Susana Matz
North Hollywood
Summary
Reliable Medical Office Representative with strong background in healthcare administration. Demonstrates proficiency in patient registration, scheduling appointments, and managing insurance verifications. Commended for exceptional communication skills, ability to multitask and maintain organization in fast-paced environments. Previous roles showed significant impact through improved office efficiency and patient satisfaction.
Overview
8
8
years of professional experience
Work History
Medical Office Representative
Providence Medical Institute
09.2024 - Current
- Overseeing the flow of patients through the front office in an efficient and professional manner
- Verifying and communicating insurance and demographic information
- Traveled to different clinics to provide support where staffing is needed
- Communicated with other clinic staff, doctors, and external facilities
- Managed patient check-in and check-out processes efficiently.
- Coordinated appointment scheduling for multiple medical providers.
- Maintained patient records in accordance with HIPAA regulations and other applicable laws.
Surgical Coordinator /Prior Authorization Specialist
West Side Head and Neck
07.2018 - 09.2024
- Receives referral requests from providers and assists in processing medical services requested.
- Verifies member's eligibility and benefits with subsequent notification to designated staff of eligibility issues.
- Scheduling new appointments and follow ups accordingly
- Effectively work with insurance companies and assist with submission appeals and follow up with unpaid claims.
- Expertly managed planning, scheduling, and coordination of outpatient procedures for 6 surgeons.
- Contacted hospitals to confirm patients' medical histories and prevent inaccurate diagnoses and treatments.
- Oversite, training, and management of 9-10 lower level medical office employees which includes but is not limited to front desk operations, patient onboarding, billing, insurance verification, surgery coordination, payroll, and numerous other day to day medical office functions.
- Facilitated communication between surgeons, nurses, and patients effectively.
Physician Practice Coordinator
Cedars-Sinai
01.2018 - 07.2018
- Ensured compliance with HIPAA regulations during the scheduling process.
- Handle administrative functions, including physician correspondence, forms and requests for authorizations, Cedars-Sinai worker's compensation adjusters, and nurse case managers, submit WC requests for authorizations, and follow up to obtain statuses and receipt of documentation.
- Complete credentialing when needed at all physician facilities, ensure CVs are updated, and medical staff privileges are current (CA license & DEA).
- Coordinated patient scheduling for surgical procedures across multiple departments.
- Managed communication between patients and healthcare providers regarding surgery dates.
- Collaborated with surgical teams to optimize operating room availability and efficiency.
- Scheduled follow-up appointments according to post-operative protocols.
- Answered phone calls from prospective patients seeking information about surgical options available at the facility.
Education
Bachelor of Science - Business Administration: Management and Human Resources
California State University - Dominguez Hills
Carson, CA05.2023
Skills
- Healthcare communication
- Medical coding
- EPIC Experience
- Genesis Experience
- Obtaining Authorizations
- Training and Development
- Excellent Communication Skills
- Insurance verification
- HIPAA compliance
- Team collaboration
- Detail-oriented
Languages
Spanish
Professional
Timeline
Medical Office Representative
Providence Medical Institute
09.2024 - Current
Surgical Coordinator /Prior Authorization Specialist
West Side Head and Neck
07.2018 - 09.2024
Physician Practice Coordinator
Cedars-Sinai
01.2018 - 07.2018
Bachelor of Science - Business Administration: Management and Human Resources
California State University - Dominguez Hills