Sandra Hernandez
Rialto,California
Summary
Highly motivated, enthusiastic, and dedicated professional with seven years of patient-focused experience in the medical industry. Excellent communication skills, competent, eager to learn new skills, and a great team player.
Overview
7
7
years of professional experience
Work History
Patient Care Service Coordinator III
Welbehealth
Long Beach, CA (Remote)
08.2022 - Current
- Execute order scheduling and review processes to ensure compliance with departmental standards.
- Address inquiries regarding authorization status and requirements with precision.
- Ensure timely access to medical records from external providers to facilitate urgent appointments.
- Manage responses to patient and provider inquiries to ensure effective communication.
- Communicate eligibility status and benefit information to participants.
- Assist with same day STAT and urgent orders.
- Assist with coordinating surgeries with PCP staff, external providers and DPOAS.
- Assist with bulk scheduling for multiple specialties.
- Assist with cross-training new hires and colleagues.
- Assist with monitoring multiple channels on teams and escalating issues to the appropriate channels.
- Works closely with primary care staff, transportation department, utilization management , provider network and medical records to ensure patient care.
Medical Receptionist/ Referral Coordinator (Float)
California Skin Institute
Loma Linda, CA / Beaumont, CA
04.2021 - 07.2022
- Reviewed incoming referrals and scheduled accordingly based on patient needs.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Communicated with providers on appropriate CPT codes to request for authorizations.
- Organized paperwork such as charts and reports for office and patient needs.
- Maintained current and accurate medical records for patients.
- Transcribed phone messages and relayed to appropriate personnel.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Collected co-pays, patient balances and cosmetic procedure payments.
- Assisted in maintenance of pathology log and confirmed correct number of specimens were sent to lab at the end of the day.
Medical Receptionist
Haven Eye Institute
Rancho Cucamonga, CA
09.2020 - 04.2021
- Prepared patients charts for appointments.
- Prepared exam and treatment rooms with necessary instruments and supplies.
- Responded to emails, voicemails, and faxes in a timely manner.
- Requested authorizations with appropriate CPT codes for office visits and surgeries.
Medical Receptionist
Chaparral Medical Group
Rancho Cucamonga, CA
04.2019 - 02.2020
- Ensured new patient paperwork was filled out correctly.
- Verified insurance eligibility and authorizations for Medi-cal and HMO insurances.
- Worked closely with referral department to ensure patients had appropriate authorizations for upcoming appointments.
- Answered incoming calls and assisted with scheduling patients.
- Assisted with ensuring eligibility and authorizations were ready for appointments days in advances.
- Organized pharmaceutical representative lunches and meetings for providers.
- Maintained a clean lobby and break room.
- Cross trained new hires on how to run eligibility and verify if authorization is needed for office visits and procedures.
Education
License Vocational Nursing -
American Career College
Ontario, CA02-2017
Bachelor of Science - Health Care Administration
California State University
San Bernardino, CA12-2027
Skills
- Attention to detail
- Time Management
- Problem-solving
- Bilingual
- Adaptability
Timeline
Patient Care Service Coordinator III
Welbehealth
08.2022 - Current
Medical Receptionist/ Referral Coordinator (Float)
California Skin Institute
04.2021 - 07.2022
Medical Receptionist
Haven Eye Institute
09.2020 - 04.2021
Medical Receptionist
Chaparral Medical Group
04.2019 - 02.2020
License Vocational Nursing -
American Career College
Bachelor of Science - Health Care Administration
California State University