Marlene Rodriguez
Providence,RI
Summary
Detail-oriented and experienced Medical Assistant/Medical Receptionist with a strong background in health care administration. Dedicated to ensuring seamless coordination of member intake, referral processing, and prior authorizations. Adept at resolving inquiries from members and providers, and collaborating with clinical teams and external facilities. Seeking to contribute subject matter expertise and proven problem-solving abilities to enhance operational efficiency in a challenging healthcare environment.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Assistant
Care New England Medical Group Primary Care
Providence, RI
10.2014 - Current
- Answered incoming calls, addressed inquiries and routed messages to appropriate personnel.
- Registered new patients into practice management software program accurately entering demographic information.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
- Administered medications under physician's supervision.
- Worked with cross-functional teams to achieve goals.
Education
Some College (No Degree) - Medical Assistant
MTTI
Seekonk, MASkills
- Customer Problem-Solving
- Communication
- Patient Scheduling
- Prior Authorization
- Referral Coordination
- Administrative Support
- HIPAA Compliance
- Medical Terminology
- Data Entry
- Electronic Medical Records
- Vital signs measurement (blood pressure, pulse, temperature)
- Patient history documentation
- Assisting with medical examinations
Certification
- Medical Assistant Certificate
Languages
Spanish
Professional
English
Professional
References
References available upon request.
Timeline
Medical Assistant
Care New England Medical Group Primary Care
10.2014 - Current
Some College (No Degree) - Medical Assistant
MTTI
- Medical Assistant Certificate
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