Sabrina Zamora
Ontario ,CA
Summary
Detail-oriented team player with strong organizational skills. serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Patient Communication Representative
UCLA (University Of Southern California)
09.2022 - Current
- Contributed to a positive work environment through collaborative teamwork and open communication with colleagues.
- Assisted in the development of departmental policies and procedures by providing valuable input based on experience and best practices within patient communication.
- Maintained patient confidentiality by adhering to HIPAA regulations and safeguarding sensitive medical information.
- Assisted patients with insurance verification and billing inquiries, ensuring accurate processing and timely resolution.
- Handled high volumes of incoming calls calmly under pressure while maintaining clear focus on delivering outstanding service levels at all times.
- Coordinated referral authorizations for specialty services, facilitating timely access to necessary medical care for patients.
- Trained new staff on filing, phone etiquette and other office duties.
- Scheduled for Urology and OBGYN teams.
Case Manager
Kaiser Permanente
02.2022 - Current
- Responsible for handling grievance and appeals review process through investigation, preparation, effectuation, and presentation of appropriate materials for review.
- Worked timely case resolution and compliance with federal and state regulations, laws and accreditation standards.
- Met timeframes for performance while balancing the need to produce high quality work related to complex and sensitive member issues.
- Responded to members or their authorized representatives, physicians and other stakeholders regarding the Health Plan's determination within regulatory timeframes while meeting quality and customer focused standards.
- Worked collaboratively with peers in self-managed teams.
- Demonstrated ability to compose high quality, compliant, grammatically correct, detailed written communication, resolution letters.
- Excellent interpersonal, verbal and written communication skills.
Financial Clearance Specialist
City Of Hope
12.2020 - 02.2022
- Obtains authorizations for HMO and PPO insurances.
- Provide absolute best and genuine care to all patients.
- Reviews charts on outpatients and reports to third party payors if authorization is required to be submitted through third party.
- EMR system used is EpicCare.
- Thoroughly identify exact procedures and exams physicians are requesting.
- Work on all pending authorizations review patients, and achieve authorization for emergent and urgent authorizations approvals in timely manor.
- Request authorizations for all types of specialties.
- Provide authorization status in timely manor.
Radiology Scheduler/ Authorization Coordinator
Methodist Hospital Of Southern California
10.2018 - 12.2020
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Schedules MRI, CT, Nuclear Medicine, Ultrasounds and all type of biopsies.
- Verified coverage and eligibility of patient's medical insurance.
- Confirmation if patient's insurance required authorization for procedures.
- Assist patient to exam room also to waiting room.
- Submit authorizations for all types of radiology procedures.
- Trained new employees.
Radiology Scheduler
Huntington Hill Imaging Center
06.2016 - 10.2018
- Supported patients by keeping private and confidential information concealed in adherence to regulations and procedures.
- Communicated with doctors and hospitals regarding patients orders, request for doctor offices to submit authorizations for procedures.
- Scheduled MRI, CT, Mammograms, PET scan's, Ultrasounds.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Actively listened to patient's requests, confirming full understanding before addressing concerns.
- Answered high call volume throughout entire work shift.
Education
Medical Assistant
Everest College - Alhambra
Alhambra, CA2014
High School Diploma -
Schurr High School
Montebello, CA2011
Skills
- Epic and EpicCare expert
- Foundations EMR
- Conflict resolution
- Self-motivated professional
- Computer proficiency
- Adaptability
- Teamwork
- Detailed- oriented
- Maintaining confidentiality
- Punctual and Hardworking
- Attention to Detail
- Customer Service
- Empathy Display
- Medical insurance
- Medical Billing
- Cross-cultural communication
Timeline
Patient Communication Representative
UCLA (University Of Southern California)
09.2022 - Current
Case Manager
Kaiser Permanente
02.2022 - Current
Financial Clearance Specialist
City Of Hope
12.2020 - 02.2022
Radiology Scheduler/ Authorization Coordinator
Methodist Hospital Of Southern California
10.2018 - 12.2020
Radiology Scheduler
Huntington Hill Imaging Center
06.2016 - 10.2018
Medical Assistant
Everest College - Alhambra
High School Diploma -
Schurr High School
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