Veronica Alcorta
Cypress,TX
Summary
Results-driven and collaborative professional ready to take on leadership responsibilities and drive success. Proven track record in team management and project execution. Thrives in dynamic work environments. Reliability and strong organizational skills ensure seamless team operations and goal achievement.
Overview
18
18
years of professional experience
Work History
Ancillary Support Services Floater & Back Office Team Lead
Advanced Orthopaedics & Sports Medicine
08.2022 - 12.2024
- Management of back office staff
- Assisting upper management with improving current workflows for evolving Ancillary Department.
- Assisted with hiring and onboarding of new back office staff.
- Data Entry (Registration of new patients, updating information/health insurance of current patients, inputting information to Excel for management statistics)
- Coverage for front desk staff (check in/check out) as needed for PTO
- Answering phones & routing to correct department
- Scheduling patients (inside & outside referrals) for physical & occupational therapy (to include custom fabricated splints & post operative)
- Ensuring accuracy of therapy orders, obtaining medical records as needed
- Insurance verifications for physical therapy, occupational therapy, & durable medical equipment
- Notifying patients of financial responsibility prior to initial evaluation or pick up of medical equipment
- Submit prior authorization request (commercial, Medicare, and workers comp) for physical & occupational therapy, and DME
- Checking status of requests for authorizations or extensions
- Request PCP referral for patient's being seen in physical & occupational therapy for HMO insurance
- Coordinate with physician's staff/therapists status of patient treatment for continuation of treatment (for prior authorization, PCP referral, or visit limit purposes)
- Submit appeals for denied prior authorization request, assist with coordination of peer to peer requests
- Submit requests for retro authorizations upon denial of claims or research patient information to assist with claim denials
- Coordination of scheduling patients for pick up of medical equipment needed for post operative care and after prior authorization approval based on DME ordered by physician during in office visit
- Coordinate ordering of DME with DME Supervisor (if item is not stocked in office)
- Verifying with DME staff during office visit if DME can be dispensed and quote patient responsibility or submit for prior authorization
- Assist back office staff with overflow of verifications or coverage for PTO as needed
- Training of new staff for scheduling department, front desk, or back office verifications
- Proficient in Centricity, Athena, and portals for various insurance carriers (Availity, UHC, Medicare/CGS, Etc.)
Financial Counselor
NW Surgery Center
02.2019 - 08.2022
- Assist front desk staff with surgery scheduling, answering phones and routing to appropriate staff, check in surgery patients, distribute mail to appropriate department, create new patient charts
- Filing
- Proficient EMR systems (HST, Medisoft)
- Ensuring accuracy of surgery orders
- Verifying insurance benefits and requesting prior authorizations as required by health insurance and worker's compensation carriers
- Contacting patients to notify of patient responsibility prior to surgery
- Health insurance and workers' compensation collections
- Calling carriers to check status of claims and filing appeals as needed
- Billing patients for additional patient responsibility
Receptionist
NW Surgery Center/Cypress Orthopedics
07.2019 - 03.2020
- Answer phones and route appropriately
- Schedule patients
- Verify insurance benefits with various health care carriers
- Check in patients and collect patient responsibility (deductibles/coinsurance)
- Data entry
- Fax requests for surgery scheduling
- Filing
- Assisted physician, medical assistant, and x-ray tech with patients.
Administrative Assistant
Hicks Carpet One Floor and Home
04.2008 - 08.2009
- Answer phones and route appropriately
- Data entry
- Filing
- Process payroll
- Manage accounts receivable
Receptionist
MED Trust
08.2006 - 09.2007
- Answer phone calls and route appropriately
- Data entry
- Filing
- Scheduling of nurses to accommodate staffing needs
Education
High School Diploma -
Antonian Preparatory College High School
San Antonio, TX05-2007
Skills
- Positive attitude
- Attention to detail
- Willing to learn
- Reliable
- Hard worker
- Able to multi-task and work well under pressure
- Great communication skills
- Great leadership skills
- Ability to work in diverse groups
- Bilingual (Spanish)
- Medical Collections, Front Desk, Insurance Verifications (Orthopedics, Physical & Occupational Therapy, & DME)
- EMR Systems (HST, Medisoft, Athena, Centricity)
- Various insurance portals (Availity, Cigna, UHC, Medicare/CGS, etc)
- Microsoft Office
Licenses/certificates
- Texas Notary License, 05/29/23 (Renewable)
- Valid Class C Drivers License
- Valid US Passport
REFRENCES
Available upon request.
Timeline
Ancillary Support Services Floater & Back Office Team Lead
Advanced Orthopaedics & Sports Medicine
08.2022 - 12.2024
Receptionist
NW Surgery Center/Cypress Orthopedics
07.2019 - 03.2020
Financial Counselor
NW Surgery Center
02.2019 - 08.2022
Administrative Assistant
Hicks Carpet One Floor and Home
04.2008 - 08.2009
Receptionist
MED Trust
08.2006 - 09.2007
High School Diploma -
Antonian Preparatory College High School
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