Agnes Vargas
Medical Coder And Biller
Philadelphia
Summary
Dynamic healthcare professional with extensive experience at Temple University Hospital, excelling in insurance verification and prior authorization processing. Proven ability to enhance patient satisfaction through effective communication and teamwork, while optimizing scheduling processes to reduce conflicts. Committed to delivering exceptional care and maintaining compliance with regulations.
Overview
17
17
years of professional experience
1
1
Language
Work History
Pre Admission Testing and OR Scheduler
Temple University Hospital
03.2025 - Current
- Worked with physicians and team members to understand supply needs and bring levels within desired tolerances.
- Coordinated with multiple departments to ensure seamless project execution, reducing delays and increasing efficiency.
- Scheduled pre admission exams as well and schedule OR cases.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
Comprehensive Scheduler II
Temple University Hospital
09.2015 - 03.2025
- Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
- Identified best practices within the scheduling function, sharing these insights across teams to drive continuous improvement efforts.
- Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
- Resolved patients complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Lead Patient Care Cordinator
St Christopher's Hospital
01.2008 - 05.2015
- Trained new Patient Care Coordinators to ensure consistent quality of service across the team.
- Ensured compliance with HIPAA regulations by training staff on privacy policies and overseeing proper handling of sensitive patient data.
- Optimized insurance claims processing by maintaining accurate and up-to-date patient information in electronic health records.
- . Supported clinical staff in providing exceptional care through seamless coordination of appointments, referrals, tests, and follow-up visits.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Worked with multiple departments to check proper billing information.
Education
Certification - Medical Biller And Coding
DeVry University Of Chicago
Chicago 05.2001 -
Language Certification - Languages
Phoenix Language Services
Philadelphia 05.2001 -
Diploma - Medical Office Manager
Thompson Institute
Philadelphia 05.2001 -
High School Diploma -
Mastbaum Voc Tech High School
Philadelphia 05.2001 -
Skills
Verbal communication
Customer relations
Insurance verification
Prior authorization processing
Microsoft Word proficiency
Strong teamwork
Electronic medical records proficiency
Care planning
Timeline
Pre Admission Testing and OR Scheduler
Temple University Hospital
03.2025 - Current
Comprehensive Scheduler II
Temple University Hospital
09.2015 - 03.2025
Lead Patient Care Cordinator
St Christopher's Hospital
01.2008 - 05.2015
Certification - Medical Biller And Coding
DeVry University Of Chicago
05.2001 -
Language Certification - Languages
Phoenix Language Services
05.2001 -
Diploma - Medical Office Manager
Thompson Institute
05.2001 -
High School Diploma -
Mastbaum Voc Tech High School
05.2001 -
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