Handling outbound calls professionally and efficiently. Resolving scheduling conflicts and responding to questions or concerns form provider offices while on the call.
Utilizing designated computer software system to log and maintain comprehensive records of all call transactions.
Using call scripts to encourage medical providers to send patient charts requested by medical insurance companies in
compliance with risk adjustment reviews and HEDIS projects.
Ensuring HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Client Service Representative II
Datavant (Bakersfield Memorial Hospital)
Bakersfield
11.2019 - 07.2020
Facilitated customer interactions by assisting walk-ins and managing incoming calls.
Provided timely responses to email mail correspondence and facsimile inquiries to enhance customer service.
Executed validation and completion of requests and authorizations for ROI in strict adherence to HIPAA guidelines.
Managed database entries by documenting and scanning pending and completed ROI requests to ensure accurate record-keeping.
Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Surgery Scheduler
Professional Orthopedics Medical Associates
West Hills
02.2016 - Current
Oversaw verification of insurance coverage and facilitated pre-authorization processes for surgical procedures. Managed collection of deductibles and co-pays to streamline patient billing.
Expertly managed all surgery services, including planning, scheduling and coordination, procurement of equipment, educating and providing treatment plan documentation to patients.
Managed incoming calls, scheduling and rescheduling appointments.
Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Medical Records Clerk
Professional Orthopedics Medical Associates
West Hills
08.2014 - 02.2016
Managed incoming calls, responding to email and mail correspondence. Collected deductibles, co-pays, and miscellaneous fees.
Oversaw maintenance and retrieval of medical records by entering and updating information in database systems.
Coordinated retrieval and delivery of medical records in response to subpoenas while adhering to regulations.
Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Physical Therapy Receptionist
Professional Orthopedics Medical Associates
West Hills
10.2013 - 08.2014
Managed incoming calls, handled front-desk reception within a high-volume environment.
Oversaw patient check-in processes to ensure accurate data entry and workflow efficiency.
Assisted in verifying insurance coverage for patients. Supported collection of deductibles and co-pays. Aided in obtaining necessary authorizations for procedures.
Coordinated closely with physical therapists to confirm schedules and prepare treatment plans.
Managed scheduling and rescheduling of appointments utilizing EHR systems.
Team Lead
Footprint Retail Services
Los Angeles
06.2010 - 07.2013
Supervision of 5+ employees.
Managed data reports and payroll.
Oversaw execution of regularly scheduled programs across four designated retail locations.
Merchandising, category resets, new store set-ups, remodels, display building, fixture installations, changing shelf tags, facility maintenance.
Education
Diploma -
Shafter High School
Shafter, CA
06.2006
Skills
Bilingual: English and Spanish (verbal and written)
Ability to grasp new ideas and integrate them into desired results
Organized, detail-oriented, able to balance and prioritize tasks
Excellent customer service and communication skills
MS Office (Word, Excel, Outlook, PowerPoint) proficient
EMR and EHR (Cerner, Meditech, Epic, Allscripts) proficient