Yillianne Bautista
Hialeah,FL
Summary
Detailed-Oriented Insurance Verification Specialist with 5+ years in verifying insurance, securing authorizations, and coordinating patient services. Skilled in EMR systems, CPT and ICD-10 coding, and HIPAA
compliance. Efficient in handling large volumes of appointments with a
focus on accuracy and exceptional service. Bilingual in English and
Spanish with strong organizational and communications skills.
Overview
6
6
years of professional experience
Work History
Medical Assistant
Orhtopedic Specialists of South Florida
Hialeah, FL
06.2019 - 01.2022
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Educated patients about medications, procedures and physician's instructions.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Explained treatment procedures and physicians' instructions.
Surgical Coordinator
HCA-Kendall Urology Associates
Miami, FL
02.2018 - 06.2019
- Organized patient charts for surgical procedures and ensured accuracy of all documents.
- Scheduled pre-operative appointments with patients, obtained consent forms and collected necessary insurance information.
- Coordinated with hospital personnel to ensure proper preparation of OR rooms prior to surgery.
- Managed scheduling of multiple surgeries on a daily basis, coordinating availability of surgeons and anesthesiologists.
- Acted as liaison between physicians, vendors, insurance companies, patients and their families regarding surgical procedures.
- Provided assistance with post-operative care plans according to physician's orders.
- Verified patient eligibility for particular types of surgeries based on health plan guidelines or coverage limitations.
- Entered data into electronic medical record system accurately and timely using ICD-10 coding standards when applicable.
- Reviewed incoming referrals from primary care providers before scheduling any procedure or appointment.
- Educated patients on pre-operative instructions such as fasting requirements prior to undergoing anesthesia.
- Checked patient insurance and collected pre-authorizations from providers.
- Scheduled follow-up appointments as designated by physician.
Insurance Verification Specialist
Miki & Alfonso Hands & Upper Extremity Center
Miami, FL
07.2016 - 02.2018
- Verified insurance, appointments, obtained referrals, authorizations, medical records, and test results up to 75-80 patients two days prior to visit.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Updated patient and insurance data and input changes into company computer system.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
Education
Associate of Science - Nursing
Keiser University
Pembroke Pines, FLSkills
- Medical office administration
- Patient-focused care
- Quick problem solver
- Medical records confidentiality
- Medical terminologies
- EMR / EHR
- Insurance benefits verification
- Prior authorization processing
- Deductible & co-pay calculation
- Patient coordination
- Scheduling expertise
Languages
English
Professional
Spanish
Professional
References
References available upon request.
Timeline
Medical Assistant
Orhtopedic Specialists of South Florida
06.2019 - 01.2022
Surgical Coordinator
HCA-Kendall Urology Associates
02.2018 - 06.2019
Insurance Verification Specialist
Miki & Alfonso Hands & Upper Extremity Center
07.2016 - 02.2018
Associate of Science - Nursing
Keiser University
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