Front Desk Coordinator
Resume:
Madeline Horenstein
Front Desk Coordinator
Pembroke Pines, FL 33025
*********@*****.***
Authorized to work in the US for any employer
Work Experience
Front Desk Coordinator
The Center for Gynecologic Oncology-Miramar, FL
June 2023 to Present
• Greets patients and families in person or on the telephone in a respectful and empathetic manner. Responds to questions and/or problems and keeps open lines of communication with patients/families.
• Verifies third party payer information via the web or telephone.
• Requests and documents appropriate authorization for hospital and physician services via web or fax and follows up until authorization is obtained.
• Process Medical Records request
• Communicates with appropriate departments if any issues/questions arise and/or to accommodate any special needs for patients.
• Schedule & set-up transportation
• Coordinate referral appointment, maintain and update patient records
• Verify patient insurance information, and provide administrative support Referral Coordinator
Caremax Medical Center-Miami Lakes, FL
January 2022 to January 2023
• Process and authorize referrals
• Verifies third party payer information via the web or telephone.
• Requests and documents appropriate authorization for hospital and physician services via web or fax and follows up until authorization is obtained.
• Process Medical Records request
• Communicates with appropriate departments if any issues/questions arise and/or to accommodate any special needs for patients.
• Schedule & set-up transportation
• Coordinate referral appointment, maintain and update patient records
• Verify patient insurance information, and provide administrative support Claims Benefits Specialist
Aetna, a CVS Health Company-Miami Gardens, FL
June 2021 to June 2022
• Process International claims,
• Review pre-specified claims or claims that exceed specialist adjudication authority or processing expertise.
• Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Call Center Representative
Miami Dade County-Miami Gardens, FL
May 2021 to November 2021
• Take inbound calls for Miami Dade Emergency rental program,
• verify demographics,
• send and reply to Tenant and Landlord emails.
Front Desk Coordinator/Receptionist
Illumina Medical Centers-Aventura, FL
June 2019 to April 2021
• Greets patients and families in person or on the telephone in a respectful and empathetic manner. Responds to questions and/or problems and keeps open lines of communication with patients/families.
• Verifies third party payer information via the web or telephone.
• Requests and documents appropriate authorization for hospital and physician services via web or fax and follows up until authorization is obtained.
• Process Medical Records request
• Communicates with appropriate departments if any issues/questions arise and/or to accommodate any special needs for patients.
• Schedule & set-up transportation
• Coordinate referral appointment, maintain and update patient records
• Verify patient insurance information, and provide administrative support Patient Access/ Medical Support- Ophthalmology
Nicklaus Children's Health System-Miami, FL
February 2016 to April 2019
• Greets patients and families in person or on the telephone in a respectful and empathetic manner. Responds to questions and/or problems and keeps open lines of communication with patients/families.
• Interviews patients/families to obtain demographic, third party payer, financial/medical information, and identification to schedule, pre-admit/admit, or pre-register/register patients.
• Verifies third party payer information via the web or telephone.
• Requests and documents appropriate authorization for hospital and physician services via web or fax and follows up until authorization is obtained.
• Documents all activities in the Collection Notes file of the computer system as appropriate.
• Obtains all necessary consents for patient.
• Directs families to appropriate location in the facility.
• Verifies patients are accompanied by legal guardian and notifies Risk Management if patient is present with anyone other than legal guardian for any non-emergent visits.
• Notifies and educates patient/family of financial responsibility and documents collections in hospital system.
• Communicates with appropriate departments if any issues/questions arise and/or to accommodate any special needs for patients.
• Obtains and validates prescriptions when appropriate.
• Places and monitors patients arriving to ACC for services by using patient tracking system.
• Corrects any registration errors made utilizing the QA system.
• Scans all documents to the appropriate folder in the PEDS system.
• Schedules hospital and/or physician services as appropriate.
• Triages incoming facility inquiries and routes appropriately. Voucher Processor I
Quadel Program Services-Miami, FL
May 2012 to June 2014
Works cooperatively with others members of the Voucher team, adjusting workload as needed when others are ill or on vacation
* Communicate with applicants, participants, landlords/owners and co-workers in a that is courteous and professional
* Place information received through the mail, by fax, or email in appropriate part of file
* Ability to communicate interpersonally
* Process Interim when participant reports changes in income or family circumstances, process adjustment
* Make determination in accordance with the Admin Plan when tenants request to add family members for reasons other than the birth, adoption or Court-awarded custody of children
* Process Annual re-certification in a manner that ensure that notices of rent increase are provided at least 30 days before the anniversary date
* Determine whether the participant family qualifies for different unit/Voucher size when appropriate
* As the utility allowance schedule is updated, ensure that the utility allowance used in determining tenant rent are correct and accurate,
* Enter correct information and forward accurate and timely 50058 form
* Conduct criminal background check on all adult members of applicant families
* Obtain EIV or third party verification of income
* Calculate Adjusted Income correctly in accordance with HUD
* Calculate Total Tenant Payment accurately
* Perform other duties as assigned
Education
High School Diploma
Corporate Academy North-Miami, FL
1996 to 1999
Skills
• Triage
• Team Work
• Front desk
• Ophthalmology Experience
• Reliability
• Medical Scheduling
• Problem-solving
• Flexibility
• Medical Records
• Customer service
Languages
• Spanish - Fluent
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