Ashley Guajardo

Phoenix Practice Solutions, Courtlandt Manor, NY

Remote Precertification Specialist

June 2017- Present

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• Provides all aspects of diagnostic testing for diagnostic testing and procedures ordered by HSS providers.

• Obtaining authorizations for all diagnostic testing and procedures.

• Diagnostic testing and procedures are intended to encompass Echocardiograms, Pain injections and aspirations scheduled at hospitals, Viscosupplementation, Botox, all Diagnostic Imaging including but not limited to MR, CT, Ultrasound, and Xray.dures.

• Communicates clinical instructions needed for diagnostic testing and procedures.

• Performs all required documentation of work completed.

• Maintained up-to-date knowledge of product and service changes.
  Verify all procedure codes.

• Input required data to EPIC to include referrals and coded notes.

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The CORE Institute, Phoenix, AZ

Medical Assistant, Prior Authorizations

August 2014- August 2018

                                                                                                                                     

• Prior Authorizations Specialist Provides all aspects of diagnostic testing and procedure scheduling coordination for diagnostic testing and procedures ordered by CORE providers.

• Schedule diagnostic tests and procedures at The CORE Institute as well as coordinating services with other outside facilities.

• Obtaining authorizations and scheduling all diagnostic testing and procedures.

• Diagnostic testing and procedures are intended to encompass EMG\'s, EEG\'s, AEEG\'s, Acupuncture, Physical Therapy, Prolotherapy, Pain injections and aspirations scheduled at hospitals, Xiaflex, Viscosupplementation, Botox, all Diagnostic Imaging including but not limited to MR, CT, Ultrasound, and Xray.

• Schedules diagnostic tests and procedures for patients within GE practice management program or at outside facilities based on insurance, patient preference, physician preference, and or location.

• Gathers pertinent information from insurance carriers, physician, and patient chart to make certain of the patient\'s financial obligation for services.

• Call patients to schedule diagnostic tests within required time as designated by policies, procedures, and providers request.

• Provides ongoing communication with patient regarding precertification, authorization, financial counseling and scheduling process.

• Responds to patient questions and complaints as required.

• Resolves problems and maintains high patient satisfaction levels.

• Communicates clinical instructions needed for diagnostic testing and procedures.

• Input required data to GE practice management to include referrals and coded notes.

• Accurately updates patient information in the practice management system and EMR as well as any changes or additions to schedule.

• Performs all required documentation of work completed.

• Solved unresolved client/ patient issues.

• Met all client/ patient call guidelines including service levels, handle time and productivity.

• Promptly responded to inquiries and requests from prospective clients/patients.

• Assumed ownership over team productivity and managed work flow to meet or exceed quality service goals.

• Trained staff on operating procedures and company services.

• Provided accurate, specific and timely performance feedback for CSRs.

• Maintained up-to-date knowledge of product and service changes.

• Developed highly empathetic client/ patient relationships and earned a reputation for exceeding service standard goals.

• Maintained accurate records of past due client/ patient account activity.

• Managed work flow to exceed quality service 

 

Pioneer Family Medicine, Boise, ID                                                                                       

Lead Medical Assistant, Back Office Administrator  

May 2011- August 2015

                                                                     

• Liaison between patient and health care provider.

• Prepares patients for the visit by directing/ accompanying patients to the exam room, provide gowns/drapes; assist with proper positioning of the patient for the exam and treatment.

• Take and record vital signs and histories.

• Assists healthcare providers during examinations as directed, including dressing changes, medication preparation, therapeutic injection preparation, applying/ removing casts/splints, removing sutures/staples, performing EKG\'s, obtaining in office XRay\'s, and preparing laboratory tests.

• Collect patient samples.

• Prepares and orders prescriptions as directed by provider and documenting all information in patient\'s chart/ EMR.

• Place orders via fax or telephone as required.

• Maintains medical records, scans various documentation into EMR such as hospital dictation, disability/ other insurance forms, laboratory results.

• Proposed and managed a new EMR integration.

• Maintains treatment rooms which include; preparing treatment rooms including appropriate supplies, instruments, and equipment for patient examination, Cleans examination rooms between patient visits and at clinic end and disposes of contaminated supplies per protocol.

