Medical Receptionist Safety Director

ROSE NAVARRO

aduf0g@r.postjobfree.com

** ********** ******, ******** ** 07008

C: 848-***-****

My objective is to obtain a position that will fully utilize my skills and offer an opportunity for continued professional growth. I believe in performing above and beyond by dedicating myself, my talents, and my creative abilities to assure the successful accomplishment of any company goals. Being extremely detailed-orientated, I’m dedicated and bring a positive impact by delivering an outstanding care to any company using my thorough experiences.

HIGHLIGHTS

Highly qualified professional with over eleven years’ experience in NJ CMS Medicaid and NJ Charity Care

Strong expertise in Spanish translation for coworkers and patients

Substantial experience in administrative work, duties including scheduling; acquiring medical histories; Insurance benefits; and public relations

Organization and time management to manage a variety of tasks effectively

Interpersonal skills to interact positively with patients who may be upset or stressed

Ability to hit the ground running and take charge of the position

Incredibly organized and detail-oriented

Ability to prioritize multiple assignments and change direction quickly

Strong communicator and creative problem solver

Adept at working with different personality types and leadership styles

Proactive and self-directed with an ability to take direction

EXPERIENCE

Carteret Medical Enterprise Carteret, NJ

Administrator Assistant March 2022 – April 2022

Verified patient insurance benefits and copays

Conducted Patient Check-Out

Processed patient referrals

Scheduled, re-scheduled, and coordinated patient appointments

Crossed trained to process patient medication refills

Updated patient records of insurance carrier, benefits, and general information

Utilized EMR System for patient general information

Assisted medical providers with Spanish translation to patience

Jewish Renaissance Medical Center Inc. Perth Amboy, NJ

Insurance Benefit Receptionist September 2016 – March 2020

Greeted patients in prompt, pleasant and helpful manner.

Scheduled, re-scheduled, and coordinated patient appointments.

Answered and screened calls and provided information to patient as needed.

Contacted patients to confirm appointments for insurance benefit review.

Conducted personal interviews with patients to obtain required demographic and insurance information and entered such information into system for NJ Charity Care, Obama Care and NJ State Medicaid.

Obtained required signatures on legal consents and insurance forms.

Contacted physicians for referral purposes when necessary.

Answered inquiries from patients in person or via telephone regarding regulations and services when necessary. Referred inquiries to appropriate departments.

Maintain daily log of uncompensated care applications and other state and local governmental applications.

Crossed trained with NJ Charity Care, Insurance referral and Insurance billing and residency and/or citizenship.

Informed patients of items to bring to appointments (including verification of identification, residency, income, and insurance card). Reminded patients to arrive 15-30 minutes prior to scheduled appointment to complete appropriate paperwork. Reminded patient of cancellation/no-show policy.

Navigated through the websites of major health insurance such as, AmeriGroup, Aetna, Horizon, BlueCross/BlueSheild, and United Health Plans for patient referrals and insurance verification for pre-authorizations.

Acted as a liaison for the patient and Health Center.

Used sound judgment in handling calls, especially with upset patients.

Intake of patient complaints and referring the complaint to the appropriate director of the department.

Conducted patient calls to reschedule appointments for Insurance interview.

Worked collaboratively with Leadership Team.

Created administrative efficiencies and found ways to improve processes.

Maintained impeccable standards of confidentiality and information security.

Provided backup support for other executives.

Reviewed documents to ensure proper signatures were obtained and filed accordingly.

Perform other duties as assigned.

ROOSEVELT MEDICAL CENTER Carteret, NJ

Medial Assistant/Receptionist December 2015 – January 2016

Interviewed patients to obtain medical and insurance information; measured vital signs; placed all relevant information in patient’s chart for present and future research.

Prepared medical charts and lab work for screening by physician; ensured information was accurate and complete.

Answered phones and directed calls to appropriate personal/department; obtained and relayed pertinent messages; scheduled medical appointments.

Communicated with pharmacies and doctors to approve prescription refills and referrals.

Provided day-to-day administrative and operational support to team and Management.

Performed other duties as assigned.

RARITAN BAY MEDICAL CENTER Perth Amboy, NJ

Patient Care Assistant May 2013 – November 2015

Provided emotional, physician and spiritual care to patients by using appropriate resources according to the nursing policies and procedures.

Performed electrocardiograms (EKG), urinalysis and other medical testing to individual waiting to see physician on staff.

Communicated with patients to determine any current or previous issues related to medical and physical well-being.

Monitored patient’s physician and mental well-being during work time as well as provided essentials required by patients.

Notified staff physician of any issues related to medical care being provided or with any physical/psychological changes that have occurred with patients.

American Women Center Woodbridge, NJ

Medical Receptionist April 2010 – April 2013

Greeted and scheduled walk-in patients; ensured patients were helped and/or directed to the appropriate personal/department.

Placed reminder calls to patients of upcoming appointments; performed pre-certifications and authorization to insurance carriers.

Submitted electronic or paper claims of primary and secondary insurance carriers; notified patients of outstanding balances.

Posted payments made by insurance carriers or patients; verified closing of bills or balances needed for payment.

Notified supervisor of any issues or discrepancies related to non-payment of outstanding and/or outdated medical claims.

SKILLS

Proficiency with computer systems, networks, and software applications such as Microsoft Office (Outlook, Word, Excel & Power Point)

AthenaNet, Centricity, Dentrix, Internet as a research tool

AIM, NaviNet and RadNet for patient referrals

EMR System for patient records

Fluent in English and Spanish, both flexible and receptive

Ensure compliance with all Federal, State, and Local of CMS Medicaid and NJ Charity Care guidelines

Input and maintain accurate patient record data

Organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.

Carry out complex oral and written directions

Make decisions independently

Communicate effectively with both patients and staff

Meet clearly stated expectations and take responsibility for achieving results

Problem solver with ability to encourage others in collaborative problem solving

Maintain confidentiality as a priority per the HIPPA Privacy Act

EDUCATION

E.D. High School Brooklyn, NY

High School Diploma June 1989

REFERENCES

Abigail Rivera

Sr. Configuration Analysis

HealthAxis

C: 908-***-****

E: aduf0g@r.postjobfree.com

Arlene Brodie

Director of Finance

Jewish Renaissance Medical Center Inc.

C: 617-***-****

E: aduf0g@r.postjobfree.com

Stephanie Acevedo

Safety Director for Hyperbaric Chamber

Healogic Inc.

P: 732-***-****

E: aduf0g@r.postjobfree.com

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