Vivian Hernandez
Santa Paula,CA
Summary
Healthcare professional proven to deliver exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. . Proven problem solver and excellent communicator. Strong organizational skills, super understanding of data collection and performance metrics. Efficient Referral Coordinator with 20 years experiance. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. With experience in scheduling and coordinating referrals. Efficiently and accurately completing paperwork. Offers strong time management, organizational and multitasking abilities. Hardworking and passionate job seeker with strong organizational skills. Ready to help team achieve company goals.
Overview
26
26
years of professional experience
Work History
Referral Coordinator
Academic Family Medicine Center
03.2019 - Current
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Assisted with completion of referral forms and verified data accuracy and completion
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
- Scheduled appointments with specialists on behalf of clients.
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
- Provided education and instruction to referral sources on referral processes.
- Developed and implemented effective strategies to increase referral sources.
- Attended continuing education courses to stay current on referral processes and best practices.
- Assisted with discharge planning coordination and post-acute care referrals.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Obtained pre-authorization from Gold Coast and Valley Care and other Insurance companys for CT, MRI'S Ext.
Medical Office Assistant
Medicine Specialty Center
03.2008 - 03.2019
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided prompt, polite and professional in-person and telephone customer service.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Used [Software] to schedule appointments for doctor visits and procedures.
- Registered patients and completed associated paperwork for accurate records.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Restocked each medical room with adequate supply of medications and supplies in preparation for patients.
- Relayed care and medication advice to patients to relieve physicians during peak hours.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Obtained payments from patients and scanned identification and insurance cards.
- Registered and verified patient records before triage with most up-to-date information.
- Received and routed laboratory results to correct clinical staff members.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Prepared and processed patient referrals and transfer requests.
- Placed new supply orders, managed inventory and restocked clerical spaces.
Medical Assistant
Fillmore Medical Center
07.2008 - 01.2010
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
- Collected and documented patient medical information such as blood pressure and weight.
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Taught patients about medications, procedures, and care plan instructions.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Verified patient insurance coverage and collected required co-payments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Completed EKGs and other tests based on patient presentation in office.
- Prepared lab specimens for diagnostic evaluation.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Oriented and trained new staff on proper procedures and policies.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Collected pertinent data and calculations to aid physician in interpreting results.
- Measured patient pulse oximetry.
- Implemented care and efficiency improvements to support and enhance office operations.
Medical Front Office Receptionist
Valley Medical Group
04.1998 - 03.2008
- Checked patient insurance, demographic, and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Helped patients complete necessary medical forms and documentation.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed multi-line phone system and pleasantly greeted patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Supported office staff and operational requirements with administrative tasks.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Completed clerical duties and tasks for clinic administration.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Completed patient referrals to other medical specialists.
- Transcribed phone messages and relayed to appropriate personnel.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Invoiced patients accurately in line with charging guidelines.
- Printed prescription requests and queries in compliance with practice protocol.
- Notified manager of incidents and potential incidents relating to patients and staff for swift action.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained payments from patients and scanned identification and insurance cards.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Performed various administrative tasks by filing, copying and faxing documents.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Conducted patient intake interviews, recording and documenting relevant information.
- Registered and verified patient records before triage with most up-to-date information.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Education
No Degree -
Ventura College
Ventura, CAHigh School Diploma -
Santa Paula High School
Santa Paula, CA06.2000
Medical Assistant -
Oxnard Adult School
Oxnard, CA06.1998
Skills
- Multi-Line Phone Proficiency
- Notetaking and Documentation
- Caseload Management
- Multi-Line Telephone Operation
- Accurate Documentation
- Appointment Scheduling
- Medical Terminology
- Pre-Authorizations
- Record Preparation
- Lead Generation
- Insurance Verification
- Physician Authorizations
- Employee Recruitment and Hiring
- Critical Thinking
- Decision-Making
- Medical Condition Coding Software
Languages
Spanish
Full Professional
Timeline
Referral Coordinator
Academic Family Medicine Center
03.2019 - Current
Medical Assistant
Fillmore Medical Center
07.2008 - 01.2010
Medical Office Assistant
Medicine Specialty Center
03.2008 - 03.2019
Medical Front Office Receptionist
Valley Medical Group
04.1998 - 03.2008
No Degree -
Ventura College
High School Diploma -
Santa Paula High School
Medical Assistant -
Oxnard Adult School
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