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Prior Authorization Health Information

Location:
Austin, TX
Salary:
7.v.2_6(+
Posted:
December 04, 2023

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Resume:

GEENA OCHOA

Austin, Texas ***** 626-***-**** ad1oin@r.postjobfree.com

Healthcare administrative professional knowledgeable about working with facilities, patients and insurance companies to set up minor procedures and complicated surgeries. Well-organized and detail-oriented team player with good problem-solving, relationship-building and communication skills. Has worked in several medical offices with over 20 years of experience. Referral Verification

Medical Recordkeeping

Office Supplies and Inventory

Patient Health Information Access

Adaptable and Flexible

Patient Eligibility Requirements

Payment Scheduling and Collection

Patient Billing

Insurance Authorizations

Office Coordination

Surgery Scheduler, 03/2019 to Current

HCA Healthcare Inc. – Austin, TX

Verify medical insurance coverage and create estimated facility fees. Educate patients on how insurance works to help them better understand their estimates. Schedule outpatient surgeries and enters patient demographics into our company software for 3 surgical centers.

Communicates with doctors office to insure patient orders are correct. Professionally answers our verification phone line for 3 surgical centers. Assist patients with financial needs and set up payment plans as needed. Became office resource for other departments to reach out to and help problem solve. Prior Authorization Specialist, 01/2018 to 03/2018 Advanced Pain Care Clinic

Reached out to insurance carriers to obtain prior authorization for testing and procedures. Input all patient data for prior authorizations into system accurately. Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.

Tracked referral submission during facilitation of prior authorization issuance. PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

Reached out to patients to provide cost estimates. Prior Authorization Specialist, 01/2016 to 01/2018 Austin Cancer Center Corporate Office

Maintain patient confidentiality as defined by state, federal and company regulations Obtained prior authorizations for various patient procedures such as scans, chemotherapy drugs and all radiation treatments

Verification of eligibility, confirmation of benefits, facilitation of referrals/authorizations process Responds professionally to all inquiries from patients, staff and payors in a timely manner. Front Office Coordinator, 01/2007 to 01/2016

Texas Oncology

Worked my way up from medical records tech to front office supervisor Received and processed all incoming health information Checked patients in for appointments while collecting co-payments and provided a welcoming environment

Scheduled patients with upcoming doctor appointments and chemotherapy treatments Hired and trained new hires in all business office procedures Ran monthly reports to collect all outstanding balances due and calling patients to collect Covered all business office employees when as needed Oversaw work processes and performed quality control tasks to increase revenue and reduce production times

Medical Administration : Administration, 1996

Waterson College - Pasadena, CA

Effectively communicated with other employees and upper management to ensure complete care of patients. Medical Assistant/Medical

EDUCATION



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