Adriana Hernandez Cantu
Edinburg,TX
Summary
Dynamic Insurance Verification Specialist at Labcorb with a proven track record in data verification and customer service. Adept at navigating complex insurance policies, I excel in effective communication and patient advocacy, ensuring timely pre-authorizations and enhancing client satisfaction. Committed to accuracy and driven by results, I thrive in fast-paced environments.
Overview
10
10
years of professional experience
Work History
Insurance Verification Specialist
Labcorb
01.2021 - 12.2024
- Ensured compliance with HIPAA regulations for patient confidentiality.
- Assisted patients in understanding personalized insurance coverage and benefits.
- Achieved timely verification of insurance benefits before procedures and appointments.
- Contacted insurance carriers to clarify policies and individual patient benefits.
- Managed high-volume insurance verifications under tight deadlines to support medical operations.
- Obtained necessary pre-authorizations to facilitate timely patient procedures.
- Provided accurate information regarding policy and coverage inquiries through multiple communication channels.
- Completed all required training while maintaining full content comprehension.
Insurance Agent
Answer Financial
01.2019 - 01.2021
- Assist customers and agents with billing problems, rating issues, coverage questions and new business issues
- Go through different carriers in order to provide the client with the best coverage available
- Present account proposals in a professional and timely manner
- Process applications, payments, endorsements, corrections and cancellations
- Promote agency products to customers in person, on the telephone by email and by mail
- Prepare necessary paperwork to process insurance sales and renewals
- Attend numerous webinars in order to stay updated on carriers used for quoting business products
- Followed up promptly with interested clients to close sales
- Provided comprehensive product knowledge and guidance to help clients on product selection.
Patient Advocate
Meddata
01.2015 - 01.2019
- Assisting patients with the process of applying for government assistance such as Medicaid, County Assistance, Social Security and Disability
- Process applications, obtain personal patient information by screening patient to as part of process to see if patient is eligible for any type of assistance
- Scheduled patients for county interview patient appointments, data entry, and face to face patient interaction
- Cover reception desk and welcome visitors and patients by greeting them in a professional and friendly manner, in person or on the telephone, answers questions, refers inquiries, directs visitors, maintains employees and department directories, and provides information to callers and visitors
- Ability to maintain security standards by raising concerns about possible violations; issues visitors badges and ensures all visitors feel welcomed and are escorted during their visit to our hospital
- Ensured phone calls, viewer's comments, phone messages, delivered packages and assorted mail is distributed to the appropriate departments in a timely manner with the appropriate sense of urgency
- Performed general office duties, including general correspondence, filing, faxing, and copying
- Effective handling of everyday tasks, issues and/or inquiries received at the reception desk from patients, callers and visitors
- Documented patients or clients comments and direct them to the appropriate department or manager
- Educated patients and families on healthcare options and financial support resources
- Facilitated communication between patients, families and healthcare providers to support comprehension
- Entered details into computer systems and managed database of information
Education
High School -
PSJA High School
San Juan, TX05.2000
Skills
- Data verification and entry
- Customer service and support
- Spanish interpretation
- Administrative support
- Adaptability and attentiveness
- Decision making and dependability
- Effective communication skills
- Product knowledge
- Patient education and advocacy
- Cash handling expertise
- Insurance terminology and verification
- Telephone etiquette
- Team collaboration
- Accuracy and precision in tasks
Languages
Spanish, Fluent
Timeline
Insurance Verification Specialist
Labcorb
01.2021 - 12.2024
Insurance Agent
Answer Financial
01.2019 - 01.2021
Patient Advocate
Meddata
01.2015 - 01.2019
High School -
PSJA High School
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