Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tanya L. Portugal

Commerce City,Co

Summary

Professional scheduling expert, bringing valuable experience in coordinating and optimizing workflows. Proven ability to streamline processes and enhance efficiency through detailed planning and precise execution. Known for strong team collaboration and adaptability, excelling in dynamic environments with focus on achieving results.

Overview

20
20
years of professional experience

Work History

Scheduler, Scheduling Operations Coordinator

Trumpet Behavioral Health Care
08.2017 - Current
  • Accurately prepare monthly schedules, including details about substitute sessions and tracking client authorization hours.
  • Notify supervisors, appropriate staff, & parents of schedule changes, cancellations.
  • Regularly update client authorization hours for weekly divisional meetings and update staff regarding Time Off Requests and track changes in scheduling spreadsheet's such as (Google and Excel and Outlook).
  • Complete weekly audits on hours provided to clients to report to your partner divisions.
  • Maintains security and confidentiality of files and sensitive information.

HBA financial counselor

Centura Healthcare
09.2014 - 08.2017
  • Company Overview: St Anthony's Hospital
  • Must demonstrate accurate documentation electronically on account information and updates in a timely manner.
  • Runs estimator tool for patient portion amount.
  • Screens self-pay patients to make the determination of eligibility for CICP (as applicable), Centura Charity programs, or payment arrangements.
  • Interacts with the Victims Compensation representative through the District Attorney's office and CBO for payment of patient bills.
  • Obtains precertification and benefits from insurance companies for the admission or expected admission of a patient to comply with the rules and regulations of the patient's insurance carrier.
  • Acts as hospital liaison between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration.
  • Must demonstrate and maintain knowledge of registration pathways.
  • Compliance with current eligibility technology.
  • Must maintain patient/employee confidentiality.
  • Collects patient portion as determined by patient's insurance.
  • Makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion.
  • St Anthony's Hospital

Customer Quality Specialist, Suspended Billing

Coram CVS HealthCare Company
04.2011 - 09.2014
  • Verified insurance information for accuracy and completeness and resolves discrepancies as needed.
  • Obtains clinical information needed for order processing or reimbursement.
  • Contact patient to advise them of the order placed on their behalf and to confirm all patient demographic information to communicate any financial responsibilities and/or additional information necessary for processing the order received, to promote other companies' products and services, as appropriate.
  • Worked with third party payers to ensure proper reimbursement on patient accounts, identifying and preparing adjustment and write-offs as appropriate.
  • Communicate with case managers regarding the patient's order status.
  • Verify patient insurance coverage with providers.
  • Process information received from intake/service personnel.
  • Ensures proper selection of information online to ensure timely delivery and appropriate revenue recognition for order.
  • Maintains appropriate documentation received with order and conducted follow-up as applicable.
  • Demonstrates professional etiquette and courtesy when interfacing with customers.
  • Has Experience in MS Office, specifically Excel, Outlook and Word.
  • Resolves patient/customer complaints by identifying problems and coordinating appropriate corrective action.
  • Complies with and adheres to all regulatory compliance areas, policies and procedures, and best practice.
  • Performs other related duties as directed by supervisor.

Cashier/Stocker/Sales Assistant

Wal-Mart
10.2005 - 03.2011
  • Customer Service
  • I greet customers entering the store and respond quickly to customer needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Restocked and organized merchandise in front lanes.
  • Stocked, tagged and displayed merchandise as required.
  • Prepared merchandise for sales floor by pricing or tagging.
  • Rotated stock and restocked shelves to maintain product availability and store appearance.
  • Resolved customer complaints professionally, leading to improved customer relations and loyalty.

Education

High School Diploma -

Emily Griffith Technical College
Denver, CO
05-2004

Skills

  • Computer skills
  • Attention to detail
  • Data entry
  • Strong work ethic
  • Customer service
  • Teamwork and collaboration
  • Effective multitasking
  • Schedule coordination
  • Telephone etiquette
  • Insurance verification

Timeline

Scheduler, Scheduling Operations Coordinator

Trumpet Behavioral Health Care
08.2017 - Current

HBA financial counselor

Centura Healthcare
09.2014 - 08.2017

Customer Quality Specialist, Suspended Billing

Coram CVS HealthCare Company
04.2011 - 09.2014

Cashier/Stocker/Sales Assistant

Wal-Mart
10.2005 - 03.2011

High School Diploma -

Emily Griffith Technical College

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