Sandra Laguerre
Yonkers,NY
Summary
Experienced and results-oriented professional with a strong background in insurance verification, authorization processing, and coordinating patient care services, with excellent communication and organizational skills in intake processes, scheduling appointments, and ensuring seamless patient transitions. Expertise in collaborating with healthcare professionals and insurance providers to navigate the complexities of the healthcare system effectively. Passionate and dedicated to providing compassionate care and support to patients and their families. Energetic and committed to upholding the highest quality standards in home health, patient care, and radiology support services.
Overview
7
7
years of professional experience
Work History
Intake Coordinator
Visiting Nurse of Westchester
12.2022 - Current
- Answers incoming phone calls and direct calls to appropriate staff member or department
- Processes referrals for individuals seeking skilled in-home care services, obtain demographic and other medical and social information
- Ensures the patients' medical condition meets Medicare guidelines and adheres to VNSW policies and medical histories are up to date/in the appropriate time frames for skilled services
- Verifies and inputs medical insurance in HCHB, uploads clinical, informs patients of deductibles/copays, confirms start of care, then assigns/emails to the appropriate care team for admission completions
- Contact physician offices to obtain verbal orders for assessments and to sign written faxed orders
- Carry out a broad range of tasks, such as keeping patients updated regarding referral status and notifying the team of any cancellations
- Works with colleagues to ensure consistency of documentation practice across the company.
Lead Pre-Certification Coordinator
New Rochelle Radiology
08.2021 - 12.2022
- Reviewed records for treatment eligibility before performing pre-certifications of procedures
- Managed patient flow, guide patients/families, and provide relevant patient information for optimum patient care
- Informed patients of denials and set up peer-to-peer review calls with providers and insurance companies
- Increased organization revenue by $350,000 by assisting the marketing team with establishing new lines of business with various medical providers by signing them up to our pre-certification program
- Encouraged and provided upfront collection training to staff, which has increased front-end revenue
- Collaborated with insurance companies to ensure that pre-certifications were obtained timely and efficiently
- Executed a broad range of tasks, such as keeping patients updated regarding referral information, upholding strict patient confidentiality, and performing all assigned duties
- Maintained accurate records by entering new patient information in the computerized practice management system
- Improved workplace safety by preserving cleanliness and complying with OSHA regulations
- Determined coverage and acquired insurance authorization for diagnostic procedures and surgeries
- Ensured compliance with scheduling policies while maintaining pre-certification worklist schedules, rescheduling patients without approvals, and informing physicians regarding appointment changes
- Assisted patients, medical providers, and insurance companies with multiple modalities of pre-certification inquiries
- Created pre-certification intake worksheets to distribute to our preferred providers and manage the prior approval Excel worksheet
- Reported updates of insurance policies and preferred providers changes to facility Director and CFO
- Provided insurance portals and benefit verification training to team, leadership, and our out-of-state facilities.
Pre-Authorization Coordinator
Weill Cornell
10.2016 - 08.2021
- Increased overall patient satisfaction by proceeding and verifying patient medical insurance coverage for multiple doctor's offices, CEOs, and Directors
- Responded to medical billing and insurance inquiries in alliance with medical offices, front desk, insurance providers, suppliers, and other C-Level management
- Enhanced service efficiency by tracking multiple modalities appointment work lists for patients and acquiring referrals and authorizations
- Played a pivotal role in minimizing High tech authorization denials up to 0% percent by improving the quality of data
- Ensured the verification process was accurate and complete for patients by upgrading and downgrading CT and MRI tests before forwarding the relevant information to the Medical Billing Department
- Supported doctors in performing CT, MRI, PET, and NaF bone scans by validating and gaining pre-authorization from patients' insurance carriers.
Education
Lehman College
Bronx, NYAssociate of Applied Science in Office Technologies - Medical Billing Certificate
Westchester Community College
Valhalla, NYBBA - Health Services Administration
Monroe College
New Rochelle, NY09.2025
Skills
- Medical Secretarial & Department Support
- Imaging & Surgical Authorization Management
- Radiology Information Systems (RIS)
- Insurance Eligibility Processing & Cost Sharing
- EPIC Health Record Management
- Home Health Care Intake Assistant
- Denial Appeals & P2P Reviews
- Allscripts Electronic Health Record
- HIPPA Regulations
- Multi-Line Phone Systems
- Patient Scheduling
- Problem Solving
- Follow-up Skills
- Computer Proficiency
Fax
914-476-1871
Languages
French Creole
Native or Bilingual
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Success usually comes to those who are too busy to be looking for it.
Henry David Thoreau
Timeline
Intake Coordinator
Visiting Nurse of Westchester
12.2022 - Current
Lead Pre-Certification Coordinator
New Rochelle Radiology
08.2021 - 12.2022
Pre-Authorization Coordinator
Weill Cornell
10.2016 - 08.2021
Lehman College
Associate of Applied Science in Office Technologies - Medical Billing Certificate
Westchester Community College
BBA - Health Services Administration
Monroe College
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