Stephanie Miranda
Fulshear,Texas
Summary
Looking for a Remote Position to enable years of Experience as a Talented Team Leader and dedicated to enhancing employee satisfaction and business success.
Interpersonal communication skills to effectively handle multiple tasks in a fast-paced environment.
Quality-focused producer that consistently meets team and department production targets by delivering strong output to achieve metrics. Hardworking team player bringing necessary experience and knowledge to tackle any operational demand.
Overview
14
14
years of professional experience
Work History
Senior Customer Service Representative
Optum
01.2023 - Current
- Delivering Exceptional Customer Service
- Developed comprehensive knowledge of company products and services in order to provide accurate information to customers.
- Handle 75+ outbound calls daily
- Assist elderly patients with Preventative Screening Measures
- Complete deadlines and projects in a timely manner
- Demonstrate strong leadership skills
- Obtain accurate and up to date patient demographic and insurance information
- Schedule a variety of appointments: Event appointments, Home Visits, House Calls, PCP Office Visits, Mammograms, Sending Labs out for patient to complete
- Schedule Comfort Care Services
- Established strong rapport with customers, fostering long-term relationships and repeat business.
- Proactively identified potential problems or obstacles related to customer needs before they arose.
- Responded to customer calls and emails to answer questions about products and services.
InsVerification Specialist/ Surgery Team Lead
American Surgisite Centers
05.2020 - 10.2022
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Assisted with Verification, Eligibility, Prior Authorizations for all Surgery Cases.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Demonstrated a high level of professionalism and attention to detail in all aspects, consistently exceeding performance expectations.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Efficiently managed multiple lines of communication, including phone calls, emails, and faxes.
Central Scheduling and Breast Center Coordinator
Methodist West Hospital
04.2016 - 10.2018
- Scheduled All Imaging radiology exams
- Scheduled All Breast radiology exams, Mammograms, Ultrasounds, Bone Density Exams etc
- Translator for Spanish patients in and out of Breast Center including Imaging Phone Calls
- Maintained a very well and motivated attitude during high volume days
- Handled High Volume Calls Daily
- Registered All accounts by the end of every phone call
- Rate Top Scheduler
- Obtained all Demographics and Insurance information
- Experience with EPIC EMR System
- Maintained Breast Center Working Que Daily/ 30-40 accounts
- Followed up with patients/ 3 times for exams Cancelled or No shows
- Retrieved and relayed messages from multiple departments
- Responsible for Walk Ins at Breast Center for scheduling
- Daily Patient Hospital Account Record Completion
- Emailed coordinator of Completed Daily Task.
- Increased participant satisfaction by providing exceptional customer service and promptly addressing concerns.
- Maintained accurate records of all scheduled procedures, imaging or biopsies contributing to seamless hospital operations.
Procedure and MVA Coordinator
PAIN MANAGEMENT
05.2014 - 01.2016
- Scheduled All procedures (70 to 80 CASES WEEKLY)
- Scheduled Procedures at Four Different Locations
- Scheduled Imaging and Procedure under Fluoroscopy
- Procedure Coordinator for (2 Doctors, 1 Nurse Practitioner & 2 Physician Assistants)
- Obtained Authorization for all procedures (Including for Out Patient ASC's)
- Obtained Authorizations for EMG's, and Office Injections Answered high volume calls
- Check Voicemails and Returned Calls accordingly and efficiently
- Retrieved and Relayed Messages for all providers
- Fax all Scheduled and Proper CPT codes for Upcoming Procedures to ASC
- Notified All Patients of Pre op and Post Op Instructions
- Prepared All Paperwork for all cases at the ASC's
- Notified provider of start time for next day procedures
- Insurance Verifications
- Discussed any out of pocket responsibilities for procedures
- Weekly Inventory for All Office Procedures Electronic Medical Record Knowledge Checked out patients accordingly
- Assist patient's w/ prescription hand outs
- Notified All patients of Pre Op Clearance, and Testing if Required
- Obtained Medical and Medication Clearance PRN
- Assisted Providers with Translation w/ Procedures PRN or Follow Ups
- Xray Tech Assistance PRN
- Answered all questions to patients prior to procedure
- Scheduled any Post Injection Imaging w/ obtaining Authorization & Scheduled Apt
- Confirmed all procedures the day before
- Post Op Follow Up Calls
- Scheduled Appointments (Follow ups, OV Injections, EMG's, Etc.)
