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
San Antonio, TX Stone Oak
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
Littlefield, TX
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