Rosemary Villarreal
Montebello,CA
Summary
Patient Services Coordinator/Medical Office Manager, Experienced in the Medical Field; Clinics and Offices. Knowledgeable about Providers' Initial Healthcare Processes and Administrative Requirements. Medical Office Management -Qualified. Strong Ability to Professionally Manage Medical Business Correspondences. Passionate about the Opportunity Fulfill the Role in Patients Services Coordinating.
Overview
11
11
years of professional experience
Work History
Patient Services Representative
Covenant Surgical Partners
06.2023 - 09.2024
- Performed Excellent Communication Skills Liaising Between Ophthalmologists, Ophthalmology Technicians, Patients and Families to Ensure Smooth Functioning of Daily Operations Within the Clinic Setting.
- Contributed to Efficient Clinic Operations, Managing Appointments and Updating Patient Records Diligently.
- Co-Payments Collections Management and Compiled Daily Financial Records.
- Ensured Timely Interventions During Emergencies, Applying Critical Thinking Skills to Assess Situations Promptly.
- Assisted Patients in Filling Out Check-in and Payment Paper work.
- Eligibility Processing of Insurance Benefits Verifications for Noridian Medicare, Medi-Cal, and In-Network Plans such as Molina, Health Net, LA Care, Optom, Welbehealth, Carelon, Eye Med Vision, VSP, March Vision, Envolve Vision, etc...
- Implemented Effective Time Management Strategies to Balance Multiple Responsibilities, Resulting in Improved Productivity and Patient Satisfaction.
Intake Coordinator
Palermo Hospice, Inc.
01.2022 - 06.2024
- Provided Excellent Patient Care Services Coordination
- Maintained Strict Confidentiality of Patient Information, Adhering to HIPAA Guidelines and Company Policies.
- Provided Ongoing Clinical Staff Training on Intake Procedures, Contributing to a Well-Prepared Team.
- Created patients EMR Chart, Demographics completion by obtaining information from Patient Referral Source; PCP, Contacted In-Net Network Insurances, RN after Comprehensive Assessments and direct communication with PCG or Patient
- Obtained Patient's Hospice Referral for Record Compliance Intake Processing and Obtained Signed Hospice - Patient Consent Forms
- Obtained Medical History and Physical from Hospitals, Skilled Nursing Facilities, and Primary Care Providers
- Coordinated IDT Meetings
- Report to and from Clinical Staff for Daily Patient Updates, and Upload any Relevant Documentation/Reports to EMR Immediately per Guidelines
- Communicated with Providers for Documentation and Signature Compliance Regulations
- Compliance Charting; Obtained Insurance Medicare Beneficiary Eligibility Report or Medi-Cal Authorization Approvals, Explanation of Benefits, and HIS Submissions Documents
- Patients' DME and Supply Orders by MD, carried out
- Referral Coordinating for Patients' MD Referral Orders for Specialists Providers; Wounds, X-Rays, Ultrasounds, Podiatry, and Laboratories, then Obtained Results, or Assessment/ Treatment Reports
- Coordinated Patient Non-Emergency Transportation from Hospitals or SNF to Patients Current Hospice Place of Service
- Prepared Hospice Admission Packets
- Prepared Patients Bedside Home Chart Binders
- F/U with Pharmacies and Contracted Health Facilities for MD Orders Carried Out
- Patients' Assignment of all Clinical Staff per CEO or Office Manager
- Hospice Provider Multiline Telephone System and Emails
- Assurance of Outbound Faxes
- On-Call {After Hours} Coordinator and EMR Hospice MD On-Call Log Summary Scribe Documentation
Optometric Technician
National Vision Inc.
10.2021 - 10.2023
- Directed Patients to Preliminary Exam Room for Initial Evaluations and Intake to Aide Physicians with Carrying Out Efficient Appointments
- Operated and Maintained Machinery; Automated Lensometer, Auto-Refractor, and Visual Field Analyzer for Conducting Patient Preliminary Testings Procedures
- Gathered Testing Data Machinery Results/ Receipts, Documented, Scribed Patient's Chief Complaints, Prepared Patients Charts
- Performed Ancillary Testing When Ordered by Optometrist and Thoroughly Explained Procedures to Patients
- Facilitated Smooth Communication Between Patients and Optometrists, Acting as a Liaison for any Concerns or Questions
- Input Patient Information and Exam Findings into Electronic Medical Records System SDS to Facilitate Accurate Record-Keeping
- Maintained Clean and Organized Examination Rooms, Adhering to Strict Sanitation Standards for Optimal Patient Safety
- Instructed Patients on Contact Lens Insertion and Removal and Lens Care Guidelines
- Filled and Dispensed Eyeglass Prescriptions, Fitting Frames, Lenses and Contact Lenses for Patient Comfort and Convenience.
- Assisted Opticians Team with Measurements of Patients Pupillary Distances, OC Heights, and Seg Heights
- Pupilometer and Manual OC Ruler Proficiency
- Inventory Management and Ordering Supplies as Needed.