- Handled all MVA pre-certification (Procedures, Radiology, OV INJ, EMG's, Back Braces ETC)
- Obtained LOP from Attorneys when needed
- Confirmed all cases were authorized and scheduled
- Responsible for the Edison Office Procedure Room
- Notified X-ray Tech of any upcoming cases (For Any Special Equipment)
- Contacted Representatives for special cases
- Obtained authorizations for any EMERGENCY cases
- Answered to all insurance and patient procedure status questions accordingly
- Submitted Health Insurance Appeals when needed
- Obtained authorizations and Scheduled all WCOMP procedures
- Helped patients with any bills from ASC facilities.
Surgical Coordinator
Samra Plastic Surgery
04.2010 - 05.2014
- Insurance Authorizations (Surgeries, Radiology, Medications, Etc.) Electronic Medical Record Knowledge
- Fax all clinical and photos for predeterminations
- Surgery scheduler for four surgeons
- Schedule surgeries at six different hospitals, including ASC's Schedule all minor, laser, major and cosmetic procedures
- Supervised Front Desk Area
- Helped maintain a smooth Front Desk environment
- Coordinate cosmetic consultations, consents, and quotes
- Coordinate cases with other outside Surgeons
- Email patients accordingly regarding surgery questions, or cosmetics
- Attend weekend events to help increase cosmetic or elective volume
- Order all proper equipment for surgeries
- Contact representatives accordingly for surgeries
- Retrieve messages for all surgeons
- Supervise the front desk area
- Assist patients and co-workers with questions, or concerns
- Confirm surgeries with patients, and hospitals
- Fax accordingly all paperwork pertaining to the surgery
- Consents, H&P's, Booking sheets etc
- Prepare surgery packets for all surgeons the night before
- Attach all proper documents to surgery packets
- Pre-Op pictures, Pathologies, P.A.T Results, EMG reports, etc
- Assist surgeons as Medical Assistant or Receptionist when short staffed
- Scan surgery billing, and forward to Billing Manager
- Confirm all surgeries received by surgeons with proper CPT and ICD9
- Attend Insurance meetings to increase knowledge in CPT codes, etc
- Checked out Patients
- Scheduled appointments
- Coordinate surgeon's schedules; meetings, personal appointments, luncheons
- Assist patients with billing from the hospitals.
Education
High school or equivalent -
Perth Amboy High School
New Jersey06.2007
Skills
- Account Management
- Coaching and Team Leading
- Bilingual
- Outlook Experience
- Epic System Knowledge
- Organizational Skills
- Scheduling
- Data Entry Expert
- Detailed and Goal Oriented
- Documentation Review
- Database Management
- Payment Processing
- Time Management
- Effective Communication
- Multitasking
Personal Information
Work Permit: Authorized to work in the US for any employer
Languages
Spanish
Full Professional
Timeline
Senior Customer Service Representative
Optum
01.2023 - Current
InsVerification Specialist/ Surgery Team Lead
American Surgisite Centers
05.2020 - 10.2022
Central Scheduling and Breast Center Coordinator
Methodist West Hospital
04.2016 - 10.2018
Procedure and MVA Coordinator
PAIN MANAGEMENT
05.2014 - 01.2016
Surgical Coordinator
Samra Plastic Surgery
04.2010 - 05.2014
High school or equivalent -
Perth Amboy High School
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