Susan Sandoval
Boerne,TX
Summary
I am a level-headed professional who remains calm and effective in extremely difficult and stressful situations. Strong belief in importance of companionship and support in patient care. Highly motivated and committed with a proven history of superior performance at individual, team and organizational levels. Strong ability to prioritize workloads with little or no supervision. Detail oriented. I am a seasoned secretary with solid 6-year background in high-volume office settings. Strong regulatory knowledge, multitasking abilities and independent thinking skills devoted to enhancing team performance. Well-organized and hardworking with adaptability and responsiveness for changing demands.
Overview
14
14
years of professional experience
Work History
Prior Authorization Specialist, Medical Assistant
DR. Alexander Roka
01.2023 - 03.2023
- Established strong relationships with key contacts at insurance companies, streamlining communication channels when resolving issues pertaining to approvals or denials.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Contributed to a high level of customer service by quickly addressing questions or concerns from patients regarding their coverage or denials.
Office Manager
Lamb County Courthouse Texas A&M Extension Office
11.2020 - 02.2022
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Managed office inventory and placed new supply orders.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Implemented and maintained company protocols to facilitate smooth daily activities.
- Managed, scheduled and coordinated office functions and activities for employees.
- Prepared meeting agendas and recorded and transcribed minutes.
- Updated reports, managed accounts, and generated reports for company database.
Administrative Assistant
Fresenius Medical Care Holdings Inc.
04.2015 - 12.2016
- Analyzed departmental documents for appropriate distribution and filing.
- Copied, logged and scanned supporting documentation.
- Obtained documents, clearances, certificates and approvals from local, state and federal agencies.
- Worked directly with [departments, clients, management] to achieve [result].
- Onboarded new employees in time reporting and payroll systems.
- Managed payroll for temporary, hourly and salaried employees.
- Reviewed all invoices for accuracy, subsequently resolving various issues.
Dialysis Technician
ManagerFresenius Medical Care Holdings Inc.
05.2009 - 03.2015
- Started and ended reverse osmosis water systems and completed water quality monitoring tests.
- Set up and operated dialysis machines for patients receiving treatment for kidney failure.
- Performed routine quality control and safety checks on all equipment.
- Sterilized, cleaned, and maintained dialysis machine and equipment.
- Measured and recorded patients’ pre-dialysis and post-dialysis vital statistics, including weight, temperature, blood pressure, pulse rate, and respiration rate.
- Explained dialysis procedures and hemodialysis machine operation to patients prior to treatment to ease anxieties.
- Followed directions when mixing dialysate and priming dialyzer with saline or heparinized solutions.
- Safely transported, transferred, and positioned patients on chairs for treatment.
- Cleaned and connected to access sites, including fistulas, grafts, and catheters, by following infection control protocols.
- Ensured HIPAA compliance.
- Used Chairside and Aprima to schedule and manage patient appointments.
- Took and recorded patients' temperature, pulse and blood pressure.
Education
High School Diploma -
Vidor High School
Vidor, TX1996
Skills
- Efficient and reliable team player
- Account management
- File and data retrieval systems
- Invoicing and billing
- Report writing
- Expense reporting
- Billing
- Scheduling and calendar management
- Cash transactions
- Administrative skills
- Document control
- Administrative duties
- Meeting planning
- Mail management
- Patient Referrals
- Data Entry
- Effective communication skills
- Workflow Management
- Electronic Health Records Proficiency
- Patient Scheduling
- HIPAA Compliance Knowledge
- Documentation and paperwork
- Medical Appeals Handling
- Medical Terminology
- Understanding of insurance details
- Authorizations
- Insurance Verification
- Medical terminology knowledge
- Prescription Coordination
- Billing Procedures
- Physician order verification
- Pharmacology
- Professionalism and Ethics
- Medical Office Procedures
- Benefit Coverage
- Medical Coding
- Telephone Etiquette
- Referral Coordination
Timeline
Prior Authorization Specialist, Medical Assistant
DR. Alexander Roka
01.2023 - 03.2023
Office Manager
Lamb County Courthouse Texas A&M Extension Office
11.2020 - 02.2022
Administrative Assistant
Fresenius Medical Care Holdings Inc.
04.2015 - 12.2016
Dialysis Technician
ManagerFresenius Medical Care Holdings Inc.
05.2009 - 03.2015
High School Diploma -
Vidor High School
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