Healthcare Professional Patient Care
Resume:
Janisa L. Quitugua
adz75p@r.postjobfree.com
Profile
Ambitious healthcare professional with 17 years of clinical and hospital experience, including 10 years of proficiency in Epic. Known for analytical skills, fast learning, multitasking, self-motivating abilities with excellent communication, interpersonal and organizational skills. Knowledgeable in workflow efficiencies for the front and back office in specialty clinics. Highly organized, dependable, independent problem solver and critical thinker. Strong experience in CPT & ICD-10 coding, medical terminology, and insurance authorizations. Maintain/improve own professional competence, knowledge and skills to meet identified self-learning needs and annual review requirements. Experience
Seattle Childrens Hospital Seattle, WA
Insurance Processing Coordinator 4/18 – present
● Meet payor authorization requirements to ensure maximum reimbursement.
● Obtain insurance authorizations through assigned payer administrators.
● Verify patient’s eligibility and benefits in Epic and various online portals
● Contact referring providers to obtain referrals or to initiate authorization.
● Coordinate and explain options to patients related to potential financial responsibilities including charity/financial assistance, financial implications of proceeding with or without authorizations, and in and out-of-network ramifications.
● Collaborate with patients, families, healthcare providers and other internal staff to address a wide variety of patient health insurance matters.
● Ensure patient demographic information is accurate in Epic and Registration Swedish Medical Group Seattle, WA
Patient Care Coordinator – Swedish Neuroscience Institute 3/16 – 3/18
● Coordinate appointments, procedures, labs, and referrals for up to 70 patients a day in a high volume clinic including patient education
● Analyze and accurately apply patient information into Epic and assist new patients in appointments with the appropriate provider based on their medical needs
● Interpret and apply patient information with Medicare, Medicaid, and various insurance companies to obtain approval for specialty procedures or referrals
● Assisted in a project to fix internal Epic database which included designating 1,200 unassigned referrals to the appropriate provider based on medical necessity and implementing policy and procedure for future referrals
● Develop standard protocols within the Patient Care Coordinator role in order to streamline workflow
● Train new Patient Care Coordinators to accurately and efficiently perform in their roles
● Patient Experience Trainer for approximately 15 caregivers in customer satisfactions
● Act as a lead to communicate with heath care team members regarding the status/completion of care coordination activities.
Harborview Medical Center Seattle, WA
Cardiac Monitor Technician 9/08 - 3/16
● Maintain ongoing high-level surveillance approximately 50 patients’ cardiac rhythms and notifies nurses/clinicians of any rate/rhythm changes according to clinician/provider orders.
● Develop an excel spreadsheet to analyze, interpret and apply approximately 50 patients’ information into Epic daily
● Devise and improve workflow processes, write policy and procedure within the department Seattle Cardiology Seattle, WA
Program Coordinator – Device Clinic 3/05 – 09/08
● Main liaison to recruit and educate patients about the program
● Independently interrogate pacemakers and implantable defibrillators for approximately 250-300 patients per month
● Responsible for the scheduling and maintaining records of 200-300 patients per month
● Record and report telephonic transmissions or abnormal findings
● Submit reports for the providers and maintain database and/or spreadsheets
● Maintained skill with continued education to support ongoing improvements
● Informed patients and physicians of device recalls and scheduled patients for follow-up appointments
Minor & James Medical Seattle, WA
Pacemaker / Cardiac Lab Technician / Medical Assistant 9/01 – 03/05
● Performed the required duties of a Medical Assistant and Cardiac Lab Technician.
● Participated in extensive training from all pacemaker industries to run the Pacemaker Clinic independently
● Coding, billing and budgeting for the Cardiac Lab
● Obtain vital signs and gather pertinent information; identify cardiac arrhythmias
● Administer cardiac event recorders for approximately 21 patients per day
● Stress exercise tests for 7 patients per day
● Trained employees in the cardiac lab area including stress tests, ECG’s, holter and event recorders Education
South Seattle Community College Seattle, WA
AA degree
Bryman College University of WA Pilot Program
Seattle, WA
Medical Assistant Program
References
References available upon request
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