SOEKA N. CANTU
Alexandria,VA
Summary
Energetic Collaborative Supervising leader with dedication to partnering with my team to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships. Managed highly effective administrative teams while overseeing financial and surgical scheduling operations. Skilled Professional with analytical problem-solving with talents for team building, leading and motivating.
Overview
9
9
years of professional experience
Work History
OR Surgery Scheduler/Patient Service Representative
Shady Grove Fertility Center - Part Time
Fairfax, VA
10.2022 - Current
- Expertly managed planning, scheduling and coordination of outpatient procedures
- Carried out front office duties utilizing data entry skills in framework of medical database
- Organized and maintained patient chart filing system to promote quick data finding for staff
- Explained plans for treatment and payment options
- Followed document protocols to safeguard confidentiality of patient records
- Facilitated communication between patients and various departments and staff
- Used Nextgen, Phreesia Artworks, and Gateway to perform Surgical Scheduling and Patient Services duties such as scheduling appointments and creating surgical schedules
- Reviewed patient's financial status to make sure they are financially cleared for procedures
- Collected balances and copay's
Surgical Scheduler Coordinator Patient Access 4
INOVA Health System
Fairfax, VA
06.2022 - Current
- Maintained functional knowledge of operational procedures to anticipate needs of Surgeons
- Coordinated testing, labs and other diagnostic data for proper clearance prior to surgery
- Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure
- Completed journal entries reconciliations and account analysis to prepare quarterly financial documents and general account management
- Consulted with patient's about their benefits, deductibles and financial options for specific services or surgeries performed
- Maintained patient's accounts by obtaining , recording and updating personal and financial insurance information
- Provided ongoing financial education and assistance throughout the patient's care
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services
- Resolved patient financial problems with guidance from documented guidelines and procedures
- Maintained efficient surgery schedule by monitoring daily Provider and Operating Room Schedules
- Expertly managed planning, scheduling and coordination of outpatient procedures
- Verified insurance coverage and obtained pre-authorizations
- Educated patients about surgeries and provided treatment plan documentation
- Reviewed medical histories and current information to provide accurate information to surgeons
- Coordinated with facilities to set up surgeries for 4 providers at various Hospital and Surgery Center locations
- Organized and maintained patient chart filing system to promote quick data finding for staff
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations
- Reviewed payor remittances to differentiate between allowed charges and contractual adjustments
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Patient Access Team Lead
INOVA OBGYN Formally Nova Group For Women
Fairfax, VA
03.2019 - 01.2023
- Currently using EPIC for all daily operations
- Supervised front office staff
- Created template modules for Doctor's and Surgical scheduling
- Handled all reschedules for 7 providers
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
- Coordinated patient scheduling, check-in, check-out and payments for billing
- Verified and updated all patient insurance information, collected copay's and deductible's at time of visit
- Supported office staff and operational requirements with administrative tasks
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care
- Managed multi-line phone system and pleasantly greeted patients
- Handled any patient Questions or Complaints
- Adhered to strict HIPAA guidelines to protect patient privacy
- Responsible for completing all patient Disability Forms and letters
- Processed medical records requests from outside providers according to facility, state and federal law
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers
- Scanned in all patient Labs, Diagnostic testing, Ambulatory Referrals and Registration information
- Preauthorized and coded all inpatient and outpatient procedures using CPT and ICD-10 coding
- Processed billing calls and answered questions from patients and third-party carriers
- Compiled and tracked outstanding balances.
- Processed all daily Accounts receivable, posted payments to patient accounts and deposited funds.
- Assisted in Maintaining office PCs, and network devices
- Patiently walked individuals through basic troubleshooting tasks
- Developed and distributed employee work schedules based on operational needs and employee requests
- Followed document protocols to safeguard confidentiality of patient records
- Applied administrative knowledge and courtesy to explain procedures and services to patients
- Helped address client complaints through timely corrective actions and appropriate referrals.
Patient Services Supervisor
Memorial Hermann Health System
Houston, TX
02.2014 - 11.2018
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
- Completed and filed financial documentation for accounting purposes
- Verified and updated patient demographics and insurance information,
- Advocated for patients through conversations with insurance representatives
- Contacted patients regarding unpaid and underpaid accounts to resolve issues
- Coordinated customer service, patient scheduling and billing
- Utilized EMR Software for daily operations
- Coordinated with other healthcare providers and specialist concerning treatment plans for patients
- Scheduled surgeries, managed pre-certifications and verified insurance coverage
- Registered patients for Diagnostic Testing
- Communicated with patients, ensuring that medical information was kept private
- Maintained up-to-date information in electronic medical records software
- Adhered to HIPAA guidelines
- Administered billing functions to maintain profitability and meet compliance, quality and productivity standards.
Education
Certification of Healthcare Management - Medical Technology
Metropolitan Institute of Health And Technology
08.2021
Skills
- Nextgen
- Gateway
- Art works
- Phreesia
- Epic
- 8 plus years of working knowledge of Physician and Hospital based billing, collections, insurance verification and reimbursement's
- 5 plus years of Medical Business Office Experience
- Strong knowledge of understanding EOB'S remittances allowed charges and contractual agreements
- Reviewed patient's financial status to ensure financial clearance for Fertility Services and procedures
- Patient Financial Education
- Data Confidentiality
- Managing office supply inventory
- Bookkeeping
- Inbound phone call handling
- Staff scheduling procedures
- Staff Management
- Policy and procedure modification
- Credit and collections
- OBGYN Surgery Scheduling
- Fertility Surgical Scheduling
- Strategic planning
- Flexible and Adaptable
- Active Listening
- Insurance Billing Procedures
- Healthcare Coding
- Insurance Knowledge
- Obtain prior authorizations and provide clinical information to obtain approval for services to be rendered
- Medical Records Review
- HEDIS Reviews
- Follow-Up Skills
- Understanding of Medical Terminology
- Understanding of Medical Ethics
- Managing Patient Records
- Medical Billing
- Scheduling Proficiency
- Payment Collection
- Medical Coding
- EMR Software
- Proficient with Microsoft programs specifically Outlook, Word and Excel
- Ability to commute
- Orthopedic Surgery Scheduling
- Podiatry Surgery Scheduling
Timeline
OR Surgery Scheduler/Patient Service Representative
Shady Grove Fertility Center - Part Time
10.2022 - Current
Surgical Scheduler Coordinator Patient Access 4
INOVA Health System
06.2022 - Current
Patient Access Team Lead
INOVA OBGYN Formally Nova Group For Women
03.2019 - 01.2023
Patient Services Supervisor
Memorial Hermann Health System
02.2014 - 11.2018
Certification of Healthcare Management - Medical Technology
Metropolitan Institute of Health And Technology