Yorleni Ortiz

Intake:

•Answer incoming calls, assist caller as needed and or complete a soft transfer to appropriate person or department.

•Accept cases for patients needing IV Therapy at home. Complete data entry, intake call with patient and or caregiver. Provide details of insurance coverage and discuss paperwork.

•Coordinate start of care between hospitals or MD office, nursing agency and warehouse for delivery if IV therapy.

Promoted to Nurse Billing Specialist:

•Review nursing notes from the nurses visit to the patient in the home or AIS for accuracy, communicate with nursing agency on any discrepancies.

•Enter the visit in CareTend, if correct approve and send to representative for payment. If incorrect,

•Review the Billing Manager for any over due notes and request from agency to avoid payment delays.

• Streamlined the clinical intake process for improved efficiency and reduced wait times for patients.
• Enhanced patient satisfaction by efficiently coordinating intake processes and ensuring smooth transitions into care.
• Collaborated with multidisciplinary teams to develop comprehensive patient treatment plans, resulting in better outcomes.
• Improved patient care by maintaining accurate records and promptly addressing any issues or discrepancies.
• Managed a high volume of intake calls, ensuring timely scheduling of appointments and appropriate follow-up communication.
• Provided exceptional customer service to patients, families, and healthcare providers during the intake process, promoting a welcoming atmosphere.

• Intake of all new referral from hospitals, Physicians office and Home health agencies to include any new IV therapy for current patients
• Verify insurance benefits and start prior authorization for policy that requires authorization
• Complete patient chart by filing all clinical documents, preparing patient home chart and calling patient to go over their information and insurance benefits.

• Lock all oasis forms within 7 days to meet state standards
• Create 485 forms which have all of patient's information and health conditions
• Check on all referrals
• Make sure patients insurance information is still active

• Verify insurance eligibility, pre-certify procedures when needed
• Post CT charges daily ($210,000 for 2004), assimilate patient charts
• Schedule CT appointments via Medical Manager, note patient history.

• Called households and businesses and recommended listed products and services
• Participated in tripling division revenues for each sales associate
• Participated in expanding sales to include mass-market accounts.

• Monitored and controlled rides at the park
• Entertained visitors by participating in the daily parades
• Occasionally participated in activities during special occasions.