Medical Assistant Insurance

Maria G Esparza

*** * **. #** ***** Vista, CA ***10 619-***-**** ***************@*****.***

Objective

Seeking a position within Healthcare Support Services, where my extensive experience will be an asset to the organization.

UTILIZATION REVIEW COORDINATOR CROSS COUNTRY AT UCSD SEPTEMBER 2017 – PRESENT

Authorization of Insurance Referrals, serving as a liaison between Insurance Companies and Physicians

Assisted to Initiate & follow-up on Submissions if Insurance Cases were denied

Maintained records, data and statistical analysis of all utilization review activities

Performed random clinical reviews of patient and client records

Epic Trained.

UTILIZATION REVIEW COORDINATOR RADY’S CHILDRENS HOSPITAL MAY 2015 – JUNE 2016

Authorization of Insurance Referrals, serving as a liaison between Insurance Companies and Physicians

Assisted to Initiate & follow-up on Appeals, if Insurance Cases were denied

Maintained records, data and statistical analysis of all utilization review activities

Performed random clinical reviews of patient and client records

Epic Trained

UTILIZATION REVIEW COORDINATOR SCRIPPS HEALTH MARCH 2012 – MAY 2015

Authorization of Insurance Referrals, serving as a liaison between Insurance Companies and Physicians

Assisted to Initiate & follow-up on Appeals, if Insurance Cases were denied

Maintained records, data and statistical analysis of all utilization review activities

Performed random clinical reviews of patient and client records

BRANCH MANAGER EZ STAFFING JULY 2008 – JANUARY 2010

Handled hiring, sourcing, recruiting, interviewing and onboarding of New Hires

Obtained new contracts within San Diego County (encompassing 13 hospitals), in addition to contracts covering the Inland Empire

Payroll Assistant & maintaining Employee Files & Credentials

Helped with preparation for Joint Commission Certification, additionally assisting in Site Preparation Audits

Oversaw all Managerial functions of Healthcare Staffing Satellite Office

On Call Staffing Coordinator for Per Diem Staffing Needs

HEALTHCARE RECRUITER UNITED NURSING INTERNATIONAL DECEMBER 2006 – JULY 2008

Assisted in recruitment Travel Nursing Staff & Sponsor Nurses, as well as Per Diem Staffing to cover local contracts

Hiring, interviewing & Orientation of onboarding new hires / Training of internal office staff

Assisted in preparation of Vendor Management Account for County of San Diego

Maintained employee files and credentials

STAFFING COORDINATOR / RECRUITER PRO-TEM PERSONNEL JUNE 2005 – DECEMBER 2006

Handled Per Diem Staffing for Mental Health Facilities, Skilled Nursing, Allied Services & Private Duty contracts

Assisted in preparation for Joint Commission Certification

Preparation of Employee files for Site Audits by Hospitals / Vendors

Recruiting, Interviewing, Hiring & Processing of Onboarding New Hires

Handled Workman’s Compensation & Unemployment Claims

On Call Staffing Coordinator for Per Diem Staffing Needs

STAFFING COORDINATOR BERRY MEDICAL STAFFING FEBRUARY 1999 – JUNE 2005

Conducted Workplace Safety Standard Training Sessions

In Office Staffing Coordinator / On Call Staffing Coordinator

Payroll Distribution

Assisted in Recruitment Strategies to build up applicant pool

Education

CERTIFICATE OF COMPLETION: REAL ESTATE PRINCIPLES 2005 ANTHONY’S SCHOOL OF REAL ESTATE

PROPERTY MANAGEMENT CERTIFICATE 2000 SOUTHWESTERN COLLEGE

MEDICAL TERMINOLOGY / MEDICAL ASSISTANT CERTICIATION 1993 SOUTHWESTERN COLLEGE

Certifications & Affiliation

CERTIFICATIONS

Professional Interviewer

Medical Assistant / Medical Billing

AFFILIATIONS

AYSO (American Youth Soccer Organization)

Girl Scouts of America

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