Siomara Vasquez
Brockton
Summary
Detail-oriented professional with extensive experience in healthcare administration. Known for exceptional teamwork and adaptability, contributing to enhanced operational workflows and improved service delivery.
Overview
15
15
years of professional experience
Work History
Billing and Insurance Coordination Manager
Firefly Health
Watertown, MA
01.2023 - Current
- Oversaw insurance policy management, ensuring compliance with regulatory standards and company guidelines.
- Developed and implemented strategic initiatives to enhance team productivity and operational efficiency.
- Analyzed market trends to inform risk assessment strategies and improve underwriting processes.
- Mentored junior staff, fostering professional growth and enhancing team capabilities in insurance operations.
- Collaborated with cross-functional and vendors teams to optimize claims processing workflows and reduce turnaround times.
- Developed and implemented strategies for resource allocation, optimizing team workflow.
- Streamlined communication processes between departments to enhance operational efficiency.
- Responsible for obtaining Insurance Referrals/ Prior Authorizations for Member Specialized Care
- Maintained access to insurance portals for insurance authorization submissions and Eligibility inquiries
- RCM EDI/ ERA Portal Administrator
Practice Coordinator
Firefly Health
Watertown, MA
11.2018 - Current
- Coordinated daily operations and patient scheduling for optimal workflow efficiency.
- Managed communication between clinical staff and patients to enhance service delivery.
- Developed training materials for new hires, promoting consistent onboarding practices.
- Implemented process improvements that streamlined administrative tasks, reducing turnaround time.
- Led team meetings to address operational challenges and foster collaborative solutions.
- Supervised billing processes, ensuring accuracy and compliance with healthcare regulations.
- Increased patient satisfaction by addressing concerns promptly and professionally.
- Implemented new electronic medical record system, resulting in more accurate documentation of patient care.
- Oversaw billing processes, ensuring timely submission of claims and prompt payment from insurance providers.
- Managed the recruitment, hiring, and onboarding process for new team members to maintain optimal staffing levels at all times.
- Ensured compliance with HIPAA regulations by implementing strict privacy policies throughout the practice.
- Created and implemented organizational policies and procedures.
- Consulted with healthcare professionals on business decisions.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Monitored front areas so that questions could be promptly addressed.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Improved office operations by automating client correspondence, record tracking and data communications.
- Organized spaces, materials and catering support for internal and client-focused meetings.
- Maintained a clean, organized, and welcoming office environment for patients and staff members alike.
- Responsible to Insurance Prior Authorization and Referral Submissions for Member Specialized Care
- Commercial Insurance Portal Administrator
- Collaborated with clinical teams to align operational strategies with patient care objectives, enhancing outcomes.
BWH Hospital Sr. Practice Assistant II
Brigham and Women's Hospital
Jamaica Plain, MA
06.2017 - 11.2018
- Coordinated scheduling and logistics for patient appointments, enhancing operational efficiency.
- Managed electronic health records, ensuring accuracy and compliance with privacy regulations.
- Assisted in the preparation of medical documentation for patient consultations and procedures.
- Streamlined communication between departments to improve patient care coordination.
- Developed training materials for new staff, fostering a collaborative learning environment.
- Implemented process improvements that reduced administrative errors and increased workflow efficiency.
- Mentored junior staff on best practices in patient interaction and office management techniques.
- Ensured confidentiality of patient information by adhering to HIPAA regulations and implementing secure data practices.
- Maintained accurate medical records, contributing to efficient healthcare processes and better patient outcomes.
- Enhanced patient experiences by effectively managing administrative tasks and supporting medical staff in daily operations.
- Handled office scheduling and made notes for deadlines, motions, and other important dates.
- Coordinated patient appointments and managed scheduling for multiple healthcare providers.
- Streamlined administrative processes to improve overall office efficiency and workflow.
- Trained new team members on procedural protocols and hospital policies to ensure compliance.
- Developed and implemented standard operating procedures for improved operational consistency.
- Mentored junior staff in best practices for patient engagement and service excellence.
- Mentored incoming practice assistants on best practices for various operational aspects within the facility.
