Toni Leal
Thornton,CO
Summary
Supportive Eligibility Specialist with extensive Medical office background and dedicated service skills. Seeking a position that offers professional challenges utilizing interpersonal skills, and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Patient Benefit Advisor / Medicaid Advocate
Parallon
11.2021 - Current
- Conduct patient intake interviews, recording and documenting relevant information into EMR system.
- Manage daily data entry and insurance verification for accurate and up-to-date coverage, to maximize facility reimbursement.
- Interview applicants and explain scope of different available benefits.
- Assist clients with completion of applications and paperwork.
- Use critical thinking to break down problems, evaluate solutions and make decisions.
- Attention to detail while completing assignments.
Care Coordinator Team Lead
Major Medical Supply
03.2014 - 04.2021
- Acted as main point of contact for internal sales team, and Management for all Medicare referral's, maintaining high levels of communication.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Cross-trained existing employees to maximize team agility and performance.
- Established performance goals for employees and provided feedback on methods for reaching those milestones through weekly or Monthly One on One's.
- Established team priorities, maintained schedules and monitored performance.
- Managed and motivated employees to be productive and engaged in work.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Monitored patient health records for accuracy to meet compliance with health insurance guidelines for maximum reimbursement.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Applied administrative knowledge and courtesy to explain services of Oxygen, CPAP and Durable Medical Equipment to patients.
- Answered incoming calls, scheduled appointments and filed medical records.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Opened and closed location and maintained daily staff coverage to uphold successful daily operations.
Customer Service Representative
Sleepworks of Denver
10.2013 - 01.2014
- Managed daily data entry and kept clerical information accurate and up-to-date.
- Provided administrative support by maintaining complete patient documents.
- Served as first point of contact with new and returning patients.
- Coordinated patient care services with staff, physicians, patients and other practice departments.
- Interacted with customers by phone, email, or in-person to provide information.
- Completed clerical tasks such as filing, copying, and distributing mail.
Front office
Downtown Healthcare
05.2013 - 08.2013
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Performed various administrative tasks by filing, copying and faxing documents.
- 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.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Organized paperwork such as charts and reports for office and patient needs.
Education
Certificate of Completion - Medical Office Administration / Billing And Coding
Concorde Career College
Aurora, COGED -
Denver, CO2010
Skills
- Adobe Systems Adobe Acrobat
- Microsoft Outlook
- Microsoft PowerPoint
- Administrative Duties
- Medical Software Applications
- CPT Coding
Timeline
Patient Benefit Advisor / Medicaid Advocate
Parallon
11.2021 - Current
Care Coordinator Team Lead
Major Medical Supply
03.2014 - 04.2021
Customer Service Representative
Sleepworks of Denver
10.2013 - 01.2014
Front office
Downtown Healthcare
05.2013 - 08.2013
Certificate of Completion - Medical Office Administration / Billing And Coding
Concorde Career College
GED -
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