Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sandra Dominguez

Summary

Obtain a position with your company where I can utilize my production and comprehensive work experience. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Overview

29
29
years of professional experience

Work History

Insurance Verification Specialist

Surgical Care Affiliates Inc.
05.2021 - 04.2024
  • Updated patient records with accurate, current insurance policy information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
  • Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Expedited patient registration process by efficiently validating eligibility for various insurance plans.
  • Reduced errors in billing by accurately maintaining patient records with updated insurance information.

Customer Service Representative/Medical Referral Specialist

Applecare Medical Group
04.2018 - 04.2021
  • Responsible for answering up to 60-80 incoming phone calls per day from both our English and Spanish speaking members
  • Identify the type of assistance the provider and members needs
  • Help providers and members with benefits, eligibility and authorizations.

UnitedHealth Group/MSLA
11.2017 - 03.2018
  • Identify medical records required for successful completion of an addenda request and utilize electronic file in the online VA databases to include electronic folders in VBMS and Virtual VA as well as hard copy files to retrieve and sort pertinent medical records for addenda.

Drs. Mishal, Pham & Ob/Gyn Associates
05.2008 - 11.2017
  • Answer phones, schedule appointments, take messages, interact with Doctors and hospital staff
  • Assist with all front duties
  • Request authorizations from various IPA/Medical Groups
  • Check in patients daily, prepare and create new charts
  • Obtain benefits for office procedures, verify deductibles and co-pays
  • Copy and fax medical records
  • Inventory and restock for office supplies
  • File and copy documents needed for the office
  • Train new employees
  • Experience with Eclipse HIPPA regulations.

Verizon Representative
09.2005 - 05.2008
  • Telecommunication products, accessories and network services to residential customers
  • Assist customers with service request, process payments, handle inquiries regarding rates, regulation and policies
  • Prepare various reports
  • Initiate sales effort to achieve establish sales objective and perform other duties as required.

Drs. Mishal, Pham & Ob/Gyn Associates
09.2004 - 09.2005
  • Answer phones, schedule appointments, take messages, interact with Doctors and hospital staff
  • Assist with all front duties
  • Request authorizations from various IPA/Medical Groups
  • Check in patients daily, prepare and create new charts
  • Obtain benefits for office procedures, verify deductibles and co-pays
  • Copy and fax medical records
  • Inventory and restock for office supplies
  • File and copy documents needed for the office
  • Train new employees
  • Experience with Eclipse HIPPA regulations.

May Family Medical Center
02.2001 - 08.2004
  • Perform all front office duties
  • Assist with all back office duties
  • Obtain patients vital signs, medical history, EKG, venipuncture, injections, immunizations and urinalysis
  • Sterilization of instruments
  • Order supplies
  • Inventory of supplies
  • Assist in various procedures, insertion and removal of intrauterine device and surgical procedures such as cryo, leep, colonoscopy, toe nail removal and ear lavage.

Clinica De La Luz
02.2000 - 02.2001
  • Perform all front office duties
  • Assist with all back office duties
  • Obtain patients vital signs, medical history, EKG, venipuncture, injections, immunizations and urinalysis
  • Sterilization of instruments
  • Order supplies
  • Inventory of supplies
  • Assist in various procedures, insertion and removal of intrauterine device and surgical procedures such as cryo, leep, colonoscopy, toe nail removal and ear lavage.

Carlos Montes M.D
06.1997 - 06.1999
  • Perform all front office duties
  • Assist with all back office duties
  • Obtain patients vital signs, medical history, EKG, venipuncture, injections, immunizations and urinalysis
  • Sterilization of instruments
  • Order supplies
  • Inventory of supplies
  • Assist in various procedures, insertion and removal of intrauterine device and surgical procedures such as cryo, leep, colonoscopy, toe nail removal and ear lavage.

Sanchez Medical Center
11.1994 - 06.1997
  • Perform all front office duties
  • Assist with all back office duties
  • Obtain patients vital signs, medical history, EKG, venipuncture, injections, immunizations and urinalysis
  • Sterilization of instruments
  • Order supplies
  • Inventory of supplies
  • Assist in various procedures, insertion and removal of intrauterine device and surgical procedures such as cryo, leep, colonoscopy, toe nail removal and ear lavage.

Education

Skills

  • Attention to Detail
  • Patient confidentiality
  • HIPAA Compliance
  • Insurance Coverage Verification
  • Coverage and Authorizations
  • Data Entry and Review
  • Eligibility Determination
  • Data entry proficiency
  • Customer Service
  • Insurance Verification

Timeline

Insurance Verification Specialist

Surgical Care Affiliates Inc.
05.2021 - 04.2024

Customer Service Representative/Medical Referral Specialist

Applecare Medical Group
04.2018 - 04.2021

UnitedHealth Group/MSLA
11.2017 - 03.2018

Drs. Mishal, Pham & Ob/Gyn Associates
05.2008 - 11.2017

Verizon Representative
09.2005 - 05.2008

Drs. Mishal, Pham & Ob/Gyn Associates
09.2004 - 09.2005

May Family Medical Center
02.2001 - 08.2004

Clinica De La Luz
02.2000 - 02.2001

Carlos Montes M.D
06.1997 - 06.1999

Sanchez Medical Center
11.1994 - 06.1997

Sandra Dominguez