Summary
Overview
Work History
Education
Skills
Timeline
Generic

Isaura Stoffel

San Diego,CA

Summary

Highly experienced professional with over 14 years of experience in the medical field with a strong background in Medical insurance, authorizations, patient services, and customer service. Consistently demonstrated the ability to effectively communicate with patients and families, handle difficult situations with grace and professionalism, and work collaboratively with healthcare teams to provide the highest quality of care. Highly skilled in managing insurance-related tasks, including verifying coverage and obtaining prior authorizations, and have a thorough understanding of various insurance plans and policies. Taking pride to deliver exceptional customer service and am dedicated to ensuring that patients have a positive experience at every stage of their healthcare journey.

Overview

13
13
years of professional experience

Work History

Patient Service Specialist

Scripps Health
12.2021 - 08.2023
  • Proactive approach to customer service by listening to the patient, taking ownership of solutions and escalates issues as appropriate in order to resolve concerns.
  • Manages the patient interaction from start to finish, which may include identification verification; confirming demographic and insurance on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
  • Educated patients on their benefits and explained the estimate provided to them in detail
  • Assists patients with payment arrangements including financial assistance information, providing price estimates
  • Achieved 200% of daily productivity quota resulting in being recognized as Top performer for nine months in a row
  • Trained new coworkers and continue to be there for them when they have questions
  • Knowledge and understanding of CPT (Procedure codes), ICD9 ,ICD10 and DRG's

Billing Clerk

Borrego Health
09.2020 - 09.2021

• Executed billing tasks and recorded information in company databases
• Monitored outstanding invoices and performed collections duties
• Proficient in the use of the Success EHS practice management software system, including learning and applying new functionality as needed
• Developed knowledge of payer billing requirements (Medi-Cal, Medicare, Patient Eligible Payment Programs, and Commercial Insurances) as it applies to the data collected on encounters
• Conduct pre verifications for eligibility of benefits for patients where insurance will be used by the patient as their form of payment
• Review billing encounter information for the correct application of insurance or eligible patient payment program
• Manage daily reporting requirements (Batch Journal, CINCO, Deposits, and others as needed)
• Coordinate with clinic management for the timely completion of encounter corrections
• Assist in processing claims as needed
• Monitor utilized equipment and computer connectivity and report issues to the Site Manager.

Ophthalmic Technician

Imperial Beach Optometry
10.2018 - 04.2019
  • Operated ophthalmic equipment for patient eye examinations
  • Explained pre- and post-operative procedures to patients and carefully reviewed surgical plans
  • Measured and recorded visual acuity and color vision testing
  • Conducted Goldman and Humphrey Visual Field Testing as part of overall vision evaluation
  • Measured intraocular pressure using Goldman and Tonopen tonometry process
  • Adjusted fit and conducted minor repairs to eyeglasses as part of patient fit process
  • Measured corneal curvature using keratometer to determine axis and extent of astigmatism
  • Instructed patient in care of use of various types of contact lenses, demonstrating insertion, removal and cleaning
  • Applied eye medications and drops to dilate pupils in preparation for examinations
  • Conducted corneal pachymetry as screening for Keratoconus, LRI surgery and glaucoma
  • Reviewed inventory levels to check medications and other materials, placed orders and restocked supplies to meet forecasted needs.

Ophthalmic Technician

Eye Associates Of San Diego Laser Vision Center
01.2018 - 05.2018
  • Operated ophthalmic equipment for patient eye examinations and prepared patients for examinations and surgeries
  • Explained pre- and post-operative procedures to patients and carefully reviewed surgical plans
  • Instilled anesthetic drops and assisted in laser treatments and minor procedures
  • Measured and recorded visual acuity and color vision testing
  • Conducted Goldman and Humphrey Visual Field Testing as part of overall vision evaluation
  • Measured corneal curvature using keratometer to determine axis and extent of astigmatism
  • Applied eye medications and drops to dilate pupils in preparation for examinations
  • Performed lensometry and sit-lamp examinations
  • Provided patients with detailed instructions for pre- and post-op care under physician supervision to promote healing and optimal recovery strategies
  • Assessed patients for eye issues and checked visual acuity, color plates and papillary function
  • Cleaned and sterilized ophthalmic or surgical instruments

Ophthalmic Technician

Family Health Centers of San Diego
03.2015 - 01.2018
  • Conducted corneal pachymetry as screening for Keratoconus, LRI surgery and glaucoma
  • · Promoted positive and smooth patient flow throughout facility, encouraging more efficient operations and boosting patient satisfaction
  • · Worked well with patients, staff and manufacturer representatives to carry out successful office- and patient-related work each day.
  • Assessed patient for eye issues and checked visual acuity, color plates and papillary function
  • · Measured and recorded visual acuity and color vision testing
  • · Conducted Goldman and Humphrey Visual Field Testing as part of overall vision evaluation
  • Adjusted fit and conducted minor repairs to eyeglasses as part of patient fit process
  • · Measured corneal curvature using keratometer to determine axis and extent of astigmatism
  • Triaged phone calls from patients and outside contacts and handled in order of importance.
  • Used Lensometer to measure and record lens power of existing prescriptive spectacles.
  • Applied eye medications and drops to dilate pupils in preparation for examinations
  • Reviewed inventory levels to check medications and other materials, placed orders and restocked supplies to meet forecasted needs

