Jacqueline Barboza

• Managed patient referrals to various healthcare IPA Portals.
• Check insurance eligibility
• Process authorizations through Health Plans, econsult, commercial and Medicare
• Track referrals through i2i
• Coordinated communication between patients and healthcare providers.
• Reassigned referrals daily
• Maintained accurate records of patient referral information and status.
• Collaborated with clinical staff and management on any changes or updates needed in relation to active referrals.
• Assessed incoming requests for authorization of services prior to processing them appropriately.
• Responded promptly and professionally to inquiries from referring physicians or agencies concerning patient cases or services provided.
• Coordinated communication between primary care physicians, specialists, and other healthcare providers regarding patient referrals.
• Monitored patient referral process through completion of services.
• Performed data entry into various databases related to referrals, including demographic information, medical history, insurance information.
• Facilitated communication between internal departments regarding new or updated referrals process.
• Scheduled patients according to availability, urgency and insurance authorization guidelines.
• Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
• Reviewed demographic, clinical and insurance information before sending to referred specialists.
• Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
• Answered questions and resolved concerns raised by both patients and specialists.
• Reviewed data obtained from referring physicians for completeness and accuracy.
• Managed patient referral process from initial consultation to specialist appointment, ensuring timely access to necessary medical services.
• Prepared and distributed referral reports to healthcare management, performance metrics and patient outcomes.
• Participated in training and professional development opportunities to stay current with best practices in referral coordination.
• Resolved issues arising during the referral process, including insurance denials and appointment scheduling conflicts.
• Collaborated with interdisciplinary teams to discuss patient referrals and adjust referral strategies as necessary.
• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Answered telephones and directed calls to appropriate medical or adminstrative staff.
• Transmitted medical records, Authorizations and other correspondence by mail, e-mail, Vonage or efax.
• Communicated with patients with compassion while keeping medical information private.
• Prepared reports, letters, or medical records using word, spreadsheet, or other software applications.
• Compiled and coded patient information or data in appropriate Health care portal.
• Ordered and maintained supply inventory for medical office.

Timecards and scheduling staff.

• Responsible for overseeing the day to day operations of the team, distributing the workload evenly among the staff and performance levels are maintained.
• Improving quality customer service communications and staff cooperation.
• Always willing to step in and help out work colleagues and COVID19 screenings.
• Responsible for the day to day operations of the department.
• Create work schedules for staff.
• Attend management and staff meetings.
• Huddle and update the team with new policies and memos.
• Daily cash monies from all front desk staff.
• Daily closed out cash and appointment reports.
• Review, add and correct time cards in ADP.
• Review and sign Edit /PTO forms.
• Prioritizing important task and ensuring gets done properly.
• Provide exceptional customer service on a continual basis to enhance the patient/staff experience.
• Handled a variety of customer services and administrative tasks and resolved issues with confidentiality and expediency.
• Performed a variety of general clerical work including translating and verifying accuracy of information.
• Managed the check in registration process and the level of customer service.
• Responsible conducting employment interviews and trained new employees in front desk and insurance department.
• Managed front desk operations and ensured smooth patient check-in processes.
• Coordinated staff schedules to maintain adequate front desk coverage.
• Trained new employees on customer service protocols and clinic procedures.
• Assisted patients with appointment scheduling and inquiries regarding services.
• Handled patient records and maintained confidentiality in compliance with regulations.
• Resolved patient concerns effectively, promoting a positive clinic atmosphere.
• Collaborated with healthcare staff to facilitate seamless patient interactions and support services.
• Resolved customer complaints in a timely manner.
• Responded promptly to customer inquiries regarding products or services offered by the organization.
• Conducted regular performance reviews of team members to ensure quality standards are met.
• Trained new front desk staff in customer service and telephone etiquette.
• Processed cash payments and credit card transactions accurately and efficiently.
• Monitored inventory of supplies used at the front desk.
• Received and distributed mail, letters and packages.

