Darlene Alvarez
Cicero,IL
Summary
I am a bilingual and dedicated professional seeking to help fulfill a need in your department with my ability in organization, multitasking, and schedule management. I am an individual who is a team player who keeps strong relationships with staff and can solve problems efficiently and multi-task while still supporting excellent patient care confidently due to my years of experience in healthcare.
Overview
10
10
years of professional experience
Work History
Advanced Heart Failure Patient Care Navigator
Rush Cardiology Department
Chicago, IL
08.2023 - Current
- Manage scheduling and templates for multipl providers based on policies and procedures at multiple locations
- Monitoring of inpatient/ED discharges and referrals
- Verifying insurances and obtaining authorizations for procedures
- Liaison to multiple departments and provider offices
- Provided insurance aid, including helping patients connect with resources.
- Verified insurances and obtained authorizations for procedures to ensure timely patient access to care
- Scheduling procedures using QGenda and Cath Lab templates
- Scrubbing provider appointments
- Following process maps for the needs of providers
- Approvals and appeals
Infusion Patient Care Navigator
Rush Cancer Center
Chicago, IL
10.2022 - 08.2023
- Perform outreach for all patients due for follow-ups and new patient appointments according to policy and procedures
- Collaborated with care team to identify and address extrinsic barriers to adherence, such as transportation and financial concerns
- Provided assistance to improve patient outcomes by implementing strategies to address healthcare needs. to improve identified outcomes (I.e., high-priority patients) by using quality measures
- Aids with check-in/check-out coverage when needed
Phone Operator/Receptionist
Chicagoland Retail Consultants
Chicago, IL
12.2016 - 09.2022
- Answered calls for multiple practices, accurately scheduled patients within guidelines, took messages, assessed clinical status, and routed clinical inquiries to appropriate personnel
- Ensured efficient call management by prioritizing and routing inquiries based on clinical needs.
- Managed schedules for multiple clinics and doctors, ensuring efficient appointment flow and optimal patient care
- Checking in and registering patients along with checking out at the end of their appointment
- Reaching out to patients individually to remind them of upcoming appointments
- Secured prior authorizations for diagnostic testing through third party payer websites or phone communication.
- Obtain prior authorizations for diagnostic testing on third party payer websites or by phone as needed.
- Retrieving authorized referrals for specific diagnostic testing on third party websites or by phone as needed
- Handling Solutions Reach and Brevium Software for multiple clinics
- Collected co-pays and patient balances after insurance payments, contributing to timely accounts receivable management
- Utilized MDI and NextGen electronic health record systems to manage patient information effectively.
- Managed patient appointments using NextGen, NexTech, and Advanced MD practice management software.
Education
High School Diploma -
Marine Math and Science Academy
Chicago, IL06-2012
Skills
- Proficient in EMR and MS Office
- Detail-oriented
- Scheduling appointments
- Insurance verification and authorizations
- Patient registration
- Patient confidentiality and data security
- Reliability and dedication
- Documenting and recording information
- Adaptability and flexibility
- Effective communication
- Organizational skills
- Critical thinking
- Excellent communication
- Explaining policy and procedures
- Building rapport and credibility
- Administrative and office support
Section name
Reporting patient volume statistics
Languages
Spanish
Native or Bilingual
Timeline
Advanced Heart Failure Patient Care Navigator
Rush Cardiology Department
08.2023 - Current
Infusion Patient Care Navigator
Rush Cancer Center
10.2022 - 08.2023
Phone Operator/Receptionist
Chicagoland Retail Consultants
12.2016 - 09.2022
High School Diploma -
Marine Math and Science Academy