Sabrina Distefano
Canaan,USA
Summary
Results-driven Pre-Certification Coordinator with exceptional organizational skills. Expertise in prior authorizations and patient registration, committed to enhancing patient care and satisfaction.
Overview
26
26
years of professional experience
Work History
Pre-Certification Coordinator
Upper Connecticut Valley Hospital
10.2021 - Current
- Currently, the main duties are performing prior authorizations for all services performed at Upper Connecticut Valley Hospital.
- I work within the Department of Patient Access, and I am trained and able to work in all aspects of registration.
- Researched patient's medical history, insurance coverage, and other relevant data.
- Worked collaboratively with colleagues across departments to resolve any discrepancies or issues that arise during the course of pre-certification process.
- Initiated prior authorizations using electronic systems or paper forms as required by third party payers.
- Ensured compliance with applicable regulations such as HIPAA Privacy Standards and CMS guidelines.
- Involved in the Patient Satisfaction Committee.
Unit Coordinator
Upper Connecticut Valley Hospital
03.2021 - Current
- Daily duties include processing and distributing daily reports, performing patient admittance and discharge, and ensuring the proper documentation has been completed.
- Assisting nurses and hospitalists with support when needed.
- Gather information, and organize patient transfers.
- Create appointments and perform reminder calls.
- Ensured compliance with organizational standards related to regulatory bodies such as JCAHO, TJC or CMS, Medicare.
- Performed daily rounds with physicians to monitor patient progress.
Executive Administrative Assistant to the Executive Medical Director
Indian Stream Health Center
05.2019 - 12.2020
- Job duties include credentialing and privileging providers.
- Performing the minutes from meetings.
- Maintain provider schedules and correspondence.
- Extract data, prepare reports, and create presentations under the guidance and direction of the Medical Director (Excel and PowerPoint skills required).
- Remain an active participant of the Quality Improvement team to be involved in the evaluation of the practice’s performance and the development of improvement plans.
- Provide strategic, logistic, and organizational support for the Medical Director, Clinical Services Management Team initiatives, and projects.
Reception/Patient Services
Indian Stream Health Center
03.2017 - 05.2019
- Duties included greeting and scheduling patients, insurance verifications, bookkeeping and billing duties, appointment reminder calls, answering and routing calls, and clerical duties such as filing, mailings, and faxing.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Operations Department
Granite Bank (Bangor Bank)
02.2016 - 03.2017
- Duties included resolving customer issues, filling orders, account maintenance, electronic services, and credit reporting.
- Completed day-to-day duties accurately and efficiently.
- Assisted with customer requests and answered questions to improve satisfaction.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Updated and maintained databases with current information.
Logistics Coordinator
Wulftec International
01.2014 - 02.2016
- Activities included inbound and outbound transportation management, warehousing, and customer services.
- Negotiating with transporters, suppliers, retailers, and consumers.
- Preparing custom documentation for both importation and exportation.
- Assisted in the implementation of the CTPAT compliance program.
- (Feb – Sept 2016, worked remotely on contract.)
- Ensured accurate completion of customs documents for international shipments as required by law.
- Created reports on freight costs, delivery timelines, invoices and other related information.
- Oversaw loading and unloading activities at warehouses and distribution centers.
- Managed inventory levels to ensure timely delivery of goods while minimizing storage costs.
- Maintained up-to-date knowledge of relevant laws, regulations and best practices pertaining to logistics operations.
- Developed and maintained relationships with vendors, carriers and customers to ensure efficient shipping of goods.
- Coordinated daily transportation activities including scheduling, routing, tracking and documentation.
Administrative Assistant
JR Express
03.2000 - 06.2014
- Provided general administrative and clerical support, including payroll, various tax reports, scheduling transport, and custom documentation.
- Other duties included mailing, scanning, faxing, and copying, as well as maintaining an electronic and hard copy filing system.
- Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
- Handled confidential documents in an organized fashion according to established protocol.
- (Worked part-time from June 2014 to February 2016.)
Education
Certified Medical Administrative Assistant -
Penn Foster
Online03.2018
Introduction to Canadian Customs -
CSCB
01.2009
Social Sciences -
Champlain College
Lennoxville, Quebec05.1992
High School Diploma -
AGRHS
Lennoxville, Quebec06.1988
Skills
- Prior authorization
- Patient registration
- Data extraction
- Credentialing providers
- Quality improvement
- Healthcare compliance
- Customer service
- Appointment scheduling
- Records management
- Problem solving
- Effective communication
- Attention to detail
- Team collaboration
- Project coordination
- Report preparation
References
Available upon request.
Timeline
Pre-Certification Coordinator
Upper Connecticut Valley Hospital
10.2021 - Current
Unit Coordinator
Upper Connecticut Valley Hospital
03.2021 - Current
Executive Administrative Assistant to the Executive Medical Director
Indian Stream Health Center
05.2019 - 12.2020
Reception/Patient Services
Indian Stream Health Center
03.2017 - 05.2019
Operations Department
Granite Bank (Bangor Bank)
02.2016 - 03.2017
Logistics Coordinator
Wulftec International
01.2014 - 02.2016
Administrative Assistant
JR Express
03.2000 - 06.2014
Certified Medical Administrative Assistant -
Penn Foster
Introduction to Canadian Customs -
CSCB
Social Sciences -
Champlain College
High School Diploma -
AGRHS
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