- Answered incoming phone calls from patients
- Was responsible for Insurance Eligibility
- Maintained Payroll
Medical Secretary II
Harvard Vanguard Medical Associates
Quincy, MA
03.2017 - 06.2017
- Managed patient scheduling and appointment coordination to optimize clinic workflow.
- Maintained accurate medical records and documentation in compliance with HIPAA regulations.
- Assisted patients with insurance inquiries and billing processes, ensuring clarity and resolution.
- Collaborated with healthcare providers to streamline communication regarding patient care plans.
- Prioritized calls through screening process and transferred calls and recorded messages for appropriate personnel.
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Enhanced office productivity by handling high volume of callers per day.
Patient Registration Assistant II
Tufts Dental Facility (Tufts Medical Center)
Taunton, MA
03.2016 - 03.2017
- Managed patient registration processes to ensure accurate data entry and compliance with facility standards.
- Coordinated scheduling for patient appointments, optimizing clinic workflow and minimizing wait times.
- Assisted in training new staff on registration protocols and electronic health record systems.
- Implemented improvements in patient check-in procedures, enhancing overall efficiency and patient satisfaction.
- Completed Prior Authorizations for Dental Treatments
- Filled out PT-1 for Patient Transportation
BWH Practice Assistant II
Brigham and Women Hospital
Jamaica Plain, MA
03.2011 - 03.2016
- Coordinated patient scheduling to optimize clinic workflow and enhance patient experience.
- Managed electronic health record (EHR) systems to ensure accurate documentation and compliance with regulations.
- Assisted in preparing clinical reports, maintaining data integrity, and supporting research initiatives.
- Streamlined administrative processes, improving efficiency in daily operations and resource allocation.
- Trained new staff on office procedures and EHR usage, fostering a collaborative work environment.
- Led initiatives to improve communication between departments, enhancing interdepartmental collaboration and patient care.
- Developed standard operating procedures for practice management tasks, ensuring consistency and quality across operations.
- Streamlined appointment scheduling for increased patient satisfaction and improved time management.
- Facilitated effective communication between patients and providers, reducing misunderstandings and fostering trust in the practice.
- Managed patient scheduling and appointments, ensuring efficient office workflow.
- Assisted in patient intake processes, verifying insurance information and medical histories.
- Coordinated communication between healthcare providers and patients to enhance care delivery.
- Monitored inventory of medical supplies, ensuring availability for daily operations.
- Checked patient insurance, demographic, and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Maintained a clean and organized reception area, contributing to a professional, efficient, and welcoming environment for patients and visitors.
- Participated in quality improvement initiatives, contributing valuable insights to enhance overall practice performance.
- Ensured HIPAA compliance by securely managing sensitive patient information and maintaining strict confidentiality protocols.
- Contributed to a welcoming atmosphere, greeting patients upon arrival and addressing their needs promptly.
- Assisted in inventory management, ordering supplies when necessary to maintain adequate stock levels for clinical operations.
- Managed high call volumes with professionalism, efficiently handling inquiries and relaying messages to relevant staff members.
- Improved office organization by maintaining accurate patient records and filing systems.
- Supported office staff and operational requirements with administrative tasks.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Obtained payments from patients and scanned identification and insurance cards.
Education
Associate of Science - Liberal Arts in Science
Massasoit Community College
Brockton, MA05-2010
Skills
- Fluent in Spanish
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Meeting facilitation
- Positive attitude
- Teamwork
- Multitasking Abilities
- Reliability
- Computer skills
- Organizational skills
- Professional and courteous
- Interpersonal skills
- Hiring and training
- Professionalism
- Schedule management
- Adaptability
Languages
Spanish
Full Professional
Timeline
Billing and Insurance Coordination Manager
Firefly Health
01.2023 - Current
Practice Coordinator
Firefly Health
11.2018 - Current
BWH Hospital Sr. Practice Assistant II
Brigham and Women's Hospital
06.2017 - 11.2018
Medical Secretary II
Harvard Vanguard Medical Associates
03.2017 - 06.2017
Patient Registration Assistant II
Tufts Dental Facility (Tufts Medical Center)
03.2016 - 03.2017
BWH Practice Assistant II
Brigham and Women Hospital
03.2011 - 03.2016
Associate of Science - Liberal Arts in Science
Massasoit Community College