Beatriz Salcedo

Case Manager Specialist

520-***-**** adxnfb@r.postjobfree.com Peoria, AZ 85382

CAREER OBJECTIVE

Experienced in Health Administrative/Clerical/experience, 22 years overall with 19 years in Healthcare Front Office Customer Service, Excellent telephone/switchboard etiquette Self-motivated. Creative Customer Service Representative eager to find novel and productive solutions for customer issues. Adapts to unique complaints and queries with thorough research and expert critical thinking skills. Committed to problem resolution and customer satisfaction. Manage overall operations in a medical office setting. Skilled in insurance verifications, Surgical pre-authorizations, and EMR systems. Possesses emotional awareness. Adept at managing staff and providing patient assessments. Professional with experience providing direct case management services to a diverse population. Demonstrated expertise in managing complex caseloads and connecting clients to appropriate resources. Skilled in analyzing client needs, developing effective service plans, and providing compassionate person-centered care. EXPERIENCE

CASE MANAGER, Surprise, AZ

AFC Physical Medicine and Chiropractic, November 2022-Present

• Complete insurance verifications and obtain pre-authorizations when needed

• Meet with patients to review their coverage and estimated financial obligations Compile EMR from various providers and review for accuracy

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Handle any patient concerns or questions

Work with the Clinic Director to manage overall operations and flow of the office

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• Fill in for front desk and other positions as needed

• Respond to requests for information from the Billing Office in a timely fashion

• Complete patient reactivation and follow up phone calls. CLINICAL SERVICES COORDINATOR, Phoenix, Arizona

Castle Biosciences, February 2020-November 2022

• Manintained supply chain integrty for internal operations & external client needs.

• Monitor customer needs and manage such requirements.

• Provide general customer service support.Facilitate tissue acquisition process and engage outside labs.

• Manage and document the receipt and chain of custody for all patients samples received.

• Access and process all sample documentation ensuring intergrity.

• Management of of all pending billing information.

• Interface with Lab Directors to facilitate the accuracy of lab reports.

• Maintain complete accuracy of the organization's Lab information systems. PT SPECIALIST/INSURANCE COORDINATOR, Glendale, AZ Arizona State Urology Institute, November 2018-February 2020

• Manage Insurance Eligbility and Authorization for Surgery.

• Contacted patients to obtain information required for accurate claim adjudication.

• Collected initial premiums and issue receipts.

• Utilized electronic files to conduct authorization reviews and updates. MEDICAL FRONT OFFICE LEAD, Tucson, AZ

Arizona Institute of Urology, June 2015-November 2018

• Monitored office procedures to correct problems and implement proactive improvements for better patient flow.

• Collected co-payments from patients for visits and completed daily cash deposits to secure funds. Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.

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• Documented vital signs and health history for patients in clinic and hospital environments.

• Monitored supply inventory for low stock and worked with staff to reorder.

• Delivered administrative support to medical practices, aiding in quality healthcare services. PATIENT REGISTRATION REPRESENTATIVE, Tucson, AZ

University of AZ Medical Center, March 2013-June 2015 Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.

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Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.

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• Visited patients' rooms to collect insurance and financial information required for registrations. Took reservations from physicians and office staff to coordinate bed placements for scheduled and unscheduled patients.

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EDUCATION

HIGH SCHOOL DIPLOMA, Tucson, AZ

Sunnyside High School, May 1993

ASSOCIATE IN ARTS (A.A.) IN FASHION MERCHANDISING, Long Beach, CA Brooks College

ASSOCIATE IN ARTS (A.A.) IN GRAPHIC DESIGN, Tucson, AZ The Art Center Design Center

SKILLS

Emotional Awareness Eligibility Assessments Staff Management Patient Assessments EMR Systems Progress Evaluation Medical Records Management Treatment Planning Telephone Etiquette MS Office Customer Service Case Management Administrative And Clerical Support LANGUAGES

English

Advanced

• Spanish

Advanced

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