• Cleans and sterilizes medical instruments and equipment.

• Inventories and orders medical supplies.

• Maintain drug sample closet.

• Vaccine Administrator/ Coordinator.

• Assist with answering multi-line phone system, scheduling appointments, responds to patient messages and follow-ups.

• Manage and train back office staff.

• Managed work flow to exceed quality service goals.

• Maintained up-to-date knowledge of product and service changes.

• Developed highly empathetic client relationships and earned a reputation for exceeding service standard goals.

• Fostered an environment which encouraged continual process improvements.

• Effective liaison between clients/ patients and internal departments.

• Identified individual development needs with appropriate training.

• Trained staff on operating procedures and company services.

• Scheduled staff shifts to cover peaks and lulls in client/ patient inquiries.

• Assumed ownership over team productivity and managed work flow to meet or exceed quality service goals.

• Solved unresolved client/ patient issues.

• Met all client/ patient call guidelines including service levels, handle time and productivity.

• Adhered to all confidentiality requirements at all times.

 

Hertz Car Rental, Boise, ID

Administrative Assistant, Customer Service Specialist

June 2009- December 2011

                                                                                                                        

•     Instant Return Representative and Customer Service Representative.

•     Successfully complete all jobs by the time requested.

•     Damage control.

•     Order Completion

•     Work directly and indirectly with customers on a daily basis.

•     Assist with Opening and Closing.

•     Data Entry and secretarial/ clerical work.

 

 

Harmon Spinal and Extremities Solutions, Boise, ID

Administrative Assistant, Medical Assistant                 

August 2009- November 2011

                                                                                                                     

• Provide all aspects of patient care.

• Successfully complete all jobs by the time requested.

• Reminder calls to patients.

• Schedule Appointments.

• Payment collections and insurance processing Data Entry and secretarial/ clerical work.

• File and prepare patient charts.

• Answering incoming calls.

• Assist in opening and closing.

 

 

Healthy Habits Wellness Clinic, Meridian, ID

Lead Medical Assistant  

August 2010- May 2011

 

• Successfully complete all jobs by the time requested.

• Room patients, take vitals, draw labs.

• Schedule patients Work directly with clients/ patients on a daily basis.

• Consult patients on weight loss and nutritional goals.

• Traveled between clinics to assist with patients/ patient care.

• Assisted in opening and closing the clinic.

• Data Entry and secretarial/ clerical work.

 

 

Boise State University, Bookstore, Bronco Shop,  Boise, ID

Customer Service Specialist 

May 2004- November 2007

 

• Assistant to Bronco Shop Manager.

• Process payments.

• Successfully complete all jobs by the time requested.

• Take and fill orders by phone.

• Fill online orders.

• Work directly with customers on a daily basis.

• Ensure client satisfaction with products purchased.

• Arrange clothing and novelty items.

• Assisted in opening and closing the store.

• Data Entry and secretarial/ clerical work.

• Identified individual development needs with appropriate training.

• Provided accurate, specific and timely performance feedback for CSRs.

• Maintained up-to-date knowledge of product and service changes.

• Managed workflow to exceed quality service goals.

• Updated customer orders from start to finish in an accurate and timely manner.

 

 

JCPenney, Boise, ID

Customer Service Specialist  

June 2005- July 2007

 

• Process payments.

• Maintain Young Men\'s Department.

• Take and fill orders by phone.

• Assist customers on a daily basis.

• Worked directly and indirectly with customers on a daily basis.

• Assisted with opening and closing the store.

• Meet all customer call guidelines including; service levels, handle time, and productivity.

• Adhered to all confidentiality requirements at all times.

• Investigated and resolved customer inquiries and complaints in an empathetic manner.

• Promptly responded to inquiries and requests from prospective customers.

• A Strong leader of customer support staff.

• Updated customer orders from start to finish in an accurate and timely manner.

• Maintained up-to-date knowledge of product and service changes.

 

 

Boise State University, Table Rock Café, Boise, ID

Customer Service Specialist

May 2004- August 2005

 

• Assist with Opening and Closing of Restaurant.

• Ensure client satisfaction with all orders.

• Process Payments.