Sandra Orantes Zeledon
Los Angeles,CA
Summary
Experienced with office administration, including managing daily operations and ensuring smooth workflows. Utilizes organizational and leadership skills to maintain efficiency and support team productivity. Knowledge of office software, scheduling, and resource allocation to drive operational success.
Overview
19
19
years of professional experience
Work History
Office Manager
CLEARCHOICE MEDICAL BILLING
Los Angeles
08.2024 - Current
- Oversaw staff recruitment process, ensuring the hiring of highly qualified candidates who contributed significantly to the practice''s growth and success.
- Increased patient retention rates by consistently providing exceptional customer service through active listening and prompt resolution of concerns or complaints.
- Maintained a safe and compliant work environment by diligently enforcing workplace safety regulations, hygiene protocols, and infection control measures.
- Developed comprehensive training programs for new hires, fostering a supportive work environment that encouraged professional growth.
- Collaborated with healthcare professionals to develop effective strategies for addressing clinic-wide challenges such as staff shortages or high-patient volume periods.
- Led regular staff meetings to address concerns, share updates on office policies or procedures, and encourage open communication among team members.
- Negotiated contracts with third-party service providers such as laboratories and imaging centers for cost-effective outsourcing of specialized services while maintaining high-quality care.
- Reduced errors in billing and coding processes through meticulous oversight, ensuring accurate financial records and timely payments from insurance companies.
- Organized and updated databases, records and other information resources.
- Negotiated and executed contracts on behalf of department.
- Implemented strict protocols for maintaining patient confidentiality and complying with HIPAA regulations, protecting sensitive information from potential breaches.
- Conducted regular performance evaluations for clinical staff members, providing constructive feedback and setting goals for continuous improvement in their roles.
Medical Biller
Apex Practice Partners
Los Angeles
03.2008 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Verified accuracy of accounts payable payments, resulting in 75% reduction in payment errors and check reissues.
Office Manager
Myeong C. Kim, MD INC
Los Angeles
03.2006 - Current
- Updated reports, managed accounts, and generated reports for company database.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Contributed to a successful annual audit by preparing thorough documentation in accordance with regulatory requirements.
- Oversaw recruitment and onboarding process for new employees, ensuring smooth integration into company culture and workflow.
- Increased team productivity with introduction of flexible work schedules, accommodating personal needs while ensuring coverage.
- Enhanced collaboration among healthcare team members for optimal patient care delivery.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Conducted primary source verifications such as background checks and board certifications.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Worked effectively in fast-paced environments.
- Self-motivated, with a strong sense of personal responsibility.
- Worked well in a team setting, providing support and guidance.
- Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Adhered to facility-specific formatting guidelines for all completed transcripts, maintaining a consistent style across various documents.
- Enhanced accuracy of medical records by transcribing dictated reports and ensuring correct terminology usage.
- Completed a high volume of medical transcriptions within tight deadlines, prioritizing tasks efficiently to meet time-sensitive demands.
- Provided excellent customer service through attentive listening, empathetic communication, and efficient problem-solving during the scheduling process.
- Answered phone calls and answered questions from potential customers.
- Managed high call volume while maintaining professionalism and accuracy when gathering client information for appointment bookings.
Education
Accounting
Catholic University
El Salvador06-2003
Skills
- Office Administration
- Administrative Support
- Account Billing Expertise
- Provider enrollment
- Medical coding
- Appeals processing
- Claims management
- Prompt EMR /Billing software
- Tebra EMR /Billing Software
- Office Ally EMR/ Billing Software
- Billing
Timeline
Office Manager
CLEARCHOICE MEDICAL BILLING
08.2024 - Current
Medical Biller
Apex Practice Partners
03.2008 - Current
Office Manager
Myeong C. Kim, MD INC
03.2006 - Current
Accounting
Catholic University
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