Sarita Juarez

Responsible for obtaining insurance benefits, verification of eligibility status and assist with authorizations over the phone and online; collecting accurate demographics, accurate data entry; scheduling appointments over the phone; scanning electronics records, and performing any other duties necessary to provide efficient, timely services to the patients, their families and providers. Reviewed authorizations from payer to determine approved or denied items. Skilled at working independently and collaboratively in a team environment. Self-motivated, with a strong sense of personal responsibility. Proven ability to learn quickly and adapt to new situations. Managed time efficiently in order to complete all tasks within deadlines.

Maintained large database of provider services for referral and coordination activities. Compiled patient records and documentation for submission to referring physicians and healthcare facilities. Coordinated patient appointments and hospital admissions. Verified and obtained required referral, authorization, or pre-certification prior to services being provided. Facilitated timely verification of insurance benefits and financial clearance. Estimated self-pay portions after calculation of deductibles, co-pays, and non-covered services. Obtained patient data information to facilitate verification. Answered telephone calls to offer office information, answer questions, and direct calls to staff. Obtained prior authorization for outpatient procedures. Coordinated with medical staff and patients to find cost-effective options for services. Assisted clients in locating resources that accepted various insurances. Linked families to relevant community support to meet non-medical needs. Processed referral requests from patients, doctors and other health care professionals.

Managed 20-25 employees Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel included hiring, training, promoting, terminating, motivating, and developing. Staff scheduling to ensure that the departments operated efficiently addressing the needs of the patients and the company, appropriate staffing for ER & PBX , ensured efficient admission and accurate, complete registration of In/ outpatients which included obtaining the correct demographics, insurance, and bed control information, pre-authorization and financial information. Conducted and managed the QA process. Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel. Resolved financial discrepancies and customer billing issues with timely attention. Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel. Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.