Stephanie Oliva
La Habra,California
Summary
Detail-Oriented and Qualified Medical Office Specialist with over a decade of experience. Highly organized, Well-spoken, and Self-motivated only begin to describe me, and lead me to seek job opportunities that allow me to utilize these qualities effectively.
Overview
22
22
years of professional experience
Work History
Treatment Access Specialist
Mindful Health Solutions
05.2022 - Current
- Respond and access complex Interventional treatment cases and specific provider requests while using appropriate insurance screening criteria, knowledge and clinical judgement
- Educated clients about available services offered at the facility, tailoring recommendations based on individual needs.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Engaged with patients and/or family members to provide critical information through telephonic assessment/ communication
- Facilitated communication between providers, patients, and insurance companies to resolve any issues related to coverage or authorization and pre-certification requests effectively.
- Conduct assessments to identify individual needs and assist in executing financial reimbursement plans to match goals outlined in the treatment care plan.
- Participate in cross-functional teams projects and initiatives.
- Team participation for data collections, health outcome reporting, clinical audits and programmatic evaluation for patients.
- Assist in identifying patients at risk for poor outcomes/ coordination of services who would benefit from more intense follow up
- Monitored patient satisfaction, generating valuable feedback to inform ongoing process improvements and enhance the overall experience.
Front Desk Manager / Biller
Healing Light Family Accupuncture
09.2018 - 04.2022
- Supports all administrative functions for the Front Office (Patient Registration, Data Entry, Check In/Out, Insurance Verification, Collect Copayments, Appointment Scheduling), while ensuring smooth operations of staff and patients
- Provide leadership/management direction for the front office
- Assist the CEO / Owner in development with new and/or existing protocols, goal setting / planning, resolving issues, maximizing patient flow and productivity, and promoting efficiency
- Optimizes provider schedules and patient satisfaction with efficiency to maintain patient count at increased levels
- Providing comfort to patients by listening and anticipating anxieties, effective problem solving, appropriately and timely response and troubleshooting when needed
- Provide support in Billing: Claim Processing, CPT-10 Coding, obtaining support documentation, checking each insurance payment for accuracy, following up on unpaid claims, patient account balances, generating refunds, answering questions, and posting payments.
Front Office / Authorization Coordinator
Family Healthcare
12.2001 - 08.2007
- Manages referral / authorization process and support UM with proper use of ICD-9 / CPT-coding, ability to understand HMO/PPO; various plans and coverage information, insurance verification / eligibility, utilizing medical terminology
- Problem solving, analyzing situations while anticipating the needs of patient, the IPA’s and Provider’s in a timely and efficient communicative manner
- Supply necessary documentation and information between Insurance companies, medical groups, all providers and patients
- Supports all administrative functions for the Front Office (Patient Registration, Check In/Out, Insurance Verification, Collect Copayments, Appointment Scheduling), while ensuring smooth operations of staff and patients
- Maintain organization and professional demeanor in a fast-paced private practice
- Effective communication and having a team player mentality are key.
Education
Some college units completed - Undecided Major
Long Beach City College
Long Beach, CAGraduated - Business Academy Honors Program
Santa Fe High School
Santa Fe, NMSkills
- Excellent verbal / written communication
- Detail Oriented
- Efficient time management
- Exercises high degree of initiative, judgement, discretion, and decision making
- Positive Mindset and Attitude
- Self-starter and Independent
- Care Plan Recommendations
- Communicating to Patients and Families
- Financial Recordkeeping
- Patient documentation
- Providing Information and Resources
- Health Information Access Management
- Remote Access Tools
- Appointment Scheduling
- Customer Service
- Insurance Verification
- Expert Communication
- Gathering Information from Patient
- ICD-10 coding understanding
- Benefits Explanation
- Patient Needs Assessment and Referral
- Conflict Resolution
Timeline
Treatment Access Specialist
Mindful Health Solutions
05.2022 - Current
Front Desk Manager / Biller
Healing Light Family Accupuncture
09.2018 - 04.2022
Front Office / Authorization Coordinator
Family Healthcare
12.2001 - 08.2007
Some college units completed - Undecided Major
Long Beach City College
Graduated - Business Academy Honors Program
Santa Fe High School
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