Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Roberta Sandoval

Lehi,UT

Summary

Adept at navigating complex healthcare systems, I leveraged my proficiency in medical coding and exceptional customer service at Intermountain Healthcare to enhance patient satisfaction and streamline billing processes. My bilingual capabilities and ability to thrive in multitasking environments have consistently improved operational efficiency and patient care quality.

Overview

26
26
years of professional experience

Work History

Recreation Building Manager

Lehi City - Legacy Recreation Department
Lehi, UT
07.2023 - Current
  • Responded to patrons' inquiries, needs, and complaints, ensuring high levels of patrons' satisfaction.
  • Monitored facilities, and identified maintenance and forward repair needs.
  • Monitored parking lot and traffic circle usage to ensure children are dropped off and picked up in a safe manner.
  • Supervised programs are held according to schedule, preserving facility guidelines.
  • Enforced safety rules set by the facility.
  • Utilized property management software for efficient operation and reporting.
  • Worked with cross-functional teams as support staff, bending.
  • Focuses on creating a safe environment within a facility.

Patient Account Specialist

Intermountain Healthcare
Lake Park, SLC, UT
01.2020 - 07.2021
  • Answered customer questions to maintain high satisfaction levels.
  • Collected, posted and managed patient account payments.
  • Reviewed monthly aging reports to determine which accounts are past due or require follow up action.
  • Expedited payments by verifying accuracy and currency of vendor information.
  • Submitted claims to insurance companies.
  • Generated detailed reports outlining billing, flagged items, and other important data.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Collaborated with medical staff to resolve any billing issues or discrepancies.
  • Executed account updates and noted account information in company data systems.
  • Analyzed accounts for accuracy of coding and billing procedures.
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
  • Checked claims coding for accuracy with ICD-10 standards.

Patient Services Representative

Intermountain Healthcare - Central Orem Clinic
Orem, UT
03.2012 - 12.2019
  • Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
  • Provided excellent customer service at all times while interacting with both internal and external customers.
  • Answered incoming calls from patients in a professional manner and responded to inquiries or directed them to appropriate personnel.
  • Provided directions and information to patients and families, pertaining medical insurance coverage.

Referral and Authorizations Specialist

ODA HEALTH CARE CENTER
Brooklyn, NY
01.2007 - 01.2011
  • All clerical work, scanning records, assisting physicians in patient care, processing authorizations for procedures, transportation, and out-of-network specialist visits, creating referrals.
  • Keeping medical records accurate.
  • Requesting reports, medical records from specialist offices, hospitals, and facilities.
  • Provided excellent customer service at all times while interacting with clients and their relatives

Medical Secretary/ Medical Assistant

EMANUEL KOUROUPOS M.D.
Astoria, NY
01.2003 - 01.2006
  • All clerical duties, scheduling office appointments, processing authorizations for medicine, ambulatory surgery, transportation, equipment, etc.
  • Coordinating patients' ambulatory procedures, assisting during procedures, verifying insurances, and submitting all claims.
  • Compiled physical and digital documents, charts, and reports.
  • Prepared examination rooms and assisted in basic patient care as needed.
  • Compiled and submitted daily, weekly, and monthly reports to healthcare administrators and clearinghouses.
  • I attended medical billing seminars to remain current on coding requirements.

Health Ward Secretary

MOUNT SINAI HOSPITAL OF QUEENS
Astoria, NY
01.1999 - 01.2003
  • Transcribing doctors' orders, scheduling patients' procedures, scheduling patients' transportation, performing all clerical duties, keeping inventory of medical supplies, keeping inventory of office supplies, keeping patients' official records updated, coordinating admissions and discharges, and attending to patients and their families' needs and concerns.
  • Ordered and maintained supply inventory for medical office.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Greeted visitors, ascertained nature of business, and directed them to the correct department.
  • Ensured that all incoming referrals are processed correctly before admission.

Education

Certified Professional Coder (CPC)

Salt Lake Community College
Salt Lake City, UT
05-2021

Certified in Medical Terminology II -

LOCAL UNION 1199 - UPGRADING PROGRAM
Manhattan, New York

Certified in Medical Emergency Technician (EMT) -

LA GUARDIA COMMUNITY COLLEGE - CONTINUING ED.
Queens, New York

Certified On Nurses Assistant (CNA) -

SUPERIOR CAREER INSTITUTE
Manhattan, New York

Certified in Word Processing/ COMPUTER SCIENCE -

PLAZA BUSSINESS COLLEGE
Queens, New York

Skills

  • Computer skills
  • Word, Excell
  • Electronic records
  • Scheduling
  • Multiple-task environment
  • Working under pressure
  • Medical terminology
  • Emergency procedures
  • Team organization
  • Project leadership
  • Assisting during medical ambulatory procedures
  • Assisting during dental procedures
  • Insurance eligibility
  • Insurance policies
  • Medical facility procedures
  • Medical referral
  • Medical necessity authorizations
  • Customer service
  • Front desk
  • Initiative
  • Perseverance
  • Resourcefulness
  • Thoroughness
  • Perfectionist
  • Spanish fluency
  • Appointment scheduling
  • Record confidentiality
  • Insurance verification
  • Patient identity verification
  • Registration management
  • Problem-solving
  • Team collaboration
  • Medical coding
  • Customer follow-up
  • Records maintenance
  • Hospital Registration and admissions
  • HIPAA compliance
  • Healthcare systems navigation

References

References are available upon request.

Timeline

Recreation Building Manager

Lehi City - Legacy Recreation Department
07.2023 - Current

Patient Account Specialist

Intermountain Healthcare
01.2020 - 07.2021

Patient Services Representative

Intermountain Healthcare - Central Orem Clinic
03.2012 - 12.2019

Referral and Authorizations Specialist

ODA HEALTH CARE CENTER
01.2007 - 01.2011

Medical Secretary/ Medical Assistant

EMANUEL KOUROUPOS M.D.
01.2003 - 01.2006

Health Ward Secretary

MOUNT SINAI HOSPITAL OF QUEENS
01.1999 - 01.2003

Certified Professional Coder (CPC)

Salt Lake Community College

Certified in Medical Terminology II -

LOCAL UNION 1199 - UPGRADING PROGRAM

Certified in Medical Emergency Technician (EMT) -

LA GUARDIA COMMUNITY COLLEGE - CONTINUING ED.

Certified On Nurses Assistant (CNA) -

SUPERIOR CAREER INSTITUTE

Certified in Word Processing/ COMPUTER SCIENCE -

PLAZA BUSSINESS COLLEGE
Roberta Sandoval