Virginia Salcedo
STATEN ISLAND,NY
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
Work History
Patient Care Coordinator
Mount Sinai Doctors
09.2022 - Current
- Communicate with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Greet and assist patients with check-in procedures.
- Answer incoming calls, schedule appointments and file medical records.
- Process payments using cash and credit cards, maintaining accurate records of transactions.
- Verify patient insurance eligibility and enter patient information into system.
- Work effectively in fast-paced environments.
Authorization Specialist
Centers Home Health Care
09.2019 - 08.2022
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
CDPAP Coordinator
Centers Plan For Healthy Living
05.2017 - 09.2019
- Provided compassionate and patient-focused care to cultivate well-being.
- Managed a diverse caseload of patients with varying needs, ensuring personalized attention and care coordination for each individual.
- Built and maintained rapport with clients and family members to facilitate trusting caregiver relationship.
- Completed regular check-ins and progress report for each client.
- Managed time efficiently in order to complete all tasks within deadlines.
Member Service Representative
Centers Plan For Healthy Living
08.2016 - 05.2017
- Responded to customer calls and emails to answer questions about products and services.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Successfully handled high volume of inbound calls
- Handled escalated calls professionally, mitigating concerns effectively while maintaining excellent rapport with clients.
- Exhibited high energy and professionalism when dealing with clients and staff.
Education
GED -
New Dorp High School
Staten Island, NYSkills
- Organizational Skills
- Time Efficient
- HIPAA Compliance
- Multitasking ability
- Patient Care Coordination
- Schedule Coordination
- Medical Terminology
- Documenting and Recording Information
- Knowledge of ICD and CPT codes
Timeline
Patient Care Coordinator
Mount Sinai Doctors
09.2022 - Current
Authorization Specialist
Centers Home Health Care
09.2019 - 08.2022
CDPAP Coordinator
Centers Plan For Healthy Living
05.2017 - 09.2019
Member Service Representative
Centers Plan For Healthy Living
08.2016 - 05.2017
GED -
New Dorp High School
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