Medical Records Patient Care

Trini Gomez

Sinton, TX

Hardworking healthcare professional with 28 years experience in the medical industry. Work Experience

Patient Care Coordinator

UnitedHealth Group - Sinton, TX

August 2016 to Present

• Greets patients as they arrive and manages wait time

• Complete check-in and check-out tasks to include insurance verification, complete pre-authorizations and/or precertification of procedures, and copy required documents

• Collects co-payments, co-insurance, and deductibles and issues receipts

• Manages cashier box and daily deposits according to company policies

• Processes acute patients and help triage calls

• Answers phones and schedules appointments

• Answer telephone calls, re-direct calls as appropriate, assist callers with questions or concerns, and take messages as needed

• Manages medical records (maintains, files/scans, prepares for schedule)

• Ensures all correspondence is scanned and/or filed, processes requests for medical records release and maintains appropriate logs, etc.

• Establish and maintain effective working relationships with patients, employees, and the public

• run reports for manager on a daily basis focus on care/hcc reports

• take care of faxinbox

• Return calls to patients and pharmacies

• I help submit stool/retina vue results to get credit for our metrics

• I submit hospital records for admission and discharge to get credit for our hospital utlization Surgical Coordinator/ophthalmic tech

South Texas Eye Consultants - Corpus Christi, TX

December 2003 to August 2016

• Maintains accurate surgical schedule for surgeons as outlined in company/department standards and guidelines.

• Communicates with patients regarding:

• Prepared surgical packets and scheduled out patient procedures at are hospitals

• Financial Responsibilities for In-network/Out of network charges if PFS is unable to do this

• Completing notice of exclusion from Medicare/Health Plan benefits for non covered services

• Financing options

• Return all patient phone calls within 4 hours.

• Maintain communication with patients and properly document all conversations as outlined in company standards and guidelines.

• Contacts facilities for scheduling as outlined in company standards and guidelines.

• Arranges for pre-op testing as needed as outlined in company standards and guidelines.

• Schedules pre-op visits as outlined in company standards and guidelines.

• Verified insurance and obtained authorization commerical insurance as well as Medicare/Medicaid

• gather historical medical information, they take measurements and perform ancillary tests that provide the doctor with the information needed to arrive at a diagnosis and to prescribe treatment. assist with documentation and patient services. perform diagnostic test and assist with in-office procedures. Education

adminstrative assistant certificate

Southern Careers Institute-Corpus Christi - Corpus Christi, TX June 1995 to July 1996

medical office specialist

Southern Careers Institute-Corpus Christi - Corpus Christi, TX June 1995 to July 1996

Skills

• Medical Records

• EMR Systems

• Medical Scheduling

• Insurance Verification

• Medical Office Experience

• Patient Care

• Medical Terminology

• Medical Billing

• ICD-10

• Clerical Experience

• Medical Coding

• Office Management

• Order Entry

• Phone Etiquette

• Customer service

• Medical records

• Medical terminology

• Medical coding

• EMR systems

• Clerical experience

• Cash register

• Documentation review

• Ophthalmology

• ICD-10

• Order entry

• Cash handling

• Office management

• Management

• Front desk

• Organizational skills

• Communication skills

• Medical receptionist

• Medical administrative support

• Computer skills

• Computer literacy

• Budgeting

• Office experience

• Spanish

• Patient service

• Administrative experience

• Supervising experience

• Clinic

• Leadership

• EHR systems

• Medical documentation

• Epic

• Analysis skills

• Typing

Languages

• English - Expert

• Spanish - Expert

Awards

Employer of the Quarter

March 2023

Certifications and Licenses

Administrative Assistant

June 1995 to July 1996

Medical office specialist

June 1995 to July 1996

Driver's License

January 2020 to January 2026

Additional Information

• Result driven

• Organizational and planning skills

• Results oriented

• Knowledge of Medicare guidelines

• Staff and training development

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