Rosalva Sosa
CA
The cave you fear to enter contains the treasure you seek.
Joseph Campbell
Summary
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients needs and correct problems related to care. Well-versed in policies, procedures and standards.
Overview
9
9
years of professional experience
Work History
Behavioral Health Care Coordinator/Medical Assistant
Borrego Health
01.2018 - 01.2021
- Checked patients in, took vitals and room them.
- Provided consultation services regarding medication management issues related to psychiatric disorders.
- Facilitated crisis intervention services when necessary.
- Coordinated referrals to internal and external agencies such as psychiatrists, psychologists or social workers when needed.
- Assessed patients' physical and mental health needs, developed treatment plans and coordinated services with physicians, therapists and other healthcare professionals.
- Conducted triage assessments for new patients and reviewed existing patients records to evaluate progress.
- Manage all Psychiatry and Psychology referrals from start to finish in EHS and i2i systems.
Referral Coordinator
Borrego Health
El Cajon
06.2016 - 12.2017
- Submitted proper documents to insurance, verify eligibility and obtain authorization.
- Referred patients to all specialties with network.
- Scheduled appointments for clients with appropriate medical specialists.
- Manage all referrals from start to finished.
- Worked with EHS and I2I.
Front Desk Receptionist
Borrego Health
El Cajon, CA
09.2011 - 01.2014
- Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
- Answered multi-line telephone with polite tone of voice to provide general information and answer inquiries.
- Updated customer information in databases regularly to ensure accuracy of records.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Checked patients in and out for appointments and collected co-payments.
- Scanned documents into the practice's EMR system as needed.
Education
Certificate - Foundations of Project Management
2022
High School Diploma -
2015
Certified Customer Service Rep
2015
Certificate - Certified Phlebotomy Technician
2014
Certificate - Patient-Centered Communication Series (PCC)
2013
Certificate - Medical Assistant
2009
Skills
- Patient Health Assessments
- Medication Management
- Medicare/Medical Compliance
- Data Analysis
- Community-Based Educational Programs
- Check-In
- Payment Collection
- Call Handling
- Medical Charting
- Medical Terminology
- Petty Cash/Cash log Management
- Insurance/ Referral Verification
- Medical Billing
- Electronic Medical Records
- Immunizations
- HIPAA Guidelines
- Codes Compliance
- Schedule Coordination
- Anatomy and Physiology Terms
- Caseload Management
- Referral Tracking
- MS Office Expertise
- Risk Management
- Quality Control
- ICD-10-CM
Languages
Spanish
Full Professional
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Behavioral Health Care Coordinator/Medical Assistant - Borrego Health
01.2018 - 01.2021
Referral Coordinator - Borrego Health
06.2016 - 12.2017
Front Desk Receptionist - Borrego Health
09.2011 - 01.2014
Coursera-Google - Certificate, Foundations of Project Management
Brookshire International Academy - High School Diploma,
Brookshire International Academy - , Certified Customer Service Rep
US College - Certificate, Certified Phlebotomy Technician
Institute For Healthcare Communication - Certificate, Patient-Centered Communication Series (PCC)
Alley Career College - Certificate, Medical Assistant