- Enhanced Patient Satisfaction by Managing Appointment Scheduling and Ensuring Efficient Office Flow.
- Assisted with Insurance Eligibility, and Benefits Pulling
- Assisted Patients with Eyeglasses Frame Adjustments
- Managed Administrative Duties in a Fast Paced Environment with Phone Reception, Insurance Coverage Verification, Appointment Scheduling and Co-Payment Processing, and Material Purchases Check-Out
Administrative Manager
West Coast Hospice Management Inc.
06.2015 - 01.2022
- Developed and Updated Policies and Procedures, Maintaining Compliance with Statutory, Regulatory and Local, State, and Federal Guidelines Relating to HIPAA, Benefits Administration and General Liability
- Recruited, Hired and Trained Staff, Providing Direct Supervision, ongoing Staff Development
- Processed Staff Credentials Verification, Background Check Processing, and Obtained all Documents for HR Filing
- Employee Retention and Salary Budget Management
- Maintained Payroll Information for Processing Accuracy , Calculated Rates per Staff, Collected Data, Processed Retroactive Payroll Adjustments, Issued all Payroll Employee Paychecks Monthly
- Managed Accounts Receivables and Payables; Quickbooks and Issued Paychecks
- Managed Online Insurance Payor Portals for Health Insurance EFT to Hospice Company Direct Deposits and Paper Debit Card Form Discrepancies to Check Form or Payments
- Managed Hospice Budgets and Financials, Ensuring Fiscal Responsibility
- Negotiated and Managed Contracts with Vendors and Contracted Healthcare Facilities such as Laboratories and Diagnostics Centers to secure essential Tests, Treatments, and Equipment are at Competitive Prices, Reducing Expenses without Compromising on Quality Care or Performance Standards.
- Managed Medical Billers for Prompt Responses on Insurance Eligibilities and Monthly Hospice Billing; Processed Spreadsheet via email of Monthly Billing Summary to Billers
- Conducted Assessments of Explanation Of Benefits for Eligibility for Services
- Conducted Thorough Assessments of New Hospice Referrals to Determine Eligibility for Services, Facilitating Efficient Patient Admission Processes.
- Organized Staff IDG Meetings, Office Staff Lunch-Ins, and Participated in Interdisciplinary Care Conferences to Discuss Patient Care Plans and Referrals, as well as Scribe in Meetings for Documentation
- Managed Caseloads Efficiently by Prioritizing Tasks According to Urgency and Complexity, Ensuring all Patients Received Appropriate Attention and Quality Hospice Care.
- Facilitated Patient and Family Meetings in Hospice Office, Zoom, FaceTime, or Conference Calls for Plan Of Care Specifications, Concerns, or Conflicts Surrounding End-Of-Life Decisions
- Coordinated Individualized Patient Discharge Planning and Follow-Up Care Recommendations, Assigned Clinical Staff to Summarize and Sign Documentation for Compliance and Prepared Discharge Forms for Patients to Sign Revocation of Services
Radiology File Clerk
Northridge Diagnostic Imaging Center
05.2013 - 06.2015
- Organized and Maintained Patient Chart Filing System to Promote Quick Data Finding
- Filed Patient Referrals through Insurances, PCP, Specialists
- Received and Routed Laboratory Results
- Contributed to Diagnostic Center Facility Cleanliness, and Regularly Auditing Storage Areas for Proper Organization and Orderliness.
- Ensured HIPAA Compliance by Securely Storing and Managing Confidential Patient Information.
- Maintained Accuracy, Completeness, and Security for Medical Records and Health Information.
- Key Holder Responsibility; Managed Confidential Paperwork in File Cabinets and File Closets Lock-up at Shift End
Education
Administrative Assistant -
Los Angeles ORT College
Los Angeles, CA01.2012
Skills
- Medical Business Management Principles
- Medical Terminology
- Electronic Medical Record Software Systems Proficiency
- Patient Registration Management
- HIPAA Compliance
- HR Documentation Filing and Patient Clinical Charting
- Referral Coordination
- Eligibility Determination
- Insurance Verification
- Accounts Payable and Accounts Receivable
- Payroll, Quickbooks, Record Accounting Bookkeeping
- Office Supplies and Inventory
- Multi-Line Phone Systems
- Organization and Time Management
- Effective Communication, Leadership, and Teamwork Values
Languages
Spanish
Native or Bilingual
Timeline
Patient Services Representative
Covenant Surgical Partners
06.2023 - 09.2024
Intake Coordinator
Palermo Hospice, Inc.
01.2022 - 06.2024
Optometric Technician
National Vision Inc.
10.2021 - 10.2023
Administrative Manager
West Coast Hospice Management Inc.
06.2015 - 01.2022
Radiology File Clerk
Northridge Diagnostic Imaging Center
05.2013 - 06.2015
Administrative Assistant -
Los Angeles ORT College
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