Adriana Hernandez
San Juan,TX
Summary
Dedicated with strong expertise in administrative leadership as well as clinical management as well with patient scheduling and Insurance Verification. Ability to implement HIPAA compliance measures and train staff effectively, contributing to a high-quality patient care environment.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
31
31
years of professional experience
Work History
Clinic Manager ( Multiple Clinics)
Edinburg Pediatric Network (Dr. Juan Aguilera & Associates)
01.2025 - 05.2026
- Monitored duties assigned to personnel to promote high levels of patient care and job efficiency.
- Trained new staff on office procedures and software systems.
- Made sure that patients insurances were verified, and demographic, and health history were being updated.
- Helped patients complete necessary medical forms.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed high call volumes with professionalism, efficiently handling inquiries and relaying messages to relevant staff members.
- Expedited lab results retrieval process by establishing strong relationships with Texas Department of Health and other external laboratory facilities.
- Promoted a positive work environment by serving as a reliable resource for colleagues seeking assistance or guidance.
- Streamlined appointment scheduling for increased efficience, reduced patient wait times and increased patient next day scheduling.
- Bi-weekly inventory done and ordering medical and office supplies when necessary to maintain adequate stock levels for clinical operations.
- Enhanced patient experience by managing front desk operations and providing exceptional customer service.
- Maintained a clean and organized reception area, contributing to a professional, efficient, and welcoming environment for patients and visitors.
- Coordinated referral processes, effectively liaising between patients, providers, and specialists for seamless care transitions.
- Ensured HIPAA compliance by securely managing sensitive patient information and maintaining strict confidentiality protocols. Made sure that all employees from all 9 clinics where HIPPA compliant.
- Performed various administrative tasks by filing, copying, scanning and faxing documents.
- Obtained payments from patients and scanned identification and insurance cards.
- Received and routed laboratory results to correct clinical staff members.
- Primary vaccine coordinator (TVFC) for the clinic in charge of monthly reports and ordering vaccines for the month Texas Department of Health.
- Responsible for weekly deposits for payments collected from patients.
- Responsible for employee's schedule as well as vacations request.
Hipaa Compliance Officer
Edinburg Pediatric Network (Dr. Juan Aguilera & Associates)
01.2018 - 05.2026
- Developed and implemented HIPAA compliance training programs for staff to ensure adherence to regulations.
- Enhanced communication between departments regarding PHI management by establishing clear protocols for sharing sensitive data securely within the organization.
- Collaborated with IT department for implementing strong security measures, safeguarding sensitive patient information.
- Conducted periodic compliance audits and reviews to identify areas of improvement.
DME Biller
Liberty DME
01.2017 - 12.2017
- Processed and submitted billing claims for durable medical equipment to ensure timely reimbursements.
- Reviewed and verified insurance eligibility for accurate billing procedures and compliance.
- Followed up with appropriate parties to obtain prompt payments.
Medical Biller
Lonestar Physician Consulting and Billing Services (Dr. Juan Aguilera & Associates)
01.2000 - 12.2016
- Processed medical claims efficiently using advanced billing software to ensure accurate reimbursements.
- Conducted thorough reviews of patient accounts, identifying discrepancies and resolving issues promptly..
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Receptionist
Dr. Ricardo Barrera
01.1997 - 12.1999
- Managed front desk operations, ensuring seamless patient check-in and appointment scheduling.
- Maintained organized filing systems for client records and office documentation.
- Provided clerical support by copying, faxing, and filing documents.
Receptionist
Dr. Enrique Carrasco
01.1995 - 12.1996
- Scheduled, coordinated and confirmed appointments.
- Pulled charts and prepared for nurse and doctor assessment.
- Kept patients' appointments on schedule by informing provider of patient's arrival and any delays.
- Helped patients complete necessary medical forms and documentation.
Education
Administrative Assistant - Business Administration
Southern Careers Institute
McAllen, TX1995
Skills
- Administrative leadership
- HIPAA compliance
- Employee training
- Clinical management
- Scheduling appointments
- Insurance Verification
Languages
Spanish
Native or Bilingual
Timeline
Clinic Manager ( Multiple Clinics)
Edinburg Pediatric Network (Dr. Juan Aguilera & Associates)
01.2025 - 05.2026
Hipaa Compliance Officer
Edinburg Pediatric Network (Dr. Juan Aguilera & Associates)
01.2018 - 05.2026
DME Biller
Liberty DME
01.2017 - 12.2017
Medical Biller
Lonestar Physician Consulting and Billing Services (Dr. Juan Aguilera & Associates)
01.2000 - 12.2016
Receptionist
Dr. Ricardo Barrera
01.1997 - 12.1999
Receptionist
Dr. Enrique Carrasco
01.1995 - 12.1996
Administrative Assistant - Business Administration
Southern Careers Institute