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Customer Service Office

Location:
Richmond, TX
Posted:
March 12, 2018

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Resume:

**** **** ****** *********, ***** ***** PHONE: 281-***-**** / CELL: 281-***-****

EMAIL: ac4r72@r.postjobfree.com

ISABEL CANTU

OBJECTIVE

To obtain a challenging position, this will enable me to utilize my skills obtained through my work experience.

EDUCATION

1990 – 1994 B.F. Terry Senior High School Rosenberg, Texas

Diploma

General Studies

WORK EXPERIENCE

Feb 2017-Nov 2017 Houston Methodist Sugar Land Hospital Sugar Land, Texas

Project Specialist

Assist with the technical aspects of building and distributing clinical, financial, and operational reports

Analyzes hospital performance against service reimbursement, quality and cost measures.

Provides timely and accurate reports of these measures to physicians and hospital leaders.

Identifies and reports quality and service improvement opportunities through analysis of TMH and benchmark data. Serves as a resource for various statistical analyses

Pre-qualifies patients for financial assistance programs prior to services

Demonstrates the components of the ICARE values statement

Performs financial counseling process which includes screening patients for financial assistance programs with a focus in infusion therapy.

Provides technical support to business and clinical analyst(s) by designing and/or customizing software for report development pertaining to optimizing operational efficiency and improving business processes.

Project Management on building and managing comprehensive infrastructures and systems that support the Hospital Clinical and Financial Operations.

2012 - 2017 Houston Methodist Oncology Partners – Dr. Jorge G. Darcourt Sugar Land, Texas

Office Coordinator

Maintain Physicians’ Appointment Schedule / Calendar

Manages all managed care correspondence to monitor plan payment

Reappointment Applications for Physicians’ credentialing

Marketing with Outside Physicians agencies affiliated with TMH

Obtain New Patient Referral Log

Scheduling meetings with outside Reps to have proper info on upcoming Chemotherapies

Manage Clinic Appointment Schedule

Manage EMR – implementation of records into new EMR system

Authorizations for Office Procedures, Outpatient Diagnostic Imaging & Infusion Orders

Contact with the Infusion Department – monitor the outcome of patient appointments

Interact daily with the Unit Secretary for proper Infusion Orders

Answer all incoming phone calls

Patient and Referral source satisfaction

Inventory Management of all Medical and Office Supplies

Monthly account management

Prepare Charts for New Patients / follow up patients

On-Site Customer Service for all Patients / Manage all patient complaints

Provide information to patients regarding their changes of Insurance Plans

Knowledge / Back up of Front Desk Operations

All Clerical Duties such as, typing letters, faxing; etc.…

Planning strategic operations for the Department

Coordinates, supervises and operates all satellite clinic activity

Responsible for hiring, training, development and evaluations of the work force assigned to the physicians practice

Coordinates, Directs, Assigns and reviews the staff within the practice

Perform other duties assigned

2008 - 2012 Oncology Consultants Sugar Land, Texas

Front Desk Coordinator

Check in / Checkout All Patients for clinic

Obtain Authorizations for procedures in office or out patient

Answer all phone calls

Schedule patient appointments

Filing

Obtain cost for patients’ chemo treatments

Obtain proper CPT / J codes for diagnostic testing and chemo drugs

Obtain proper diagnosis codes for chemo to meet LCD / NCCN guidelines

Obtain new/active referrals for Patients

Prepare dictation for doctors

Finalized all completed charges for the day for billing

Prep Charts for new patients / follow up patients

Make appointments with Reps to meet with physicians regarding chemo drugs

2008 - 2008 Dr. Gregory Hoover Fondren Orthopedic Grp. Sugar Land, Texas

Insurance Verifier (Part time)

Verify all insurances for office visit / DME / MRI / Surgery In/Out Patient / PT / Work-Comp

Obtain Authorizations for the above procedures from Insurance

Answer all phone calls / Schedule patient appointments / Schedule MRI and EMG appointments

Check In / Check Out Patients / Obtain cost for patients for DME supplies / Other Clerical Duties

2005 – 2007 Sugar Land MRI and Diagnostic Sugar Land, Texas

Insurance Coordinator and Imaging Scheduler

Verify all orders (correct CPT and DX code)

Verify all insurance / Obtain Authorizations

Schedule all patients for procedures in-house / Schedule all patients for procedures outside of facility

Obtain monthly log for all scheduled patients per physician

Answer and route incoming phone calls / Answer all patient calls

Send daily reports to selected physicians of patients scheduled /Touch base with outside office staff and physicians

Schedule all walk – in appointments / Other clerical duties

2003 - 2005 Raytel Nuclear Imaging Houston, Texas

Front Office Coordinator

Answer and route incoming phone calls appropriately

Patient insurance verification / Obtaining authorizations and orders

Distribute mail and faxes / Distribute physician reports

Check in/out patients for their procedures / Process patient co-payments and deductibles

Generate center’s volume report / Patient chart assembly and filing / Patient appointment scheduling

New physician marketing

2001 - 2003 Harris County Hospital District Ben Taub General Hospital Houston, Texas

Administrative Secretary

Establish call schedule for OB/GYN Department / Schedule weekly/monthly conferences

Schedule appointments and update calendars for the Directors of OB/GYN

Pull articles from medical journals / Distribute mail and faxes / Dictation / General typing

Answer and route incoming phone calls appropriately

Generate monthly GYN statistics report / Maintain GYN surgery and clinic schedules / Assist volunteer staff

1998 - 2001 University Care Plus – Neurosurgery Houston, Texas

Receptionist/Medical Secretary

Distribute mail and faxes / Refill prescriptions / Suture Removal

Maintaining authorizations for surgeries

Answer and route incoming calls appropriately / Return patient calls

Schedule appointments for Physician and Physician’s Assistant (P.A.) / Schedule patient appointments

Check patients in and out

SKILLS

Filing EMR EHR Phone etiquette Word processing

Faxing Typing (65 wpm) Assembling Charts

On-Call triage Insurance Verification

Maintaining procedure authorizations

Travel arrangements

COMPUTER SKILLS

MS Word MS Access

MS PowerPoint MS Outlook

MS Excel Next-Gen

Aria Athena

HIS EPIC

REFERENCES

Available upon request



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