Cristabel Caro
rosindale
Summary
Personable and adaptable to any challenges or new situations. Computer skills include: Microsoft Office Suite (Word, Outlook, Excel), Epic, IDX, BICS, DFCI Clinical Systems, Nehen, NHP, Massrevs, CCC Systems, Logician, SDK, Axium, LMR. Languages include: fluent in English and Spanish.
Overview
23
23
years of professional experience
Work History
Referral Specialist
Tufts Medical Center
12.2015 - Current
- Primary oversees and processes all request for referrals, specialist treatments and procedures, durable medical equipment, therapies, etc., according to the requirements specified by the various insurance carriers
- Verifies eligibility of insurance coverage via the nehen/mmis/emdeon system or directly via payer websites
- Maintains referral data entry for general medical associates in the logician referral management module; messages staff and/or pcp’s/np as needed for assistance in understanding and then processing the request
- Maintains log of community pcp referral request for out of network care; provides monthly statistical reports to manager.
Medical Secretary
Harvard Vanguard Medical Associates
08.2015 - 12.2015
- Answer busy phones and meet and greet patients
- Schedule appointments using Epic.
Patient Access Specialist
Dana Farber Cancer Institute
04.2015 - 08.2015
- Verify patient insurance benefits and eligibility
- Obtain referrals from primary care providers
- Update patient records in GE/IDX or Epic
- Provide clerical support including faxing, copying and filing documents.
Practice Assistant, Department of Neurosurgery
Brigham and Women’s Hospital
07.2011 - 10.2014
- Answer all general inquires via telephone for the department
- Prepare patient charts for Neurosurgery care providers
- Obtain referrals needed for patients’ dates of visit and all past visits
- Collect co-payments based on insurance information
- Ensure all paperwork for the Department is properly faxed, scanned, and filed.
Clerical Assistant, School of Dental Medicine
Harvard University
09.2010 - 04.2011
- Organize files and maintain alphabetical, numerical, and subject filing systems
- Prepare forms, memoranda, and other copy material
- Check and compare data for accuracy and completeness
- Gather patient and scheduling information and compile routine reports and new patient charts for clinic days
- Enter data and maintain databases.
Staff Assistant/Telephone Specialist
Harvard University
01.2010 - 09.2010
- Answer telephones and provide information about the Harvard Dental Center Faculty Group Practice and Teaching Practice to interested public and existing patients
- Receive caller information and respond to caller’s requests for routing to appropriate individuals
- Provide complex information and answer inquiries from faculty, staff, and students relating to the Harvard Dental Center and patient information
- Work with team to meet department quality assurance goals for the timely answering of and responding to incoming and outgoing calls.
Receptionist
Suffolk Law School
12.2009 - 01.2010
- Schedule appointments for the Office of Career Development
- Greet office visitors, including students and staff, and make necessary arrangements for conference times
- Perform basic administrative duties including answering calls, and data entry.
Administrative Assistant
Boston Medical Center
09.2009 - 11.2009
- Responsible for scheduling new patient appointments, registering patients, and inputting appointment slips in IDX system
- Assist with insurance verification
- Answer phones and screen incoming calls
- Verify completed and returned referral forms.
Patient Access Representative
Children’s Hospital Boston
03.2009 - 05.2009
- Responsible for ensuring all required demographic, financial, referral, clinical, and other registration data was collected, verified, and communicated appropriately
- Entered computer data, such as pre-registration and registration, insurance verification, referral coordination, screening for financial counseling and eligibility
- Obtain and verify insurance or payment source, seeking necessary provider referral and coverage extensions as required
- Resolve any insurance issues.
Administrative Receptionist
Hospice Services of Massachusetts
10.2008 - 02.2009
- Perform general office support functions including answering calls, filing, photocopying, scanning documents, and faxing
- Greet clients maintain and assist organizing medical records
- Arrange weekly meetings keep office schedules
- Order supplies using ISIS, and maintain and track inventory
- Assist office manager and Executive Director with projects as assigned.
Medical Administrative Support
Professional Staffing Group
06.2006 - 09.2008
- Schedule patient appointments
- Obtain referrals from Primary Care Physician and contact insurance providers to ensure the authorizations are in place
- Collect patient intake information and enter it into appropriate data base
- Perform general administrative functions as assigned.
New Patient Coordinator
Brigham and Women’s Hospital
09.2003 - 06.2004
- Responsible for entering all new patient intake information into hospital database
- Schedule appointments including lab tests and follow up appointments
- Prepare new patient charts for clinic days
- Coordinate surgery appointments with Operating Room availability and surgeons’ calendars.
Brain Tumor Clinic Coordinator
Dana Farber Cancer Institute
11.2001 - 08.2003
- Assist physicians in obtaining all necessary materials and information for patient consultations
- Act as information resource to families and referring physicians
- Work with medical records department to ensure all patient records and insurance information is updated
- Greet patients and escort them to the exam rooms
- Work closely with nurse practitioners and surgeons to provide optimal services to patients.
Education
General Studies -
Roxbury Community College
Roxbury, MA05.1996
High School Diploma -
St. Gregory’s High School
Dorchester, MA06.1992
Skills
- Insurance Verification
- Data entry proficiency
- Pre-authorizations
- Medical terminology knowledge
Timeline
Referral Specialist
Tufts Medical Center
12.2015 - Current
Medical Secretary
Harvard Vanguard Medical Associates
08.2015 - 12.2015
Patient Access Specialist
Dana Farber Cancer Institute
04.2015 - 08.2015
Practice Assistant, Department of Neurosurgery
Brigham and Women’s Hospital
07.2011 - 10.2014
Clerical Assistant, School of Dental Medicine
Harvard University
09.2010 - 04.2011
Staff Assistant/Telephone Specialist
Harvard University
01.2010 - 09.2010
Receptionist
Suffolk Law School
12.2009 - 01.2010
Administrative Assistant
Boston Medical Center
09.2009 - 11.2009
Patient Access Representative
Children’s Hospital Boston
03.2009 - 05.2009
Administrative Receptionist
Hospice Services of Massachusetts
10.2008 - 02.2009
Medical Administrative Support
Professional Staffing Group
06.2006 - 09.2008
New Patient Coordinator
Brigham and Women’s Hospital
09.2003 - 06.2004
Brain Tumor Clinic Coordinator
Dana Farber Cancer Institute
11.2001 - 08.2003
General Studies -
Roxbury Community College
High School Diploma -
St. Gregory’s High School
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