Experienced healthcare professional with nine years of industry experience. Proven ability to effectively manage multiple priorities and maintain a positive attitude. Demonstrated organizational skills and dependability. Committed to taking on additional responsibilities to support team goals.
Overview
15
15
years of professional experience
Work History
Workers' Compensation Coordinator
Loma Linda University Health Care
11.2023 - Current
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Researched claims and incident information to deliver solutions and resolve problems.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Maintained contact with claimants and attorneys to determine treatment status.
Surgery Scheduler
Loma Linda University Health Care Orthopedic
02.2023 - 11.2023
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Verified insurance coverage and obtained pre-authorizations.
Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
Organized all necessary documentation for successful completion of medical audits related to surgery scheduling practices.
Collated pre-operative lab and imaging results to facilitate surgery planning.
Educated patients about surgeries and provided treatment plan documentation.
Patient Service Representative
Loma Linda University Health Care Orthopedics
05.2021 - 02.2023
Took copayments and compiled daily financial records.
Efficient with all health insurance verifications and eligibility.
Scheduled/Rescheduled after surgery follow ups.
Managed over 50 Patient calls per day.
Reviewed and corrected claim errors to facilitate smooth processing.
Assisted patients in filling out check-in and payment paperwork.
Used LLEAP to schedule appointments.
Compiled and reviewed medical charts.
Faxed over referrals to the appropriate facility.
Followed document protocols to safeguard confidentiality of patient records.
Worked with patients to ascertain issues and make referrals to appropriate specialists.
Helped address client complaints through timely corrective actions and appropriate referrals.
Diet Aide & Office Clerk
Loma Linda Medical Hospital
03.2015 - 05.2021
Helped patients with special allergies or needs eat meals with kindness and patience
Handled nurses food request on still hungry or new patients
Communicated with patients via phone and in-person to obtain food preferences
Served specific meals to patients with special dietary needs
Established healthful and therapeutic meal plans and menus for individuals with health conditions
Developed and oversaw preparation of specialized diets
Recommended appropriate feeding schedules and methods to meet nutritional needs and abilities
Researched and identified ingredients and nutritional components of foods, diets and menu choices
Set up meal plans in line with patients' age, gender, diagnosis, cultural background and religious practices.
Assistant Manager (Shift Leader)
Carl's Jr
01.2010 - 03.2015
Maintain a clean work restaurant
Holds the store key
Open and close the restaurant
Planned and prepared workflow schedules, delegating tasks for team members
Handle large amounts of money
Organized schedules, workflows and shift coverage to meet expected business demands
Speak with customer everyday and solve any issues they might have
Maintained inventory accuracy by counting stock-on-hand and reconciling discrepancies
Reviewed sales reports to enhance sales performance and improve inventory management accuracy
Completed inventory audits to identify losses and project demand.