Wanda Dominguez
Ossining,NY
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Experienced with managing patient interactions and administrative responsibilities. Utilizes effective communication and problem-solving skills to enhance patient satisfaction. Knowledge of healthcare protocols and administrative procedures ensures smooth operations.
Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring [Number] years of relevant work experience to your team.
Overview
19
19
years of professional experience
Work History
Patient Service Representative
WMC Health Advance Physicians Services
06.2024 - Current
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Managed patient registration process, confirming data accuracy and completeness.
- Used Cerner software to schedule appointments.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Handled customer service inquiries in person, via telephone and through email.
- Assisted patients in filling out check-in and payment paperwork.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Entered patient demographic and insurance data into electronic medical record system.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
- Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Took copayments and compiled daily financial records.
- Balanced deposits and credit card payments each day.
- Built and maintained positive working relationships with patients and staff.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
- Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.
- Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Answered incoming calls, scheduled appointments and filed medical records.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Trained new staff on filing, phone etiquette and other office duties.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Responded to inquiries by directing calls to appropriate personnel.
- Delivered support to medical staff in completion of patient paperwork.
- Recommended service improvements to minimize recurring patient issues and complaints.
Legal Assistant/ Office Administrator
Brody Law Group
09.2018 - 03.2024
- Supervised customer service and client communications
- Calendar coordination
- Conducting legal research and writing
- Client billing and accounting
- Document organization and management
- Assign and monitor clerical functions
- Maintained office services by organizing office operations and procedures
- Review and approve supply requisitions
- Conducting translations of client statements from Spanish to English
- Processed HIPAA authorization forms to obtain medical records; tasks include collecting patient information, distributing medical files, and filing and processing patients admission and discharge papers
- Managed high-volume workload while maintaining strict attention to detail on every task such as drafting pleadings or summarizing depositions accurately.
- Drafted accurate and persuasive legal correspondence, contributing to successful negotiations and settlements.
- Conducted comprehensive legal research using various resources such as online databases, law libraries, or government agencies to support case strategies effectively.
- Translated witness statements from Spanish to English
- Translated phone conversations from Spanish to English
No Fault Arbitration/Litigation Examiner
Country-wide Insurance Company
01.2017 - 07.2018
- Process and review litigation and arbitration cases with the knowledge of Regulation 68
- Communicate with attorneys for the settlement of conciliation cases
- Process stipulations of payments
- Work with AAA (Modria website) for possible settlements/defense
- Knowledge of ProLaw software and AS400 systems
- Maintained up-to-date knowledge of industry regulations to ensure accurate application assessments.
- Reduced processing time by implementing streamlined workflows for more efficient application reviews.
- Managed high volume caseloads, prioritizing tasks to meet strict deadlines while maintaining attention to detail.
Claims Examiner
American Transit Insurance
05.2011 - 12.2016
- Investigated claims, adjustments, or denials and arranged medical records in order
- Data Entry and pre-batch medical specials
- Processed lost wages claims
- Handled the insurance forms, subpoenaed checks, and subpoena files to be sent to designated courts
- Maintained communication with all medical providers
- Took the responsibility to handle medical and loss-of-wage wages claims
- Translated investigations documents from English to Spanish
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
- Provided exceptional customer service by empathetically addressing claimants'' concerns and effectively explaining the claims process to them.
- Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
Receptionist
Broadway Medical and Dental Care
02.2007 - 06.2011
- Authenticated patient’s health insurance and collected co-payments if necessary
- Billed insurance company accordingly
- Made appointments for patients
- Answered patients questions regarding different health insurance plan’s features, covered, and non-covered
- Established and maintained a positive working relationship with doctors, coworkers, and patients
- Confirmed appointments, communicated with clients, and updated client records.
- Handled cash transactions and maintained sales and payments records accurately.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Improved data privacy compliance with meticulous management of sensitive information.
- Improved office organization with meticulous management of appointment scheduling and client databases.
- Operated multi-line telephone system to answer and direct high volume of calls.
Medical Billing Externship
Beth Israel Hospital
06.2006 - 02.2007
- Registered patients in the urology department
- Called health insurance to obtain pre-verification for the undergoing surgery
- Developed organizational skills through managing multiple tasks simultaneously while adhering to strict deadlines.
- Verified patient’s referrals and collected co-payments
- Improved coding efficiency with introduction of automated testing scripts.
- Processed data entry of payments through IDX
- Enabled more organized inventory system by cataloging company assets.
- Prepared batch payments and confirmed batches are closed
- Supported customer service improvements with detailed feedback analysis.
- Collected, arranged, and input information into database system.
Education
Medical Billing and Coding certificate program Diagnose coding using ICD -
Sanford Brown Institute
New York, NY01.2008
Skills
- Problem resolution
- Multitasking
- Good work ethic
- Computer proficiency: Microsoft Word, Excel, PowerPoint, Medisoft, IDX, MDE, and Ontrac
- Data entry
- Scheduling and calendar management
- Quality-oriented team player
- Files and records management
- Insurance collection and claim review
- Medical coding understanding
- Adaptability and time management
- Communication skills
- Organizational know-how
- Collaboration talent
- Communication and interpersonal skills
- HIPAA compliance
- Insurance verification
- Insurance verifying
- Appointment scheduling
- Payment collection
- Medical terminology
- Scheduling appointments
- Office administration
- Data entry proficiency
- Document filing
- Medical insurance
- Customer service experience
Languages
Spanish
Native/ Bilingual
English
Native/ Bilingual
Timeline
Patient Service Representative
WMC Health Advance Physicians Services
06.2024 - Current
Legal Assistant/ Office Administrator
Brody Law Group
09.2018 - 03.2024
No Fault Arbitration/Litigation Examiner
Country-wide Insurance Company
01.2017 - 07.2018
Claims Examiner
American Transit Insurance
05.2011 - 12.2016
Receptionist
Broadway Medical and Dental Care
02.2007 - 06.2011
Medical Billing Externship
Beth Israel Hospital
06.2006 - 02.2007
Medical Billing and Coding certificate program Diagnose coding using ICD -
Sanford Brown Institute
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