Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

YAJAIRA VERAS

PALM SPRINGS

Summary

Bilingual-English/Spanish. Listen and understand information and ideas presented through spoken words and sentences. Perform duties I am referred to with a positive attitude. Able to work in a fast paced environment/and or independently. Proficient with using computer systems and typing. Able to handle multi-level phone system with a high volume of calls at one time.

Overview

14
14
years of professional experience

Work History

Insurance Specialist

Rayus Radiology
10.2024 - Current

•Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given

  • Determines if patient's insurance is a part of the provider network
  • Makes outgoing calls to insurance companies for pre-certification or any authorization
  • Receives pre-authorization from patients and/or insurance companies and documents
  • Contacts patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
  • Accurately enters a variety of information including date schedule requests received, patient name, referring physician and procedures into computer system
  • Maintains positive interactions with referring offices, patients and staff
  • Backs up front desk reception and scheduling area as needed

(30%) Price Quotes

  • Completes payor-related information i.e., payor, payor class, date of appointment
  • Obtains all workers compensation approvals from insurance companies prior to scheduled exam. Obtains signs and symptoms in order to support medical necessity

(5%) Completes other duties as assigned

Scheduling Coordinator

Rayus Radiology / DCA
03.2019 - Current
  • Answers phones and handles calls in a professional and timely manner
  • Maintains positive interactions at all times with patients, referring offices and staff
  • Schedules patient examinations according to existing company policy
  • Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
  • Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
  • Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices

Scheduling Coordinator

MSPB
08.2014 - 02.2019
  • Answers phones and emails
  • Schedules and confirms appointments
  • Input customer data into company systems
  • Organizes workflow and appointment by reading and routing correspondence collecting customer information, and managing assignments

Senior Clerk

Florida Department Of Health
05.2012 - 07.2014
  • Register patients as they come for their appointments
  • Schedule appointments/call patients the day before the appointment to confirm
  • Enter/update demographics in database
  • Look up insurance eligibility, referral/authorization request if needed
  • Handle check ins/outs in a courteous and efficient manner
  • Collect co-payments, co-insurances and other balances from patients

Education

High School Diploma - undefined

Lake Worth High School

Health Care Coordinator

Palm Beach County Medical Society
West Palm Beach, FL
2018.02 - 2018.05

Skills

Documentation skills

Languages

Spanish
Native or Bilingual

Timeline

Insurance Specialist

Rayus Radiology
10.2024 - Current

Scheduling Coordinator

Rayus Radiology / DCA
03.2019 - Current

Health Care Coordinator

Palm Beach County Medical Society
2018.02 - 2018.05

Scheduling Coordinator

MSPB
08.2014 - 02.2019

Senior Clerk

Florida Department Of Health
05.2012 - 07.2014

High School Diploma - undefined

Lake Worth High School
YAJAIRA VERAS