Yadira Andrade

• Provide support for a busy Spine Surgeon
• Coordinate and schedule new patients and follow up appointments
• Verify insurance
• Obtain prior authorization for diagnostic testing for Workers Comp patients
• Work very closely with surgical coordinator
• Call in new prescriptions and refill requests for medication
• Prepare patients charts
• Coordinate physician's calendar
• Answer telephones.

• Provide support for three physicians via telephone and documentation while collaborating with their respective staff
• Coordinate and schedule new patients for the Blood and Marrow Transplant Department through continuous communication with patients to gather information pertaining to their ailment and medical history
• Obtain authorizations from insurance companies
• Follow proper procedure and ensure that correct documentation was complete
• Prepare new patient medical charts.

• Obtain authorizations from insurances for patients visits
• Support the team by answering telephones, scheduling appointments, patient check-ins, and call-in pharmacy refills on numerous medications

• Provide front office duty of answering telephone calls, scheduling appointments, and patient check-in
• Prepare new and existing patient medical charts
• Verify information with the patient's parents and/or legal guardian to sign consent forms and provide translation when necessary.

• Conducted data entry, created new cases, closed cases, and transfer coordinator and services.

• Provide support to the team by answering telephones call, scheduling and confirming appointments
• Verify patient's eligibility to receive medical services
• Assist Therapist with interpretation while assisting Office Manager with administrative tasks.

• Provide assistance for the front and back office in an internal medicine practice
• Assist the internal medicine practice by scheduling appointments
• Perform clerical and filing duties
• Verify insurance, data entry
• Gather and prepare medical charts.

• Adhered to strict HIPAA guidelines to protect patient privacy.
• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Managed multi-line phone system and pleasantly greeted patients.
• Helped patients complete necessary medical forms and documentation.

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• Checked patient insurance, demographic and health history to keep information current.
• Maintained current and accurate medical records for patients.
• Organized paperwork such as charts and reports for office and patient needs.
• Transcribed phone messages and relayed to appropriate personnel.
• Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
• Completed patient referrals to other medical specialists.

• Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
• Worked closely with patients to deliver excellent and direct individualized patient care.
• Delivered excellent patient experiences and direct care.
• Maintained confidentiality of patient data and condition to safeguard health information.

• Worked with patients to schedule tests and procedures.
• Worked with patients and families to develop future plans and discuss care actions.
• Educated patients by explaining preparation instructions for upcoming procedures and tests.
• Reviewed each step of patient care and made proactive adjustments to avert issues.
• Monitored ongoing care and proactively corrected problems.
• Encouraged patients to schedule recommended tests and procedures.

• Reviewed and corrected claim errors to facilitate smooth processing.
• Escalated files with significant indemnity exposure to supervisor for further investigation.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Calculated adjustments, premiums, and refunds.
• Generated, posted and attached information to claim files.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Posted payments to accounts and maintained records.
• Prepared insurance claim forms or related documents and reviewed for completeness.
• Maintained confidentiality of patient finances, records and health statuses.
• Verified client information by analyzing existing evidence on file.
• Checked documentation for accuracy and validity on updated systems.
• Processed and recorded new policies and claims.
• Followed up on denials, late payments, extensions and other special circumstances.
• Resolved discrepancies in insurance payments by collaborating with carriers.
• Responded to customer calls swiftly to resolve issues and answer questions.

Check in patients, prepare charts for upcoming surgeries, collect co pays, answer calls, verify insurance eligibility, collected pre ops making sure they were cleared for surgery’s, audit charts, uploaded Operative reports to files, emailed billing company Operative reports for billing purposes.