STEPHANIE GARCIA
Loveland,CO
Summary
Seasoned medical professional with a robust background with over 20 years of experience. Showcasing expertise in medical and insurance terminology, medical practices, customer service and enhanced service delivery of services within multiple areas: insurance processing, medical records, phlebotomy, pharmacy, scheduler/receptionist, and transcription. Excelled in fast-paced environment, strong customer service orientation and result-oriented professional.
Overview
20
20
years of professional experience
Work History
Insurance Representative
PVH Rehab Services
Northern Colorado
09.2023 - Current
- Determines and verifies insurance coverage and coordination of benefits from all sources
- Confirms insurance coverage
- Determines necessity for pre-authorization and obtains authorization for scheduled procedures
- Enters patient insurance information into the patient record and documents insurance coverage of services to be provided
- Notifies patient of his/her financial responsibility for services to be provided
- Notifies patients and practitioners of any services requested and/or referred that are not authorized by insurance
- Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
Autopsy Reports
Word Wide Dictation
Ardsley, New York
09.2018 - Current
- Independently work from home and use professional software and remote programs to transcribe and enter information
- Responsible for listening to and transcribing forensic examination and autopsy reports
- 20 plus doctors transcribing for multiple counties and states
- One-day turnaround times
- Creating and revising templates.
Patient Access Specialist Sr.
Timnath Primary Care
Northern Colorado
09.2022 - 09.2023
- Extensive knowledge in building, running and analyzing multiple billing and insurance workqueues
- Schedules appointments, follow-up appointments, and assigns appropriate length of visit per physician request
- Provides instruction to patients regarding what to bring to the appointment, time of appointment and location of physician
- Pre-registers patients when needed
- Collects and confirms complete patient demographics, emergency contact information, insurance and case-specific information such as referring physician
- Identify and resolve registration, billing and insurance Work queue and train coworkers about queues
- Conducts patient outreach and follow up in regards to patients that are high risk, have a gap score and gaps in care
- Verifies insurance eligibility for governmental insurance payors (i.e
- Medicaid, Medicare, Tricare, etc.)
- May complete Medicare Secondary Payor Questionnaire for all Medicare eligible patients
- Reviews patient accounts for outstanding balances and necessary signatures
- Generate and work multiple patient reports to ensure good patient care (Outreach, Cancelations, New Patients, Referrals, Health Metrics)
- Superuser committee to learn updates and changes within computer programs (EPIC) to help educate coworkers
- Over ten years of pharmacy insurance billing and insurance claim submittals and patient education on insurance/patient responsibilities.
Pharmacy Admissions Specialist
UCHealth Facilities
Northern Colorado
03.2022 - 09.2022
- Provides admission support to pharmacists, nursing staff, and physicians by gathering and recording a valid home medication list
- Communicates with retail pharmacies, primary care physicians, and other resources to gather information and recognize and apply knowledge of appropriate/specific drugs
- Records information in the patients EHR in a timely manner and maintains accurate data involving patient information
- Critical thinking skills, decisive judgement, and the ability to work with minimal supervision
- Work in a fast-paced environment and take appropriate action.
Medical and Legal Transcriptionist
Precise Transcription
Ridgewood, NJ
06.2016 - 09.2022
- Responsible for listening to and transcribing medical and professional meetings, legal police interviews, court hearings, and documents for multiple companies
- Understand and follow HIPAA regulations
- Management of team members to distribute tasks and ensuring completion
- Editing of completed documents to correct spelling, grammar, and formatting.
In-patient Pharmacy Technician
Good Samaritan
Lafayette, CO
12.2013 - 11.2019
- 16 years of retail and in-patient pharmacy experience
- Collected and organized medications needed to fill automated medication dispensing systems
- Utilize keen attention to detail while managing simultaneous pharmaceutical tasks without compromise to quality or productivity
- Flexibility at balancing competing demands of different departments.
Retail Senior Pharmacy Technician/Specialty Pharmacy Technician
Walgreens
Denver, Colorado
10.2004 - 05.2016
Education
Medical Billing And Coding - Medical Insurance Billing And Coding
Ancora Training
Online11-2024
Medical Transcription Certification - Medical Transcription
U.S Career Institute
Fort Collins, CO02-2016
Bachelor of Science -
Human Services
12-2013
Pharmacy Technician Certification - Pharmacy
Pharmacy Technician
11-2005
Skills
- Insurance terminology
- Medical terminology
- Critical thinking
- Ethical conduct
- Analytical skills
- Problem-solving abilities
- Policy analysis
- Data entry accuracy
- Computer proficiency
- Organizational skills
- Client Relations
- Customer Service
- Medical policy knowledge
- Billing and coding education
- Insurance Verification
- HIPAA Compliance
Knowledge Of
- Detail oriented with data input and documentation
- Ability to work in high paced environments
- Fast and efficient data entry
- Advanced knowledge of insurance process, coverages, and authorization
- Ability to interact and collaborate with physicians, nurses, and other resources
- Advanced knowledge of EPIC system
- Advanced EPIC understanding
- Strong customer service background via in-person, phone and media communications.
Timeline
Insurance Representative
PVH Rehab Services
09.2023 - Current
Patient Access Specialist Sr.
Timnath Primary Care
09.2022 - 09.2023
Pharmacy Admissions Specialist
UCHealth Facilities
03.2022 - 09.2022
Autopsy Reports
Word Wide Dictation
09.2018 - Current
Medical and Legal Transcriptionist
Precise Transcription
06.2016 - 09.2022
In-patient Pharmacy Technician
Good Samaritan
12.2013 - 11.2019
Retail Senior Pharmacy Technician/Specialty Pharmacy Technician
Walgreens
10.2004 - 05.2016
Medical Billing And Coding - Medical Insurance Billing And Coding
Ancora Training
Medical Transcription Certification - Medical Transcription
U.S Career Institute
Bachelor of Science -
Human Services
Pharmacy Technician Certification - Pharmacy
Pharmacy Technician
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