Administrative Assistant Surgery Scheduler
Resume:
Leticia M DeJesus
Administrative Assistant
Medical Secretary
Pre-Authorization Specialist
Surgery Scheduler
Sleep Lab coordinator Radiology Scheduler
Skills
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Experience
Leticia M DeJesus
**************@*****.***
Administrative Assistant/Secretarial duties
Surgery/OR scheduler
Pre-Authorization
Phone systems, computer systems, use of scanner, copy machine, and fax machine, Cerner, Trace communications, Word documents, Excel documents, Adobe Acrobat documents, eClinial system, EMR and scanner, Medtel, Vision, Athena, filebound.
The Bariatric Clinic at White Rock Medical Center
(Formerly City Hospital at White Rock)
Bariatric Surgery Scheduler
10/8/24 to current
Schedule new patient appointments
Enter demographics into system
Email patient an appointment notification letter with new patient paperwork packet
Complete an insurance verification for verification department
Document all new patients scheduled for marketing personnel on an excel created spreadsheet
Email hospital surgery scheduler of any cancellations or reschedules, or add ons
Complete all necessary paperwork electronically, and submit to the hospital for processing.
Enter orders into the hospital for pre and post op testing
Update hospitals with any insurance approvals or denials Schedule peer to peers for physicians to discuss cases with insurance company physicians.
Provide patient, in writing and verbally, dates of testing, preop’s, surgery check in and address of hospital, and also Schedule follow up’s.
Medfinity Health Plano
Surgery Scheduling Coordinator
9/25/2023 to 10/03/2024
Lead scheduler for facility and trainer for new schedulers
Work with physicians office staff to coordinate procedures at Medfinity Health facility or at surrounding hospitals.
Review orders and clinical documentations to ensure proper documentations for procedure and preauthorization purposes.
Schedule at Medfinity- print orders and supporting documentation, locate next available opening that works best with physicians office schedule, and Google calendar (meetings, days off, etc.), enter patient Demographics into Vision (Medfinity's schedule), Athena (physician's network) and file bound (CBO), call patient to discuss appointment, medication instructions for procedure and procedure preparation instructions. Once confirmed, will email patient all instructions discussed as well as facility address and prep instructions. Submit information to file bound for insurance verification, submit to pre-authorization personnel with correct insurance information (verified with patient during call), correct procedure codes and ICD-10 codes. Make arrangements with pacemaker/AICD vendors, CardioMEMS rep, or ILR Rep, as requested by physician.
Schedule at local hospital- call hospital with requested date/time, documenting representative I spoke with along with a confirmation code for the appointment. Preparing orders with date/time of procedure and faxing the orders to their scheduling department, notifying physicians office of date/time so they can submit for pre-authorization.
Answering requests from physicians/ physicians office staff to block schedule for certain dates and times.
Creating a format of blocking dates and times in Vision for physicians to ensure an availability for their scheduling.
Assist with Front Desk duties- covering these front desk shift when necessary (5AM-1:30PM), checking in patient’s, having them complete necessary paperwork, collecting patient co-pays, informing nurses and staff when patient is ready, preparing paperwork for the next day and making sure pre-authorization is complete and approved, calling patients with their co-pay amounts and collecting co-pay on the day of service, documenting payments on spreadsheet and emailing to CBO.
Assisting facility administrators with scheduling questions and addressing any issues with patient cases.
Messaging physicians on their availability to assist other physicians when needed for back up.
City Hospital at White Rock
08/2022 to current
New You Bariatric Clinic
Schedule new patient appointments
Enter demographics into system
Email patient an appointment notification letter with new patient paperwork packet
Complete an insurance verification for verification department Document all new patients scheduled for marketing personnel on an excel created spreadsheet
Temporary: Surgery scheduler (12/2022 to current) Covering surgery scheduling while co-worker is on maternity leave.
Enter patient Demographics and procedure details into Medtel
(hospital based system)
Email hospital surgery scheduler of any cancellations or reschedules
Complete all necessary paperwork manually, and submit via fax to the hospital for processing.
Enter orders into the hospital for pre and post op testing
Update hospitals with any insurance approvals or denials Schedule peer to peers for physicians to discuss cases with insurance company physicians.
Provide patient, in writing and verbally, dates of testing, preop's, surgery check in and address of hospital, and also Schedule follow up's.
6/2021 to 8/2022- Case Management Pre-Authorization Specialist
Submit initial clinicals for pre-authorization to the insurance companies, electronically
Call to check status on the requests 3 days post submission for determination
Schedule peer to peer on the denials with physicians and notify them via text message or email
Update patient accounts with authorization approvals or denials Report to supervisor on denials to discuss with physicians if the denial is upheld.
