Patrick Navarro Email & Phone Number

• Ensure processing in accordance with regulations, compliance standards and policies and procedures.
• Produce high quality work related member cases while meeting performance timeframes.
• Collaborate with internal Kaiser staff, other MS Departments, managers and physicians while ensuring compliance, documentation and enhancing members’ experience.
• Ensuring integrity of department database by thorough, timely and accurate entry.
• Mentors others in preparation for positions increased responsibility, participates in departmental meetings, trainings and audits as requested.
• Answers questions and manages members on existing and open cases.

• Ensure processing in accordance with regulations, compliance standards and policies and procedures.
• Produce high quality work related member cases while meeting performance timeframes.
• Collaborate with internal Kaiser staff, other MS Departments, managers and physicians while ensuring compliance, documentation and enhancing members’ experience.
• Ensuring integrity of department database by thorough, timely and accurate entry.
• Mentors others in preparation for positions increased responsibility, participates in departmental meetings, trainings and audits as requested.
• Answers questions and manages members on existing and open cases.

Stanford, California

• Initiate, follow-up, and secure insurance authorizations via phone, web, or fax.
• Collaborating with Infusion Nursing Staff to process same day treatment add-ons and changes to treatment.
• Initiate Financial Counseling when appropriate, including discussion of financial assistance applications, drug manufacturer co-payment assistance programs, and referral to Social Workers.
• Collaborate with Patient Financial Services to provide pricing and payment options for self-pay patients.
• Collaborating with Clinical Trial Coordinators to provide insurers with the specific documentation necessary to secure authorization for patients enrolled in a clinical trial.
• Coordinating with the clinical care team to communicate with insurers on appeals, peer-to-peer reviews, and off-label drug programs.

Sacramento, California

• Ensure the program is delivered properly and effectively, responsible for managing the overall department and office operations.
• Developed, implemented and delivered reporting metrics to measure and monitor employee productivity and overall performance of the department.
• Coordinates and assists with work flow and processing between department and all clinics across the UC Davis Health system.
• Serves as department trainer, team leader and resource person for staff for all administrative and IT questions.
• Serves as department supply buyer of medical and office supplies.
• Staff Scheduler, maintaining work schedules, calendars and time off requests for all staff.

Palo Alto, California

• Responsible for completing patient admission and registration functions.
• Appointed EPIC super user by management, assisting with updates and trouble shooting for fellow employees.
• Identify patients’ insurance coverage or existing financial resources to pay for medical care and services, assist with patient inquiries regarding insurance benefits and payer specific requirements.
• Handle routine customer service inquiries and problems.
• Process necessary admission/registration paperwork and obtains necessary documents for billing and compliance requirements.
• Secure handling and accurate recording of payments collected at the point-of-service delivery.

San Bruno, California

• North East region patient case manager and site coordinator for over 20 medical facilities nationwide for patient BOTOX reimbursement.
• Collaborate and assist directly with physicians with patient’s claims denials for appeals processing.
• Provide patients with assistance with out of pocket co-pays and non-coverage through the use of Botox Reimbursement programs.
• Educated sales representative, nurses and physicians on Insurance Verification enrollment processes and program processes.
• Daily updating of Insurance medical policies and processing for specific billing and coding.

San Francisco, California

• Provided customers with financial education and financial assistance.
• Helped manage customer’s accounts through deposits and withdrawals.
• Provided information regarding account specifications and information.
• Daily processing of local business accounts.

Brisbane, California

• Daily registration of incoming guest and ending processes for outgoing guests into hotel database.
• Daily filing of customer and guest billing and personal information.
• Reservation processing for guests over the phone and online.
• Monitored guest hotel charges and maintained hotel necessities stocking.

Bachelor Of Science (B.S.), Health Science/Public Health

Associate Of Science (As), Allied Health And Medical Assisting Services

Associate Of Arts (A.A.), Liberal Arts And Sciences/Liberal Studies