VIRGINIA SUAREZ
Costa Mesa,CA
Summary
Dedicated financial coordinator with a strong background in insurance documentation and patient referrals. Skilled in data entry and benefits explanation, contributing to improved patient experiences and operational efficiency within healthcare settings.
Overview
2
2
Languages
1
1
Certification
9
9
years of professional experience
Work History
Financial Coordinator
CHILDRENS HOSPITAL OF ORANGE COUNTY
Orange, California
06.2024 - Current
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Verified eligibility of services through various payers such as Medicare, Medicaid, and private insurance carriers.
- Responded promptly to inquiries from patients regarding their bills or insurance coverage issues.
- Updated patient profiles with current insurance information and other changes.
- Carefully checked insurance information for benefits coverage and input pre-authorization documents into the system.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Coordinated timely referrals between patients and specialists to enhance patient care.
- Assisted patients with insurance verification and authorization processes.
- Communicated with healthcare providers to ensure accurate referral processing.
- Maintained referral documentation in electronic health record systems.
- Collaborated with clinical staff to streamline referral workflows.
- Monitored referral statuses and proactively followed up with patients to ensure continuity of care.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Answered questions and resolved concerns raised by both patients and specialists.
- Communicated regularly with patients regarding their care plans following a referral.
- Adhered to HIPAA regulations when handling confidential patient information.
- Contributed to regular meetings focused on developing referral strategies, expanding networks, and analyzing program performance.
- Trained new team members on referral coordination procedure.
MEDICAL ASSISTANT
CHILDRENS HOSPITAL OF ORANGE COUNTY
Orange, California
07.2019 - Current
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Assisted medical staff with patient examinations and procedures.
- Educated patients and families on treatment plans and medications.
- Provided compassionate support to patients during their visits.
- Managed patient records using electronic health record systems.
- Maintained accurate medical records through filing, charting, transcription and data entry into an electronic health record system.
- Registered new patients accurately in practice management software to ensure proper record-keeping. into practice management software program accurately entering demographic information.
- Prepared examination rooms and ensured cleanliness and organization.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Adhered to HIPAA regulations safeguarding confidential patient information at all times.
- Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
Medical Assistant
DASUN CHEN, MD
Newport Beach, California
06.2017 - 07.2019
- Answered phones, greeted patients and filed paperwork to maintain smooth operations in front office.
- Scheduled appointments for patients via phone and in person and managed physician calendars effectively.
- Collected medical histories and insurance details during patient intake.
- Informed patients of payment policies, collected insurance information and verified benefits.
- Organized patient charts before each day's clinic sessions began.
- Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
- Assisted with pre-op and post-op patient instructions to support compliance and safety.
- Communicated case changes and patient needs to surgical teams during procedures to ensure coordinated care.
- Scheduled appointments for patients, prepared necessary paperwork, and provided information regarding pre-operative instructions.
- Supported operating room scheduling to improve room use and align staff assignments.
- Sent H&P forms and patient details to surgery facility to maintain accurate records and facilitate communication.
- Prepared examination rooms and ensured cleanliness and organization.
- Cleaned and maintained medical equipment following procedures and standards.
- Assisted in training new staff on protocols, policies, and best practices in surgery coordination.
Education
MEDICAL ASSISTANT CERTIFICATE -
Concorde Career College
Garden Grove, CA06-2017
High School Diploma -
BACK BAY MONTE VISTA HIGH SCHOOL
Costa Mesa, CA06-2011
Skills
- Insurance verification
- Insurance processing
- Benefits explanation
- Referral coordination
- Financial documentation
- Data management
- Patient education
- Effective communication
Languages
English
Professional
Spanish
Professional
Certification
- BLS
Timeline
Financial Coordinator
CHILDRENS HOSPITAL OF ORANGE COUNTY
06.2024 - Current
MEDICAL ASSISTANT
CHILDRENS HOSPITAL OF ORANGE COUNTY
07.2019 - Current
Medical Assistant
DASUN CHEN, MD
06.2017 - 07.2019
MEDICAL ASSISTANT CERTIFICATE -
Concorde Career College
High School Diploma -
BACK BAY MONTE VISTA HIGH SCHOOL