Generate reports for the peer to peers done, reports for the approvals with detailed information, and report for the denials upheld with detailed information
Answer phone lines
Distribute and document faxes received
Greet vendors when they present to office
North Texas Heart Center- Dallas, Tx./Surgery Scheduler
12/2019-6/1/2020
Meet with patients to discuss procedure scheduling in office or by phone call.
Explained preparation for procedures, including holding medications, as well as recovery time
Coordinated scheduling with hospital with preference to patients requested date and time
Submitted all required documentation to the hospital’s Surgery scheduling department
Notified Cath lab/EP lab manager of any issues with scheduling
Or any special requests from physician/surgeon Provided patient with all necessary paperwork, including procedure instructions for pre and post surgery, including medication instructions and procedure appointment as well as follow up, post procedure
Update physicians google calendar as required
Notify pre-authorization department as well as provide
CPT/procedure codes for authorization purposes
Post procedure on office scheduling system
City Hospital at White Rock-Dallas, Tx./scheduler
9/2018 to 12/2019
(*remained a PRN employee and would come in to assist in the evenings, as needed)
Inbound/Outbound calls to schedule future appointments from patients, and from outside physician offices
Schedule cath lab procedures
Schedule, pre-authorize and arrange sleep studies for sleep lab Check schedule for the next day for any errors in scheduling and making sure we gave correct paperwork. Communicate with sleep technician on confirmations, reschedules, or any insurance issues
Send appropriate appointment notifications to the referring physician offices
Scan all paperwork into system for EMR
Baylor Scott and White-Garland/EKG technologist
3/2015-3/1/2018
EKG studies, communication with cardiologist or RN on critical studies
Downloading EKG machines to a main hub in order to edit and submit to cardiologist for his review
Entered charges for EKG daily and reconciled charges on a daily basis as well as a weekly basis.
Receptionist duties (front desk duties)
Answer phone calls and direct to correct department or assist as needed
Print schedules and paperwork needed for next days appointments
Confirm appointments for the next day for the Heart & Vascular
Department
Surgery Scheduler
5/2017-8/2017 at BSW-Garland, assisted in different department
Scheduled OR/CATH LAB procedures as ordered by physicians of physician office representative updated patient demographics and insurance information as needed
Responsible for obtaining all necessary paperwork prior to procedure date
Responsible for informing purchasing department of any specific supplies/equipment needed per physician request printed physician preference cards, which show equipment/supplies needed for procedures
Responsible for dispatching transporter when it was time for patient procedure
Vascular Technologist
10/2017-3/2018 at BSW-Garland, assisted in different department
Scanned under supervision, as allowed under technical director
Performed lower extremity venous and arterial doppler studies
ABI studies
Performed carotid doppler studies
Completed vascular tech worksheets
Charged patient account for study/studies performed
Scanned preliminary worksheets and charge sheets into EMR
Reconciled charges daily and weekly
Completed schedules for full time employees as well as PRN employees (work schedules and call schedules)
Distributed schedules to necessary personnel and departments
Express Medical Center/Mobile Vascular
Sonographer/Technician
10/2013-10/2014
Drive to patients home to perform vascular testings as orered by physician
Performed ABI studies
Performed Venous Doppler studies
Performed Arterial Doppler studies
Performed Carotid Doppler studies
Performed EKG’s as needed
Discussed patient medical history
Documented patient signs and symptoms
Completed clinical worksheets as assigned
Briefed physician on urgent studies
HeartPlace/Office Assistant/Medical Assistant/Referral
Coordinator/Medical Records/EMR
1/2004-04/2011
Front desk duties, answering phone, scheduling patients
Greeting patients as they arrived
Updating patient demographics and insurance information Obtaining appropriate records for continuation of care from other physician offices, hospitals, or testing facilities Verified insurance benefits and obtained insurance referral/precertification for visit as needed
Verified Worker’s compensation insurance coverage and obtained approval for visits as reasonable and necessary Prepared charts for the next day and upcoming appointments Contacted pacemaker representatives and made arrangements to have them there for a device check
Assist in rooming patients; obtaining vital signs, updating medications lists, documenting in patient chart, and ECG/EKGs as needed
Assist in check out as needed, scheduled future appointments for patients
Scanned in medical records into EMR system in a timely manner
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Sanford Brown College/Cardiovascular Technologist
Education. 1/2011-07/2012
Obtained ASSOCIATES DEGREE
860 hours of clinical externship hours BLS/CPR
Garland High School
1990-1994
Graduated Diploma
Course in Office Administration
References Upon Request
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