Master Scheduler, Surgery Scheduler anHealth Care Prior Authorization

ROSEANNA CARRASCO

**** ******** *** ** *** *** Alviso, Ca 95002

********.********.****@*****.*** 408-***-****

OBJECTIVE

Highly self-motivated, Client- focused Health Assistant dedicated to the support and success of Medical Professionals. Dependable and dedicated partner with more than 26 years’ experience assisting in delivering high quality health care. Proven expertise in medical procedures, patient confidentiality, medical terminology, CPR/ First Aid, and maintaining a sanitary, healthy and safe office environment.

SUMMARY OF SKILLS

Master Scheduler adept at time management

Well versed in Electronic File Systems

In-depth understanding of the medical processes, Insurance eligibility and form filing

High attention to detail, problem solving, and maintaining strict confidentiality

Highly skilled in providing general medical assistance

Manages high call volume with professional, mature, interpersonal communication skills

Extensively trained in Medtronic, Boston Scientific (formerly Guidant) and St. Jude technology and medical devices

Dedicated team player with great coordination of running busy medical office with staff, promoting “win together” office environment

PROFESSIONAL EXPERIENCE

Minimally Invasive Surgical Solutions - San Jose, CA November 2021-November 2024

Surgery Scheduler

Work closely with the physician in order to effectively communicate information relating to the patient, procedure or care thereof

Interact with operating room staff to ensure proper scheduling and any cancellations or changes in the schedule

Daily use of Microsoft Outlook in order to keep physician's schedule updated and organized

Scheduled appointments, surgeries, and diagnostic tests

Scheduled all surgeries: Communicated with hospitals to schedule procedures at facility, surgical representatives for equipment requests and patients to give pre-operative instructions

Coordinated all vendors and vendor equipment as required

Explained all pre/post operative surgery instructions to patients

Check Patients out after they saw the Doctor

Print and Scan all faxes into patients chart

Responsible for sending out anesthesia schedules

Prepared a daily and monthly staff call schedule for distribution.

Maintaining patient confidentiality and information security

Knowledge of CPT coding and medical terminology.

Answered phones, maintained and provided accurate information for the hospital and patient.

Provided quality and caring service to all patients

Trained personnel as backup for scheduling surgeries.

Action Urgent Care - San Jose, CA March 2017 – January 2020

Medical Biller and Coder

Reading and analyzing patient records

Determining the correct codes for patient records

Using codes to bill insurance providers Managing detailed, specifically-coded information

Maintaining patient confidentiality and information security

Claims submission process, and procedures

Analyzing Explanation of Benefits (EOB) forms to ensure insurance companies have paid for charges

Following up with the appropriate parties (insurance companies and patients) to ensure bills are paid

Bay Area Gynecology Oncology – San Jose, CA July 2018 – July 2019

Prior Authorization Specialist

Responsible for all patient appointment scheduling

Verify insurance benefits and obtain authorizations for patients before scheduled appointments and procedures.

Maintain up to date knowledge of ICD-10 codes

Check CPT codes to see if they require prior authorization

Attach incoming information to EMR and follow establish procedures for distributing information for further review.

Check clinical records for diagnosis, and obtain additional clinical information as needed to ensure prior authorization guidelines.

Contact patients and Dr. Offices to let them know if prior authorization is approved or denied

Olga Tran’s Dentistry – Sunnyvale, CA November 2016 – March 2017

Scheduler

Responsible for all patient appointment scheduling

Maintained sanitary station

Greeted patients and family providing a comforting and soothing environment

Managed all clerical duties including but not limited to data entry, word processing, heavy phones, filing, office supplies and daily errands

Treatment Plans, prepared due paperwork and educated patients and family

Apex Cardiology – San Jose, CA April 1998 – September 2016

Sr. Appointment Scheduler + Holter Monitor Technician + Cardiac Device Clinic Coordinator + Research Study

Coordinator

Patient facing duties including scheduling patients for routine and urgent device checks, taking and monitoring vital signs, blood pressure, pulse and patient triage; distribution, preparation and education of materials to patients

Performed EKG and assisted physician in minor procedures

Responsible for Patient follow up of medications requiring monitoring such as but not limited to warfarin and amiodarone, etc.

Obtained clients' medical and drug history, allergies and all information pertaining to health issues

Managed necessary requisitions and authorizations

Kept Physicians organized by ensuring medical records were prepped and available for scheduled appointments

Tasked as Holter Monitor technician - responsible for monitor hook up to patient, providing education and instruction and analyzing monitor upon return by patient

Recognize and report abnormal ECG patterns proficiently in both ACS and Zymed systems and drafting report upon completion of physician

Perform routine and urgent device checks and analyze data for implanted Pacemakers, Defibrillators and Loop Recorders and arranged long-term follow up device care

Worked closely with physicians and as acting partner, reprogramed cardiac devices to optimize performance

Managed front office and all administrative duties including high inbound and outgoing call volume, patient and vendor relationships, and insurance responsibilities, billing, data entry, word processing and filing

Prepared Patient room and maintained a clean, healthy and safe environment.

El Camino Hospital – Sunnyvale, CA January 1999 –July 1999

Telemetry Monitoring Technician

As a Dedicated Team Player, maintained and managed high incoming call volume, taking and relaying all high level personal messages, heavy data entry

Responsible for all Medical records and chart keeping

Interpret EKG strips hourly and report findings to acting physician

Office expert of all office machinery including fax machine, printer/ copier, multi-line telephone

Assisted the office flow by restocking medical and office supplies

Dr. Fuss – Milpitas, CA January 1996 – January 1997

General Office + Medical Assistant

First point of contact for all patients, greeting in person and via telephone

Assisted in Patient care and examination processes; preparing patent rooms, taking vital signs, blood pressure, giving injections, demonstrating excellent customer service

Assisted physician in minor procedures and Venipunctures

Maintained a healthy, positive attitude and Demonstrated quick problem solving

EDUCATION

Concorde Career Institute – San Jose, CA 1996

Licensed Certified Medical Assistant

Earned Degree in Healthcare Administration - Coursework in administrative and clinical procedures, competency in preparation of patients for exams, back-office clinical procedures, administration of medications and routine lab procedures, front-office skills necessary to function as part of an efficient medical office.

REFERENCES AVAILABLE UPON REQUEST

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