Deonicia N Bamaca
Fontana,CA
Overview
10
10
years of professional experience
Work History
Preservices Representative
Pomona Valley Hospital And Medical Center
09.2022 - Current
- Pre-register, schedule, cancel and reschedule patient appointments
- Timely verification of patient medical insurance benefits, insurance eligibility, benefits and preauthorization/ pre-certification/referrals
- Validate that all necessary referrals, pre-certifications and/or authorizations for scheduled services is on file and valid for scheduled procedures.
ER Admitting Representative
Pomona Valley Hospital Medical Center
05.2017 - 09.2022
- Work duties consisted primarily interviewing and retrieving demographic information from patients check into Emergency Department
- Register patients into database named Sorian Financials
- Process health insurance given and allocate it correctly to appropriate account
- If copays are due then collect them from patient
- Answering multiple patient inquiries that relate to their insurance; co-payments, billing, or if they qualify for MediCal should they not have any insurance at the current time
- Responsibilities also include contacting our health plans and IPAs to obtain authorizations for patients to stay at our hospital for Inpatient or Outpatient stays.
Network Contracting Assistant
North American Medical Management, Inc. / UnitedHealth Group
01.2014 - 04.2017
- Primarily drafting, auditing, and executing Medical provider contracts for PrimeCare/NAMM/UHC
- Assist doctors and medical offices that want to be registered as part of our provider network in order to obtain more patients referral accounts, once screened and approved by our network an executed and complete contract is issued
- Answering multiple provider inquiries related to their medical contacts, working with other Departments such as Claims or Configuration to resolve them
- Updating multiple internal grids involving Home Health Rates and bed numbers, Hospital Rates
- Work in our contracting database named eVIPs, load and distribute our executed provider agreements, update specific contracting tabs with updated Medical provider information.
Education
HealthCare Administration
Chaffey College
undefined
Languages
Spanish
Limited Working
Timeline
Preservices Representative
Pomona Valley Hospital And Medical Center
09.2022 - Current
ER Admitting Representative
Pomona Valley Hospital Medical Center
05.2017 - 09.2022
Network Contracting Assistant
North American Medical Management, Inc. / UnitedHealth Group
01.2014 - 04.2017
HealthCare Administration
Chaffey College
Similar Profiles
Makayla DanielsMakayla Daniels
Nuclear Medicine Technologist at Pomona Valley Hospital and Medical CenterNuclear Medicine Technologist at Pomona Valley Hospital and Medical Center
Juan Fernando ChavezJuan Fernando Chavez
Emergency Department Admitting Representative at Pomona Valley Hospital and Medical CenterEmergency Department Admitting Representative at Pomona Valley Hospital and Medical Center
Shaye Van CleaveShaye Van Cleave
Lab Aide/ Data Entry at Pomona Valley Hospital and Medical CenterLab Aide/ Data Entry at Pomona Valley Hospital and Medical Center
Sabrina AmbrizSabrina Ambriz
Registered Nurse, LDRP at Pomona Valley Hospital And Medical CenterRegistered Nurse, LDRP at Pomona Valley Hospital And Medical Center
Fabian Martin Del Campo PadillaFabian Martin Del Campo Padilla
Forklift Operator at COSTWAYForklift Operator at COSTWAY