Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

YARISNEY ISLA

Plant City

Summary

Highly organized Administrative Assistant who goes above and beyond basic Administrative tasks and takes on multiple projects at once. Excellent work ethic and Strength. Efficient Referral Coordinator with 10 years of increasing responsibility in the medical industry. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. Interested in shifting career to the referrals specialization. Comprehensive experience in front desk, administrative assistant and supervision. Organized and communicative with great management skills and the ability to work well under pressure.

Overview

11
11
years of professional experience

Work History

Installation Coordinator

CMK Construction Inc
03.2023 - 12.2024
  • Utilized Software to maintain and update customer information, repair logs and inventory.

Efficiently assisted service workers with problematic transactions to maintain customer satisfaction and quickly rectify issues.

  • Review with Project Managers, Sales Associates, and Project Coordinators the requirement of a job and availability of labor.
  • Review and verify installation work orders and verify materials for a scheduled job.
  • Oversee all installation schedules, jobs, and resources
  • Create Po’s
  • Schedule Demo’s, electrical and plumbing prior to job getting started.
  • Keep the schedule updated.
  • Assign jobs to subs
  • Follow up on the process of the job with both subs and clients
  • Ensure of the satisfaction of the client.

Insurance Verification Specialist/Patient Referral Coordinator

Leopoldo Grauer MD
07.2020 - 01.2023

Verified insurance coverage to prepare for upcoming patient appointments.

  • Updated patient records with accurate, current insurance policy information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
  • Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
  • Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
  • Achieved insurance pre-authorizations to enable timely patient procedures.
  • Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
  • Expedited patient registration process by efficiently validating eligibility for various insurance plans.
  • Trained new staff on current, correct insurance verification procedures.
  • Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
  • Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
  • Posted payments to accounts and maintained records.
  • Generated reports to track insurance verifications and claim progress.
  • Processed medical insurance claims and payments.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Assisted with medical coding and billing tasks.
  • Worked with patients to schedule tests and procedures.
  • Implemented electronic referral management system, improving tracking and follow-up efficiency.
  • Verified patient insurance eligibility and entered patient information into system.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Greeted and assisted patients with check-in procedures.
  • Screened and sorted incoming mail, faxes, and deliveries and routed them to the appropriate personnel.
  • Provided logistical support for programs, meetings, and events, including room reservations, room set-up, agenda preparation, materials printing and calendar maintenance.
  • Scheduled procedures for the Doctor and booked operating rooms.
  • Prepared cash deposits from patients payments and made bank deposits.
  • Managed electronic records database and handled all file requests.
  • Verified Insurances by communicating with various insurance companies.
  • Called patients to confirm scheduled appointments 2 days in advance.
  • Greeted numerous visitors, including VIPs, vendors and interview candidates.
  • Answered inquiries and addressed, resolved or escalated issues to management personnel to ensure patients satisfaction.
  • Reviewed incoming correspondence and determined the action required and its priority.
  • Greeted each patient pleasantly and provided the desk sheet for sign-in.
  • Pleasantly answered calls for a multi-line and directed callers to the appropriate employees.
  • Maintained account records.
  • Maintained files and records with effective filing systems.
  • Answered the phone by the second ring and greeted callers enthusiastically.
  • Volunteered to help with special projects, assuming a variety of tasks and duties.
  • Collected deposits, fees and payments.
  • Check in- Check out.
  • Completed up to 30 referral requests each day for a medical provider of GI services.
  • Trained staff on the referral and intake process.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Monitor incoming and outgoing faxes.
  • Billing processing for outpatient procedures.
  • Recorded patients' medical history, vital statistics and test results in medical records.

Authorization Specialist / Insurance Verification

Innovative Healing System
02.2018 - 04.2020
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Completed up to Number referral requests each day for medical provider of Industry services.
  • Coordinated with medical staff and patients to find cost-effective options for services.
  • Trained Number staff on referral and intake process.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.

Office Lead/ Referral Coordinator

IMA Medical Group
01.2016 - 01.2018
  • Check-in Patients.
  • Check-out Patients.
  • Verify Insurance.
  • Answer phones promptly.
  • Maintain lobby organized and coffee station clean and stocked.
  • Generate patient letters and communication.
  • Perform referrals.
  • Perform referrals authorizations.
  • Route documents that come in the fax server.
  • Route correspondence that comes in the mail.
  • Oversee daily office operations for staff of 7 employees.
  • Provides quality service by enforcing quality and customer service standards.
  • Training employees.
  • Process payroll.
  • Manages physician schedules to optimize capacity and the patient experience.
  • Serves as a back-up whenever anyone in the staff is not present.
  • Ensure all examining rooms are kept organized and dully stocked.
  • Run weekly staff meetings.
  • Address patient's complaints.
  • Monitor referral process to ensure guidelines are met.
  • Create clinical reports weekly.

Administrative Assistant

Psychological Assessment & Treatment Services, LLC
06.2014 - 11.2016

Customer Service Representative

Walmart Supercenter Pharmacy
09.2013 - 10.2014
  • Operated a cash register for cash, check and credit card transactions.
  • Stocked and replenished Merchandise inside pharmacy.
  • Cleaned and organized the store, including the checkout desk and displays.
  • Resolved all customer complaints in a professional manner while prioritizing customer satisfaction.
  • Verified that all customers received receipts for their purchases.
  • Answered customer telephone calls promptly and in an appropriate manner.
  • Handling medication to clients.

Education

High School Diploma - undefined

Capital High School
Charleston, WV
2009

Skills

  • Customer-service oriented Database administration
  • Professional phone etiquette Inventory management
  • Excellent communication skills Conflict resolution
  • Flexible Works well under pressure Team
  • Accurate and detailed building Multi-line phone
  • Articulate and well-spoken proficiency Advanced clerical knoledge
  • Spreadsheet management
  • Articulate, back-up, budgets, cash register, clerical, Excellent communication, Conflict resolution, credit, clients, customer satisfaction, Customer-service, customer service, Database administration, database, Training employees, special events, expense reports, faxes, fax, filing, Insurance, Inventory management, letters, marketing, materials, meetings, mail, office, Works, Process payroll, quality, reception, recording, research, sales, Spreadsheet, telephone, phone, phone etiquette, Answer phones, word processing
  • Self-motivated
  • Extremely organized
  • Data management
  • Team leadership
  • Document scanning
  • Report writing
  • Conflict resolution
  • Fluent in English and Spanish
  • ICD-9 forms/ CPT Codes
  • GI procedures billing
  • Referral specialist/ Insurance verification

Languages

Spanish
Native or Bilingual

Timeline

Installation Coordinator

CMK Construction Inc
03.2023 - 12.2024

Insurance Verification Specialist/Patient Referral Coordinator

Leopoldo Grauer MD
07.2020 - 01.2023

Authorization Specialist / Insurance Verification

Innovative Healing System
02.2018 - 04.2020

Office Lead/ Referral Coordinator

IMA Medical Group
01.2016 - 01.2018

Administrative Assistant

Psychological Assessment & Treatment Services, LLC
06.2014 - 11.2016

Customer Service Representative

Walmart Supercenter Pharmacy
09.2013 - 10.2014

High School Diploma - undefined

Capital High School