Pharmacy Clerk

Family Health Centers of San Diego
03.2015 - 01.2018
  • Processed incoming drug orders by checking deliveries against paperwork and updating computer system
  • Prepared bills for insurance companies and submitted required paperwork
  • Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers
  • Established and maintained patient profiles, updating organizational database with current information
  • Communicated instructions to patients or caregivers about proper use and storage of drugs
  • Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues
  • Counted and labeled prescriptions with correct item and quantity
  • Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions and refill instructions
  • Completed cash register transactions by handling credit and cash payments using pharmacy register system
  • Boosted sales and delivered outstanding customer service by assisting customers with pharmacy services, product questions and general store information.

Care Coordinator

Family Health Centers of San Diego
03.2014 - 03.2015
  • Updated policies and procedures, leading continuous improvement of resident assessments and care
  • Determined need for special assessment activities for complex cases, effectively handling care plans
  • Managed primary care doctor case load for special services for patients with special or extended need of help
  • Coordinated and tracked outreach and follow-up calls to assigned managed care members
  • Educated patients on various healthcare programs available
  • Provided assistance to patients by coordinating transportation and interpreter services
  • Assisted with patient specialty referrals
  • Provided status reports to management on all operations and activities on a weekly basis
  • Submitted patient data entries
  • In charge of training the new care coordination staff on policies and procedures.
  • Insurance enrollment specialist Certified.

Patient Service Representative II

Family Health Centers of San Diego
10.2010 - 03.2014
  • Provide coverage for all clinics within the organization at clinic director's request
  • Register patients according to appointment time, urgency, and at nursing staff request.
  • Responsible for initial screening process for new and established patients for various departments (General Medicine, Pediatrics, OB/GYN, Laboratory, Mental Health, Prenatal Support, Health Education, Radiology, Podiatry, ENT, Rheumatology, Optometry, Women's Health and Healthy Developmental Services).
  • Incorporate AIDET skills when providing customer service to patients
  • Responsible for all demographic forms including notice of privacy, consent for treatment, and Health Information Exchange/SDIR
  • Responsible for screening and administering paperwork to patients for state funded programs such as: FPACT, EWC and CHDP
  • Address financial responsibility based on insurance status, collect patient payments (copays, deposits,etc.) and issue receipts
  • Maintain current updated patient information in agency's database/data entry
  • Responsible for obtaining insurance information and verify insurance eligibility Verify PCP, and make PCP changes when necessary
  • Maintaining adequate patient flow for patients that have appointments and also facilitate and ensure walk-in patient flow
  • Schedule/Cancel/Reschedule and confirm appointments for patients
  • Assist in call center as needed
  • Provide Bilingual/Bi-literate information to patients (English/Spanish)
  • Maintain constant and accurate communication with all staff
  • Able to work well with team members and independently and all levels within the organization
  • Prioritize duties, maintain neat and organized work area
  • Able to perform other related duties as assigned or required
  • Strong analytical and critical thinking skills and attention to detail and capability to remain calm and handle difficult situations professionally.
  • Able to prioritize the urgency of multiple requests and then take charge to appropriately respond in a timely manner
  • Daily cash drawer/money collection
  • Assisted with insurance guides for all PSR's, and trained new staff on health centers' policies and procedures

Education

High School Diploma -

Chula Vista Senior High School
Chula Vista, CA
06.2003

Some College (No Degree) -

Southwestern College
Chula Vista, CA

Skills

  • Bilingual
  • EPIC Medical Software
  • Medical terminology
  • HIPAA Knowledge
  • Microsoft office knowledge
  • Professionalism and Ethics

Timeline

Patient Service Specialist

Scripps Health
12.2021 - 08.2023

Billing Clerk

Borrego Health
09.2020 - 09.2021

Ophthalmic Technician

Imperial Beach Optometry
10.2018 - 04.2019

Ophthalmic Technician

Eye Associates Of San Diego Laser Vision Center
01.2018 - 05.2018

Ophthalmic Technician

Family Health Centers of San Diego
03.2015 - 01.2018

Pharmacy Clerk

Family Health Centers of San Diego
03.2015 - 01.2018

Care Coordinator

Family Health Centers of San Diego
03.2014 - 03.2015

Patient Service Representative II

Family Health Centers of San Diego
10.2010 - 03.2014

High School Diploma -

Chula Vista Senior High School

Some College (No Degree) -

Southwestern College
Isaura Stoffel