yvette diaz prof. resume 2015

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Yvette Diaz 18341 Oakmont Drive #711 Santa Clarita, CA 91387 (818)470-3427 [email protected] Core Skills Strong data entry skills Able to provide superior customer service over the phone Able to handle high volume of calls Proficient with MS Office applications Diligent and dedicated Employment Experience BOSTON SCIENTIFIC 07/15-Present Pre Authorization Insurance Specialist Verification of Insurance for Doctors offices (Not Profit Organization) Call a variety of Medical Insurance Companies to check the status of Pre-Authorizations and check for out- of-pocket expenses, etc Notify the Account Representative and the Doctors Office the request for more information when needed in order to help process the Authorization Notify the Account Representative and the Doctors Office when the Pre-Authorization or Pre- Determination has been approved, with All information that is needed to be able to proceed with the Outpatient Procedure and billed properly PDC HEALTHCARE 03/14-06/15 Customer Service Representative Handle 70+ calls a day Place customer orders via phone, fax and email Total orders placed per day 100+ Relieve front desk weekly Manage Customer Service Voice Mailbox PDC HEALTHCARE 11/13-2/14 Customer Data Management Update of customer accounts Entry & update of Group Purchasing Organization/ Memberships Validation of GPO Member ID Deactivation of duplicate party relationship Validation of facility ship-to and bill-to address Page: 1

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Yvette Diaz18341 Oakmont Drive #711

Santa Clarita, CA 91387 (818)470-3427

[email protected]

Core Skills• Strong data entry skills• Able to provide superior customer service over the phone• Able to handle high volume of calls• Proficient with MS Office applications• Diligent and dedicated

Employment Experience

BOSTON SCIENTIFIC 07/15-PresentPre Authorization Insurance Specialist

• Verification of Insurance for Doctors offices (Not Profit Organization)• Call a variety of Medical Insurance Companies to check the status of Pre-Authorizations and check for out-

of-pocket expenses, etc• Notify the Account Representative and the Doctors Office the request for more information when needed

in order to help process the Authorization• Notify the Account Representative and the Doctors Office when the Pre-Authorization or Pre-

Determination has been approved, with All information that is needed to be able to proceed with the Outpatient Procedure and billed properly

PDC HEALTHCARE 03/14-06/15Customer Service Representative

• Handle 70+ calls a day• Place customer orders via phone, fax and email• Total orders placed per day 100+• Relieve front desk weekly• Manage Customer Service Voice Mailbox

PDC HEALTHCARE 11/13-2/14Customer Data Management

• Update of customer accounts• Entry & update of Group Purchasing Organization/ Memberships• Validation of GPO Member ID• Deactivation of duplicate party relationship• Validation of facility ship-to and bill-to address

Page: 1

DAVITA DIALYSIS 10/10-08/13Administrative Assistant/Unit Secretary

• Provided internal administrative support for the Medical Director, Facility Administrator andrespective staff with areas including clinical and personnel tasks

• Registered New Patients and Transients with People Services insuring all records met therequirements for the Medical Director

• Prepared paperwork for in-center patients for travels with outside clinics• Handled heavy volume of calls, verification, and follow-ups• Preformed monthly patient chart audits, to assure the patient records were up to standard per State

Regulations• Responsible for medical files, doctors’ orders and quarterly patient information updates• Collaborated with the Facility Administrator and the Clinical Coordinator to assist patients with acute

issues and concerns• Conducted weekly meetings with the Facility Administrator and Clinical Coordinator to prepare

Census Reports for Network 8

PREMIER MEDICAL GROUP 11/08-10/10Patient Services Representative

• Verified eligibility for insurance and referrals• Set-up new and follow-up appointments for main office and out of state offices• Worked closely with Medical Assistants in prepping patients for exams

GLENDALE EYE MEDICAL GROUP 11/04-08/08Appointment Coordinator

• Set-up of new and follow-up appointments for multiple doctors• Prepared surgery charts for inside and outside doctors• Re-routed and rescheduled patient appointments

SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE 03/01-11/04Receptionist

• Handled 100+ high volume calls for 38 doctors• Handled data entry of patient information into medical database• Verified workers’ compensation claims and invoiced billing• Trained new employees for switchboard positions and mail department positions• Responsible for closing office and communicated to the overnight service of the doctors on call

schedules

MEDTRONIC-MINIMED 11/02-05/03Receptionist

• Operated switchboard of 5+ lines, averaging 300-400 calls per day

EducationSan Fernando High School (San Fernando, CA)High School Diploma

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