• Welcome patients and other clinic visitors with a smile. Addresses all patients and visitors promptly and courteously.
• Ensure a smooth patient flow by promptly checking in patients and communicating next steps with the patient.
• Check patient eligibility and assist patients with enrollment into additional programs, depending upon program qualifications.
• Confirm and update patient demographic information, insurance information and any additional required information in East Valley's electronic management system.
• Takes payments and complies with EVCHC cash handling process as outlined by the Finance Department.
• Obtains required information from patients (i.e. photo I.D., insurance card, Medical, Medicare, and/or Social Security card).
• Assists patients with completing forms.
• Communicate with the back office care team members when the patient has completed the check-in process.
• Confirms appointments as directed.
• Responsible for maintaining program logs, as assigned by the Clinic Manager or doctor.
• Actively participate in assigned care team meetings.
• Responsible for clinic closure duties, to include securing the facility at the end of the shift, as assigned.
• Provide a safe, comfortable environment for patients, families, and other staff members.
• Responsible for complying with HIPAA standards and observing strict patient confidentiality.
• Other job duties and responsibilities as assigned.

• Release of information (ROI) mobile, onsite and remote, web-based medical archiving, Electronic Health (EHR), quality control of images and reports, daily reports, RMS system, upload all outgoing scanning, field agent, audits and archiving.
• Managed patient health records using electronic health record systems.
• Ensured compliance with HIPAA regulations and data privacy standards.
• Coordinated communication between healthcare providers and patients for record accuracy.
• Conducted data entry and validation for medical documents and patient information.
• Trained staff on best practices for health information management processes.
• Assisted in auditing health records to maintain quality assurance protocols.
• Reviewed medical records for accuracy and completeness, ensuring compliance with legal and accreditation standards.

• Responsible for the day to day operations of the department.
• Handled a variety of customer services and administrative tasks and resolved issues with confidentiality and expediency.
• Performed a variety of general clerical work including translating and verifying accuracy of information.
• Responsible for the hiring, training and coaching of staff.
• Responsible for front desk reception in a high-volume and demanding environment.
• Uploaded and scanned images and medical records into company database.
• Restored organization for operational records and accelerated data input, processed and retrieval times, electronic medical records, field agent for audits, traveled from different sites and locations.
• Commended by management for the quality, quantity and timeliness of reports and great attention to detail.
• Ability to communicate effectively with hospital staff, direct reports, lawyers and patients.

• Responsible for processing and maintaining a complete and accurate account of medical records as required by department, physicians, patient access, subpoenas and other agencies.
• Record processing, scanning, verifying images, quality control, release of information, processing subpoenas, distributing office mail and review correspondence directed to specific staff members.
• Processed disability forms, ICD9 coding, high volume of phone calls and faxed medical records per requests.
• Filed medical correspondence, handled cash, checks and created daily reports and monthly reports.
• Operated office machines, printers, copiers, calculator and fax machine.
• Commended from Supervisor and peers for being a team player and ability to adapt to different roles when needed.
• Provided administrative support to healthcare professionals in a fast-paced hospital environment.
• Managed patient records and ensured accurate data entry into electronic systems.
• Assisted in the preparation of medical charts for patient consultations and procedures.
• Handled incoming phone calls, directing inquiries to appropriate departments or personnel.
• Maintained inventory of medical supplies and facilitated timely replenishment orders.
• Compiled and maintained logs, and statistical or research records to locate requested health data.
• Participated in Quality Improvement programs designed to improve overall patient satisfaction ratings.
• Assisted in training new staff members on proper office procedures related to health care administration.
• Transcribed physician orders into the electronic health record system accurately and timely.
• Assisted in maintaining patient records by entering information into the computer system accurately and efficiently.
• Ensured that all HIPAA regulations are being followed throughout the facility in order to protect patient privacy rights.
• Answered telephones and directed calls to appropriate medical or adminstrative staff.
• Transmitted medical records and other correspondence by mail, e-mail, or fax.