RAQUEL ALMAZAR
Omaha,NE
Summary
Patient Safety Management. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude.
Overview
8
8
years of professional experience
Work History
Capacity Management Specialist
Children's Nebraska
Omaha, NE
06.2023 - Current
- Implements operational standards, organizes activities to achieve optimum service delivery/systems/care/processes, setting high performance objectives for the Specialty Pediatrics Clinic.
- Continuously analyzes all areas of responsibility for improvement and troubleshoots situations as they occur.
- Acts as subject matter expert and workflow organizer for all assigned administrative functions.
- Responsible to maintain specialty clinic standards and provider scheduling structures needed to provide efficient care and optimize access.
- Coordinates services and provides leadership for designated area(s), including scribe oversight, templates, scheduling protocols, and overall schedule and room utilization.
- Perform a variety of operational functions on behalf of the assigned departments Operational/Financial Management
- Ensures cost effective use of resources by identifying and implementing changes related to scheduling efficiency and room utilization.
- Assists wit the development and maintenance of scheduling protocols and templates.
- Manages templates and scheduling builds for new onboarding of providers.
- Collaborates with multiple roles and levels across the organization to optimize access and efficiency.
Patient Access Specialist
Children's Hospital And Medical Center
Omaha, NE
12.2018 - 09.2023
- Applied HIPAA privacy and security regulations while handling patient information.
- Responded to patient concerns and inquiries professionally and efficiently.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Verified demographics and insurance information to register patients in computer system.
- Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
- Called insurance companies and verified patient coverage.
- Obtained health, financial and religious information from patients at time of admission.
Clinic/Office Coordinator
CHI - Immanuel Psych Associates
Omaha, NE
07.2022 - 05.2023
- Communicated with patients with compassion while keeping medical information private.
- Explained policies, procedures and services to patients.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Maintained records management system to process personnel information and produce reports.
- Coordinated inpatient bed use, facilities and staff to provide optimal use of resources.
- Called no shows and cancellations to reschedule.
- Provided exceptional customer service through effective telephone communication and follow-ups.
- Answered telephones and directed calls to appropriate staff members.
- Coordinated with admission team to schedule admission as the need arises.
- Transcribed physicians' orders to aid in medical care and minimize medical errors.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
- Received and routed care team messages and documents to appropriate staff.
- Calculated sliding fee or special program adjustments relating to patient visits.
- Collaborated with clinical and administrative staff to meet patient needs.
- Instructed patients on policies and required actions for different types of appointments and procedures.
- Documented patient counters in hospital system and initiated follow-up actions.
- Managed PTO by tracking Physicians PTO, coverage, approval and putting it in the Medical Director's calendar.
- Monthly auditing of physician's charting
Certified Medication Aide/ Clinic Support
CHI Papilion Psych Associates
Papillion, NE
11.2019 - 07.2022
- Health Insurance Verification
- Vital Signs Collection
- Broad medical terminology knowledge
- Bilingual in English and Filipino
- Excellent Customer Service
- HIPAA Guidelines
- Organization and Planning
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
- Checked patient insurance, demographic and health history to keep information current
- Coordinated patient scheduling, check-in, check-out and payments for billing
- Adhered to strict HIPAA guidelines to protect patient privacy
- Organized paperwork such as charts and reports for office and patient needs
- Managed multi-line phone system and pleasantly greeted patients
- Responded to correspondence from insurance companies to verify patient's coverage
- Helped patient complete necessary medical forms and documentation
- Transcribed phone messages and relayed to appropriate personnel
- Contacted insurance companies to obtain prior authorization for medical procedures and medications
- Processed new medication and refill requests for authorization
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Home Health Aide
Council Bluffs, IA
06.2016 - 10.2019
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment
- Collected and validated patient demographics and insurance information
- Administered prescribed medications under direction of physician
- Provided transportation and appointments management
- Traveled to clients' homes to complete healthcare services and promote continuity of care
- Assisted disabled clients to support independence and well-being
- Encouraged patients to participate in safe physical activity to help boost mood and improve overall wellness
- Developed rapport to create safe and trusting environment for care
- Assisted patients with dressing, grooming and feeding needs, helping to overcome and adapt to mobility restrictions.
Education
Bachelor of Science - Psychology
Centro Escolar University
03.1998
Skills
- Epic Systems
- Critical Thinking
- Verbal and Written Communication
- Decision Making
- Time Management
- HIPAA Guidelines
- Patient Care Assessment
- Facility Oversight
- Clinical Staff Management
- Problem Identification
- Emergency Readiness
- Problem Resolution
- Patient Advocacy
- Administrative Staff Supervision
- Medication Aide Certified
- Basic Life Support Certified
- Microsoft Office
- Friendly, Positive Attitude
- Computer Skills
- Resource Monitoring
Languages
English
Full Professional
Spanish
Limited
Filipino
Native/ Bilingual
Timeline
Capacity Management Specialist
Children's Nebraska
06.2023 - Current
Clinic/Office Coordinator
CHI - Immanuel Psych Associates
07.2022 - 05.2023
Certified Medication Aide/ Clinic Support
CHI Papilion Psych Associates
11.2019 - 07.2022
Patient Access Specialist
Children's Hospital And Medical Center
12.2018 - 09.2023
Home Health Aide
06.2016 - 10.2019
Bachelor of Science - Psychology
Centro Escolar University
Similar Profiles
Shannon MurrayShannon Murray
Charge Nurse- Operating Room at Children's NebraskaCharge Nurse- Operating Room at Children's Nebraska
Cassandra LadenburgerCassandra Ladenburger
Clinical Nurse Manager-Emergency Department at Children's NebraskaClinical Nurse Manager-Emergency Department at Children's Nebraska
Lilly PraestLilly Praest
Nursing Assistant- FLEX S2RN at Children's NebraskaNursing Assistant- FLEX S2RN at Children's Nebraska
Kathryn HoweKathryn Howe
Dialysis Registered Nurse at Children's NebraskaDialysis Registered Nurse at Children's Nebraska
Abigail BoyleAbigail Boyle
Front Desk Supervisor at Northfield Park DistrictFront Desk Supervisor at Northfield Park District