Stacy Mojica
Lancaster
Summary
Detail-oriented referral coordinator with 2+ years of experience in medical office settings, utilizing ICD-10 coding and insurance verification skills to ensure accurate billing and reimbursement. Proficient in customer service, with a strong focus on maintaining confidentiality and adhering to HIPAA guidelines. Bilingual in Spanish.
Overview
13
13
years of professional experience
Work History
Referral Coordinator
Gastro Care Institute
11.2022 - Current
- Processed referral requests from patients, doctors and other health care professionals.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Reviewed and processed prior authorization request for medical procedures, medications, and treatments.
- Verified insurance coverage and eligibility request services.
- Maintained confidentiality and adhere to HIPAA gridlines.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Insurance Verification Specialist
Ascend Health Care
03.2020 - 09.2022
- Verified insurance coverage and eligibility for patients, ensuring accurate billing and reimbursement
- Contacted insurance companies to obtain necessary information for claim processing
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained detailed records of insurance verification activities, including documentation of conversations with insurance representatives
Sales Associate
Dillards Department Store
08.2012 - 02.2019
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Built relationships with customers to encourage repeat business.
- Managed returns, exchanges and refunds in accordance with store policy.
- Prepared merchandise for sales floor by pricing or tagging.
- Helped customers locate products and checked store system for merchandise at other sites.
- Engaged with customers to build rapport and loyalty.
Education
High School Diploma -
Palmdale High School
Palmdale, CA06-2008
Skills
- Pre-authorizations
- Insurance verification
- Medical terminology
- Multi-line phone proficiency
- Patient scheduling
Languages
Spanish
Professional Working
Timeline
Referral Coordinator
Gastro Care Institute
11.2022 - Current
Insurance Verification Specialist
Ascend Health Care
03.2020 - 09.2022
Sales Associate
Dillards Department Store
08.2012 - 02.2019
High School Diploma -
Palmdale High School
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