Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Yadira Sanchez

Sacramento,CA

Summary

Seeking challenging work where I can utilize my skills and experience, as well as perform, enhance my knowledge, and contribute to the growth of your organization. Professional Summary: Patient-oriented and helpful candidate familiar with EPIC and knowledgeable of medical terminology. Committed to providing outstanding service and quality patient care. Excellent problem-solver and clear communicator with positive and upbeat personality. Motivated to learn and grow in your organization.

Overview

8
8
years of professional experience

Work History

Project Policy Analyst

UC Davis TES
09.2023 - Current
  • Facilitate collaboration within the team by organizing regular meetings, maintaining meeting minutes, and tracking project progress.
  • Assist in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
  • Assist with general administrative assistant work, including scheduling meetings, assisting with setup and tear down for meetings, complete administrative forms for HR processes, process reimbursement request, process orders for department needs, Process updates in ACGME, sort mail, follow clear checklists, and make changes to physician schedules. Experience using AggieBuy, Prepurchase, Docu-sign, Eflight, Canva, E-grading, MedHub, and Lightening Bolt.
  • I also am a course coordinator I assist the education team by accepting students to a course sending welcome letters and adding them to our emails also entering their final grade for the course.

R1 RCM Financial Clearance Team Member (WFH)

Sutter Health S3 (WFH)
11.2022 - 08.2023
  • Pre-registered patients for upcoming appointments in English and Spanish
  • Provided great verbal and active listening skills
  • Applied HIPPA privacy and security regulations while handling patient information
  • Verified demographics and insurance information
  • Verified insurance eligibility via Passport, EPIC, phone, and insurance websites
  • Processed request quickly, accurately and consistently with no supervision
  • Ran estimates using Ecare, and Once Source using CPT codes on doctors orders.

Sutter Health S3 (WFH) Financial Clearance Team Member

Sutter Health
02.2017 - 11.2022
  • Acted as first point of contact for incoming customer inquiries and requests by phone
  • EHR Proficient mostly EPIC
  • Took payments provide general account information, setting payment plan, process payment
  • Other request by patients as requested, while in compliance with HIPAA
  • Verified insurance eligibility via Passport, EPIC, phone and various other resources available
  • Utilized existing knowledge, internal training, and system resources to provide support for internal and external Sutter Health customers
  • Interpreted payments, correspondence and denials from insurance companies, agencies and other departments and educate patient on process
  • Processed requests quickly, accurately, and consistently with no supervision
  • Served as pre-service point of contact for patients to obtain all necessary information to pre-register and financially clear patients prior to day of service delivery.
  • Verified and process Release of Information form, for Itemized bills and medical records
  • Ran estimates using Ecare and Once Source using CPT codes in Dr's orders
  • Knowledge of Medi-Cal/CCS, Medicare, Commercial and other third-party payor program requirements
  • Knowledge of Coordination of Benefits, HMO, PPO, Authorizations including, Medi-Cal eligibility, Medicare Advance Beneficiary

Patient Service Representative

TriWest Healthcare Alliance, WFH
10.2015 - 09.2016
  • Answered incoming calls from Veterans, Providers, and the Veterans Affairs office
  • Responded to authorizations and referrals from the VA and providers regarding all aspects of the VA program
  • Consistently displayed professional and courteous customer service skills to internal and external customers
  • Analyzed reports and conduct research to ensure accurate documentation of the Veterans clinical information
  • Complied with HIPAA regulations to protect privacy of beneficiaries health information
  • Assisted with outbound outreach calls notifying Veterans of authorizations sent from the VA.

Education

High School Diploma -

Grant High School
Sacramento, CA
06.2004

Skills

  • Knowledge of medical terminology
  • Strong attention to detail and Strong customer service skills
  • Ability to communicate professionally and effectively with variety of customers
  • Ability to adapt to change,
  • Ability to work independently and as team player
  • Excel, Microsoft word, Adobe,DocuSign and basic computer skill, also EPIC, Canva, MedHub, Eflight,Passport, experience
  • Data Entry ten key
  • Very detail oriented
  • Ability to comply with policies and procedures
  • Team member training
  • Bilingual in Spanish

Languages

Spanish
Native or Bilingual

Timeline

Project Policy Analyst

UC Davis TES
09.2023 - Current

R1 RCM Financial Clearance Team Member (WFH)

Sutter Health S3 (WFH)
11.2022 - 08.2023

Sutter Health S3 (WFH) Financial Clearance Team Member

Sutter Health
02.2017 - 11.2022

Patient Service Representative

TriWest Healthcare Alliance, WFH
10.2015 - 09.2016

High School Diploma -

Grant High School

Similar Profiles

CREATE PROFILE
Yadira Sanchez