Virginia Garcia
Los Angeles,CA
Summary
Efficient Referral Coordinator with over 15 years of experience. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes.
Bilingual English-Spanish, fluent.
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving.
Hardworking, dedicated and passionate job seeker.
Overview
23
23
years of professional experience
Work History
Referral Coordinator
Montes Medical Group
Inglewood, CA
03.2014 - Current
- Authorization submissions
- Authorization follow up
- Arrange outpatient appointments
- Outreach
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process
- Scheduled appointments with specialists on behalf of patients
- State Insurance, health plans verification
- Called insurance companies to get precertification, pre-authorization and other benefits information
- Trained staff on authorization/referral and intake process
- EMR experienced
Front Desk Receptionist
Florence Hooper Family Medical Clinic
Los Angeles, CA
09.1998 - 02.2014
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Organize and supervise all of administrative activities that facilitate smooth and efficient running of medical office, oversee numerous staff and carry out range of IT-related tasks
- Manage filling systems
- Maintain condition of office and arrange for necessary repairs
- Ensure adequate staff levels to cover for absences and peaks in workload
- Manage performance and discipline staff
- Delegate work to staff and manage their workload and output as required
- EMR experience
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Direct patient flow during practice hours, minimizing patient wait time
- Complete registration quickly and cordially for all new patients
- Ensure HIPAA compliance
- Provide necessary health education handouts per, physicians request
- Utilize strong assessments skills / screening to determine necessary patient care
- Arrange and assist with hospital admissions
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
- Used internal software to process check-ins and check-outs.
- Collected room deposits, fees and payments.
- Kept accounts in balance and ran daily reports to verify totals.
- Write clear and detailed clinical phone messages for physicians and mid-level practitioners
- Prepare prescriptions refill request on behalf of providers
- Carefully review medical records for accuracy and completion as required by insurance companies
- Strictly follow all federal and state guidelines for release of information
- Serves as interpreter between patients and physicians to assist patients in understanding their treatment plans when available and/or required
- Maintain patient privacy and confidential patient information
- Respond to customer inquiries, compliments and complains
- Arrange regular testing for electrical equipment and safety devices
- Attend conferences and training as necessary
- Acquire insurance authorizations for outpatient referrals, procedures and test orders by attending physician and mid-level practitioners
Education
High School Diploma -
Verdugo Hills High School
Verdugo Hills, CA06.1994
Skills
- Multi-line telephone operation
- Notetaking and documentation
- Appointment Reminders
- Pre-authorizations
- Medical terminology
- Scheduling Software
- Physician Authorizations
- Insurance coding (ICD-9 and CPT)
- Insurance Verification
- Appointment Scheduling
- Multitasking Abilities
- Medical billing
- Clerical experience
Additional Information
References are available upon request
Timeline
Referral Coordinator
Montes Medical Group
03.2014 - Current
Front Desk Receptionist
Florence Hooper Family Medical Clinic
09.1998 - 02.2014
High School Diploma -
Verdugo Hills High School
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