Front Office Customer Service
Resume:
Delia Castro
Skills
Experience in the front office medical field as a receptionist, management and medical administrator for 35 years. I
can provide you with excellent proficient customer service for any medical practice. Hard working, efficient, on
time, little supervision, employee training, employee scheduling, new hires, payroll, bank deposit, open & close
practice, marketing, visit different clinics to assist with different types of government programs that can help and serve patients with there medical care and with in the community programs around there area, answering phones, schedule appointments, making sure the patient are following up with there appointment that are needed like all vaccines DME's after surgery, filling, assistance with all insurance application, disability form completion, insurance
verification, work comp experienced, doctors first reports, medical records, referral authorization submission,
surgery scheduling, schedule diagnostic testing, eligibility and benefits, office ordering, data entry, patient intake,
e-mail, computer paperless, scanning. Bilingual in Spanish and English.
Professional Experience
Prime Care Health Associates
Referral Coordinator
09/09/2021 to present.
Submission for referral order request through insurance portals to get approval,
Make sure ICD-9 and Cpt Codes are correct,
Call patient to advise there order has been approved and ready for pick up.
Customer service to the patients.
Forest Lake Physical Therapy Forest lake IL.
09/1/2019 to 12/2/2019
Office Manager
Greet patients upon arrival,
Answer phone and scheduled appointments,
Data entry for new patient,
Verify eligibility and benefits, Submit
Authorization request,
Make sure the ICD-9 and CPT codes are correct,
Collect copayments,
Oversee employees,
Open and close office,
Ordering office supply,
Medical records,
Handle bank deposits,
Train new hire employee and assigned tasks,
Process for appeals and Grievances,
Experienced with Athena
Submission of medical authorization to IPA’s
And medical portals Evicor, RAD-MD, NIA, Health Help,
County Care, Cigna, MHN, Aim, Avility, Wellcare, and
New Century Health, ConFer Med.
First Health Associates Arlington Heights, IL 2/2019-7/2019
Office Manager
Greeted patients upon arrival and registered for appointments,
Answered phones and scheduled appointments,
Collected and entered patient demographics,
Verified insurance and eligibility.
Chicagoland Eye & Foot and Ankle Elgin, IL 9/2017-5/2018
Office Manager/Referral Coordinator
Managed and supervised employees,
Greeted and registered patients for appointments,
Processed referrals and verified insurance,
Answered incoming phones calls,
Scheduled appointments,
Opened and closed office, Handled bank deposits, Organized medical records, Collected copays,
Experienced with Windows, XP Professional, MD Suits, SRS Systems and EZ-Cap System
PCC Ambulance Billing West Bend, IA 11/2014-6/2017
Account Representative/Charter Partnered with an account manager to assist with ambulance billing,
Verified insurance,
Answered incoming calls and
called past due accounts, Verified work comp. and PI insurance,
Complete crossover insurance information, Experienced with Medi-soft system
Congress Medical Associate Orthopedic Arcadia, CA 9/2012-10/2014
Work Comp/Referrals Specialist
Scheduled incoming referrals, Called work comp. adjuster to verify accepted claims,
Inputted all patients’ demographics in system,
Reviewed and edited work comp transcribed reports, Dr. first reports, amended reports and narrative
reports,
Referred patients to contracted provider's, or non-contracted providers for diagnostic testing or specialist order DME for surgery patients,
Referral submission to for surgery or diagnostic testing,
Made sure all diagnostic codes are correct,
Notified patient when authorization is completed,
Filled out disability paperwork,
Assisted front office with reception duties by greeting patients and registered them for follow up appointments,
Experienced with MD Suits & SRS Systems
PT Plus Physical Therapy Victorville, CA 2008-8/2012
Office Manager
Ensured the office enhances health care practice reputation,
Made appointments, answered phones, verified insurance, eligibility and benefits
Made sure authorization have correct CPT codes and ICD-9 codes are correct for day of service
Supervised, trained, assigned tasks, scheduled staff and coordinated with other employee’s schedule's,
Established minimum stock levels and orders supplies,
Provided orientation to new employees,
Maintained medical records and patient information confidential.
Give customer service at its best,
Opened and closed office, totaled daily copays, and made daily bank deposits,
Experienced with Appointment Pro System, Windows XP, EZ-Cap.
Choice Medical Group Apple Valley, CA 2006-2008
Referral Coordinator
Reviewed and screened incoming referrals, Verified insurance benefits and eligibility,
Checked for correct ICD-9 codes and CPT codes,
Ensured and coordinated availability of all medical history and clinical information to justify the
authorization request,
Obtained health plan authorization number,
Notified providers/members of referral status, customer service, answering incoming calls, filling, interface
with health plan providers on referrals and UM issues
Kept medical records confidential.
Dr. Vachirakorntong OBGYN Apple Valley, CA 2005-2006
Referral Coordinator
Provided supports to 2 doctors,
Answered incoming calls and scheduled appointments,
Greeted patient,
Completed insurance verification for eligibility and benefits,
Submitted referral authorization,
Scheduled surgery patients,
Filled out disability and help patients with government programs for medical assistance for OB Care,
Collected copay.
Dr. Stephen Chow
Orthopedic Apple Valley, CA 2001-2005
Front Office Receptionist and Surgery Scheduler
Scheduled high volume patients to multiple hospitals for surgery,
Referred patients to other specialists,
Processed insurance verification for eligibility and benefits,
Order any DME for surgery patients,
Answered phones,
Submitted authorization request to IPA,
Made sure ICD-9 are correct,
Maintained medical records and made new charts,
Scheduled appointments.
Family Planning Associate Medical Group Apple Valley, CA. 1989-2002
Front Office Receptionist
Greeted patients and registered for appointments,Medical history intake,
Scheduled appointments,
Maintained medical records,
Answered incoming calls
Scheduled outpatient surgery.
Education
Mira Loma Christian Adult School
GED
deliaavila903 @ mail.com
References
Valeria Dugarte
Regla Ortiz
Julisa
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