Summary
Overview
Work History
Education
Skills
Timeline
Generic

Beatriz Garibay

Escondido

Summary

I started in the medical field circa in 2002 working for urgent care as a front office Quality Care. Wich helped me work for a General and Vascular Surgeon. During my time there I managed the back office, front office, surgery scheduler, translator, billing and assist with discharging patients. Currently I am working for San Ysidro Health for 2 year and 6 mths.

Driven professional with several years of experience facilitating referrals and obtaining authorizations and pre-certifications. Seasoned industry veteran at managing referral verification prior to patient appointments. Devoted to continually enforced practice procedures, requirements and regulations.

Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations.

Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation.

Overview

23
23
years of professional experience

Work History

Medical Referral Specialist

San Ysidro Health Center
Escondido
09.2023 - Current
  • Managed patient referrals to specialists and services efficiently.
  • Coordinated communication between patients, providers, and insurance companies.
  • Reviewed medical records to ensure accurate referral processing.
  • Tracked referral request progress and resolved issues to maintain smooth processing.
  • Managed and obtained insurance authorizations for patient referrals from physicians.
  • Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
  • Gathered and verified insurance requirements to meet payer requirements.

Medical Referral Authorization Specialist

Neighborhood HealthCare
01.2020 - Current
  • Obtain referral from provider in timely manner.
  • Obtain authorization where applicable.
  • Communicate referrals/authorization information to the specialist provider.
  • Obtain the consult/progress report from the specialty, radiology, ect.
  • Appropriate documentation in patient’s medical records.

Medical Referral Authorization Specialist

Borrego Community Health Foundation
09.2010 - 12.2020
  • Ensure proper management off all referrals for locations and providers assigned.
  • Hold an excellent level of competency with EHS and I2I track system.
  • RCC workflow, policies and procedures, Insurance verification, authorization, coordinating appointment for specialty provider, case management, patient and provider advocate.

Front office, Back office, Referral Coordinator

Dr. Greer -Savin MD Inc
01.2003 - 09.2010
  • Front office, back office, surgery scheduling, billing, dictation for both doctors, Insurance verification & insurance eligibility, appointment scheduling.
  • Surgery authorizations.

Education

Medical Insurance Technician -

Maric College

High school or equivalent -

Escondido High school

Skills

  • Bilingual (English/Spanish)
  • Excellent computer skills
  • Scanning
  • Database maintenance
  • Strong communication skills
  • Strong organization skills
  • Ability to interact with a diverse population
  • CHG
  • Molina
  • HEX
  • Blue Shield Promise
  • Prospect
  • CCIPA
  • IHP
  • MCL
  • Medicare
  • Healthnet
  • CPT codes
  • ICD-10
  • Fast learner
  • Self-motivated
  • Insurance verification
  • Time management abilities
  • Teamwork
  • Patient referral
  • Insurance authorization
  • Healthcare communication

Timeline

Medical Referral Specialist

San Ysidro Health Center
09.2023 - Current

Medical Referral Authorization Specialist

Neighborhood HealthCare
01.2020 - Current

Medical Referral Authorization Specialist

Borrego Community Health Foundation
09.2010 - 12.2020

Front office, Back office, Referral Coordinator

Dr. Greer -Savin MD Inc
01.2003 - 09.2010

Medical Insurance Technician -

Maric College

High school or equivalent -

Escondido High school
Beatriz Garibay