Sandra Torres
Elgin,IL
Summary
Experienced in efficiently managing complex patient referral processes, utilizing medical terminology and patient care skills to facilitate timely and effective communication among healthcare providers. Knowledgeable in healthcare coordination and referral management protocols that enhance patient satisfaction and operational efficiency.
Overview
10
10
years of professional experience
Work History
Medical Assistant/Insurance Customer Service Representative
University of Illinois at Chicago
08.2019 - Current
- Prepared Patient for Doctor
- Took Vitals
- Clean and stock exams room
- Call patients
- Work front desk
- Checked patients in/out
- Collect copays
- Scan medical records
- Confirmed appointments
- Multitasked in a fast paced environment
- Reconciled cash drawer
- Clear communication with patients
- Remained courteous and calm at all times, even during moments of intense customer displeasure
- Quickly learned EPIC
- Reduced wait times by prioritizing urgent referrals and coordinating appointments with appropriate specialists promptly.
- Supported administrative staff in handling insurance authorizations, minimizing financial barriers to access specialty care.
- Streamlined the referral process for increased accuracy, resulting in a significant reduction of errors and delays.
- Assisted in training new team members on the referral process, contributing to a cohesive work environment focused on quality patient care.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Greeted and interacted with patients to provide information, answer questions, and assist with appointment scheduling.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Prepared and processed patient referrals and transfer requests.
- Assisted with medical coding and billing tasks.
- Increased revenue by identifying and resolving billing errors promptly.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Reached out to insurance companies to verify coverage.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization before service delivery.
- Assists with charge capture, reconciliation, claims processing, and related business functions of the center. Responsible for ensuring charge capture of approximately. 1.5M monthly.
- Responsible for educating and counseling patients on insurance processing and related billing functions. Under the general supervision of the CD, there is autonomy for charge adjustments when needed.
- Interprets and enforces policies and procedures related to billing and business functions. Acts as liaison between providers and patients to resolve billing issues.
- Identifies appropriate procedural and diagnostic coding (as needed) in consultation with providers.
- Oversees the data entry (registration, charge capture, etc.) processes, including reconciliation/ correction, and related documentation.
- Performs insurance verification and pre-authorization for services
- Consults with providers, patients, and insurance companies/other third-party payors related to claims denials or requests for additional information.
- Responds to inquiries related to insurance, billing, and business functions
- Assists other staff members with billing/business operations questions.
- Troubleshoot data entry and billing problems.
Medical Scribe
Neel French MD, Internal Med/HIV Specialist
06.2018 - 08.2019
- Scribed for doctor while he speaking to the patient
- Took Vitals when needed
- Booked appointments
- Answered phones
- Completed paperwork
- Work at front desk checking patients in and out
Registered Medical Assistant
Chicago Cardiology Institute: Cardiovascular, Cardiology
04.2017 - 05.2018
- Greeted and showed patients to exam rooms
- Obtained patient Vitals
- Setting up and performing EKG’s
- Drawing patient blood for procedures
- Set up and instructed patient on testing i.e: 24 hour holter monitors, sleep study’s, 14 day monitors, 30 day monitors
Registered Medical Assistant
Swedish Covenant Medical Group: Cardiovascular, Electrophysiology, Vascular, Cardiology and Pulmonology
08.2016 - 04.2017
- Greeted and showed patients to exam rooms
- Took vitals and recorded in EMR (e-clinical)
- Booked appointments
- Setting up and performing EKG
- Completing task/messages
- Stocking and cleaning exam rooms
- Measured patients for compression stockings
- Recorded patient medication history
Registered Medical Assistant
Advocate North Cicero Medical Group
01.2016 - 08.2016
- Greeted and showed patients to exam rooms
- Took vitals and recorded in EMR (All scripts)
- Administered injections
- Performed phlebotomy
- Booked appointments
- Setting up and performing EKG
- Completing task/messages
- Stocking and cleaning exam rooms
Registered Medical Assistant
Swedish Covenant Pediatric Medical Group
03.2015 - 01.2016
- Greeted and showed patients to their exam rooms
- Took vitals and recorded them in the EMR (e-clinical)
- Gave immunizations to patients from babies to adolescence
- Processed referrals
- Ran quality controls on all lab equipment
- Responsible for work load/Messages
- Scanned medical records into EHR
- Ran and processed rapid strep and flu test
- Ear irrigations
Education
MEDICAL CODER/BILLER - HEALTHCARE
Elgin Community College
Elgin, IL01-2023
MEDICAL ASSISTANT - HEALTHCARE
Coyne College
Chicago, IL11-2014
Skills
- HIPAA compliance
- Patient scheduling
- Customer service
- Insurance verification
- Medical billing and coding
- Insurance authorizations
Timeline
Medical Assistant/Insurance Customer Service Representative
University of Illinois at Chicago
08.2019 - Current
Medical Scribe
Neel French MD, Internal Med/HIV Specialist
06.2018 - 08.2019
Registered Medical Assistant
Chicago Cardiology Institute: Cardiovascular, Cardiology
04.2017 - 05.2018
Registered Medical Assistant
Swedish Covenant Medical Group: Cardiovascular, Electrophysiology, Vascular, Cardiology and Pulmonology
08.2016 - 04.2017
Registered Medical Assistant
Advocate North Cicero Medical Group
01.2016 - 08.2016
Registered Medical Assistant
Swedish Covenant Pediatric Medical Group
03.2015 - 01.2016
MEDICAL CODER/BILLER - HEALTHCARE
Elgin Community College
MEDICAL ASSISTANT - HEALTHCARE
Coyne College
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