls to discharged patients regarding their care after leaving the hospital.
- Attended regular meetings with department heads to discuss any changes in procedures or policies affecting unit operations.
- Executed clerical tasks and assisted with unit duties to keep departments running smoothly.
Education
High School Diploma -
Pearl City High School
Pearl City, HI05-2001
Skills
- Microsoft Excel
- Microsoft Outlook
- Transcription
- Medical Terminology
- Hospital Experience
- Medical Records
- Utilization management
- Claims Pre-Process
- Insurance Verification
- Records reviews
- Documentation skills
- Office Management
- Clerical assistance
- Patient Scheduling
- HIPAA knowledge
- Policy Implementation
Certification
- CNA
- CPR Certification
Affiliations
- Team Lead for Employee Engagement
- Representative for Unite Here Local 5!
Accomplishments
- Numerous awards for inspiration worker, employee of the quarter/year, promoter for team work, and champions innovation.
Timeline
Lead Unit Secretary/Management Asst/Lead for EE
Kaiser Permanente
03.2006 - 07.2022
Clinical Administrative Coordinator
UHC Optum
09.2002 - Current
High School Diploma -
Pearl City High School
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