VANIA SCHNEIDER
Stafford,TX
Summary
Self-motivated and dependable while achieving high performance with minimal supervision. Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
18
18
years of professional experience
Work History
Precertification Specialist
OrthoLoneStar/Fondren Orthopedic Group
Houston, TX
11.2018 - Current
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Communicated with patients with compassion while keeping medical information private.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Entered client information and files into databases for further review and tracking.
- Provided follow-up on pending precertification requests to ensure timely processing.
- Compiled and submitted precertification requests for review by payers in accordance with established timelines.
- Processed appeals when necessary following denial or rejection of claims due to lack of proper authorization.
- Participated in new hire training and development tasks.
- Assisted with answering provider inquiries regarding preauthorization requirements and processes.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Ensured compliance with all HIPAA regulations pertaining to protected health information.
- Maintained detailed documentation of all activities related to the precertification process.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Resolved any discrepancies identified during the precertification process.
- Analyzed trends in denials or rejections of claims due to lack of proper authorization.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Participated in training sessions conducted by insurers concerning changes in policies, procedures, guidelines.
- Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
- Collaborated with other departments within the organization as needed to resolve issues or obtain additional information.
- Identified opportunities for improvement within the precertification process and recommended solutions accordingly.
- Completed day-to-day duties accurately and efficiently.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Worked with cross-functional teams to achieve goals.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Recognized by management for providing exceptional customer service.
Sales / Administrative Assistant
Elegant Jewelers
Sugar Land, TX
08.2017 - Current
- Organize and display items in a visually appealing manner
- Operate cash register to process cash, check and credit card transactions
- Organize and file all repair tickets and sales transactions
- Maintain social media sites and marketing.
Assistant Teacher
Sugar Mill Montessori School
Sugar Land, TX
02.2017 - 08.2017
- Planned and implemented educational programs for children ages 6 months to 6 years
- Upheld all CPR and Texas regulated certifications
- Offered detailed daily reports that outlined each child's activities.
Nanny
Private Family
Richmond, TX
02.2016 - 01.2017
- Planned and implemented educational programs for 1 child
- Sparked creativity and imagination by helping the child discover new things each day
- Communicated with the child's parents about daily activities, feedings and naps.
Compliance Technician
Precision Pulmonary Diagnostics
Houston, TX
02.2015 - 02.2016
- Analyzed data from CPAP (Continuous Positive Airway Pressure) machines for obstructive sleep apnea
- Monitored national trucking companies to ensure drivers were meeting company and national compliance guidelines
- Answered phones and dispatched calls
- Assisted Intake and Billing Department with monitoring incoming drivers and medical equipment.
General Manager
Stomping Grounds Playland
Sugar Land, TX
02.2013 - 01.2015
- Managed 15-20 employees and the kitchen
- Maintained inventory and ordered supplies as necessary
- Coordinated all vendors to meet necessary needs
- Responsible for employee scheduling and payroll
- Handled hiring and firing
- Kept up with daily reports and banking procedures
- Booked and confirmed parties, play dates and field trips
- Short order cook and barista
- Kept up with the cleanliness of all areas of the facility
- Maintained marketing and social media sites
- Implemented HR policies and procedures
- Part of team planning to expand the business to multiple stores.
Branch Associate
BBVA Compass
Sugar Land, TX
07.2012 - 01.2013
- Processed multiple customer transactions hourly while demonstrating extreme attention to detail
- Identified and eliminated errors when balancing ATM transactions, teller cash dispensers and teller cash recyclers
- Assisted customers in bank operations, including opening accounts, accessing safe deposit boxes and ATM operations
- Reconciled cash and checks against computer records at end of shift.
Sales Lead
Gymboree
Sugar Land, TX
01.2011 - 01.2012
- Maintained hourly sales report and banking procedures
- Maintained store cleanliness and products
- Informed customers of ongoing promotions and sales
- Restocked inventory as needed.
Shift Manager
Stomping Grounds Playland
Sugar Land, TX
01.2009 - 01.2011
- Assisted with supervision of 15-20 employees
- Coordinated and confirmed parties, play dates and field trips
- Short order cook and barista
- Maintained cleanliness of all areas of the facility.
Assistant Site Coordinator
FBISD Extended Day Program, Lantern Lane ES
Missouri City, TX
01.2007 - 01.2009
- Supervised 30-40 children
- Parent liaison
- Developed lesson plans and assisted with homework
- Reading and bullying specialist.
Sales Associate
Malibu Tan
Missouri City, TX
01.2006 - 01.2007
- Sales of memberships and lotions
- Maintained cleanliness of facility and tanning beds
- Processed cash and credit card transactions
- Balanced cash drawer.
Administrative Assistant
University of Houston, Natural Science Department
Houston, TX
- Assisted accounts payable and receivable manager
- Worked with the payroll manager in keeping up with science department professors and staff time-sheet
- Receptionist.
Education
Childhood Education -
University of Houston
01.2011
Skills
- Training and development
- File/records maintenance
- Excellent communication
- Microsoft Office
- Operations management
- Time management skills
- Financial records and processing
- Computer proficient
- Electronic Health Records Management
- Medical Terminology Proficiency
- Effective Communication Skills
- Recordkeeping and Data Input
- Telephone Etiquette
- Confidentiality
- Appointment Scheduling
- Documentation and Reporting
- Medicaid Knowledge
- Verbal Communication
Honors And Awards
- Dean's List: Summer and Fall 2006; Summer and Spring 2007
- University of Houston Scholarships: Fall 2006 - August 2007
References
References available upon request.
Timeline
Precertification Specialist
OrthoLoneStar/Fondren Orthopedic Group
11.2018 - Current
Sales / Administrative Assistant
Elegant Jewelers
08.2017 - Current
Assistant Teacher
Sugar Mill Montessori School
02.2017 - 08.2017
Nanny
Private Family
02.2016 - 01.2017
Compliance Technician
Precision Pulmonary Diagnostics
02.2015 - 02.2016
General Manager
Stomping Grounds Playland
02.2013 - 01.2015
Branch Associate
BBVA Compass
07.2012 - 01.2013
Sales Lead
Gymboree
01.2011 - 01.2012
Shift Manager
Stomping Grounds Playland
01.2009 - 01.2011
Assistant Site Coordinator
FBISD Extended Day Program, Lantern Lane ES
01.2007 - 01.2009
Sales Associate
Malibu Tan
01.2006 - 01.2007
Administrative Assistant
University of Houston, Natural Science Department
Childhood Education -
University of Houston
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