Susana Mendoza
Odessa,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Work well with others always willing to work as a team player.
Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.
Overview
9
9
years of professional experience
Work History
Referral Clerk
MCH/Family Health Clinic
06.2019 - Current
- Improved patient referral process by accurately verifying insurance coverage and obtaining necessary authorizations.
- Enhanced patient satisfaction by scheduling appointments with specialists in a timely manner.
- Maintained detailed records of patient referrals, ensuring accurate tracking and follow-up for optimal care coordination.
- Streamlined communication between patients, primary care providers, and specialists by serving as a central point of contact.
- Reduced wait times for specialist appointments by diligently researching available options and securing the earliest possible dates.
- Supported healthcare team efficiency by promptly distributing relevant medical records to appropriate parties upon request.
- Contributed to quality assurance goals by regularly reviewing referral processes and implementing improvements as needed.
- Demonstrated excellent customer service skills when assisting patients in understanding their insurance benefits and coverage limitations related to referred services.
- Collaborated effectively with interdisciplinary teams to ensure timely processing of referrals and continuity of patient care.
- Assisted in maintaining up-to-date provider directories, enabling efficient navigation of available specialists within the network for streamlined referral management.
- Delivered prompt resolution to issues arising from denied or delayed authorization requests, advocating for patients'' needs throughout the process.
- Educated patients on the purpose of their referrals, setting appropriate expectations for upcoming consultations with specialists.
- Managed high call volumes efficiently, addressing inquiries from both internal staff members and external callers with professionalism and expertise.
- Increased patient engagement by providing clear instructions for appointment preparation, including necessary paperwork and testing requirements.
- Expedited urgent referrals when needed, coordinating closely with providers and specialists to arrange timely appointments for patients in critical situations.
- Scheduled appointments with specialists on behalf of clients.
- Coordinated with medical staff and patients to find cost-effective options for services.
- Performed various administrative tasks by filing, copying and faxing documents.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Obtained payments from patients and scanned identification and insurance cards.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Answered phone calls and messages for 6-physician Family Practice medical facility, scheduling appointments, and handling patient inquiries.
Medical Assistant
Permian Internal Medicine Associates
03.2015 - 05.2019
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
- Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
- Collected and documented patient medical information such as blood pressure and weight.
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Measured patient pulse oximetry.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Oriented and trained new staff on proper procedures and policies.
Education
High School Diploma -
Permian High School
Odessa, TX05.1988
Skills
- Insurance Verification
- Physician Authorizations
- Referral Coordination
- Pre-Authorizations
- Appointment Scheduling
- Patient Scheduling
- Problem Solving
- Customer Service
- Attention to Detail
- Active Listening
- Professionalism
- Telephone Etiquette
- Medical Terminology
- Critical Thinking
- Task Prioritization
- Healthcare Systems Knowledge
- Resourcefulness
- Computer Proficiency
- Excellent Communication
- Adaptability
- Confidentiality
- Conflict Resolution
- Referral Verification
- Documentation Review
- Relationship Building
- Appointment Setting
- Problem-Solving
- Patient Eligibility Requirements
- Cash Handling
- Prescription Refills
- HIPAA Compliance
- Equipment Troubleshooting and Maintenance
- Supply Ordering
- Patient Referral
- Medical Charting
- Outpatient Procedures
- Taking Client Histories
- Scheduling Tests and Procedures
Languages
Spanish
Native or Bilingual
Timeline
Referral Clerk
MCH/Family Health Clinic
06.2019 - Current
Medical Assistant
Permian Internal Medicine Associates
03.2015 - 05.2019
High School Diploma -
Permian High School
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