ADRIANA HERNANDEZ CANTU
Edinburg,TX
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
8
8
years of professional experience
Work History
Insurance Verification Specialist
Labcorb
Remote
08.2021 - 07.2023
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
Unum
05.2020 - 07.2021
- Customers' go-to person by being there, on time, ready to help them via multiple avenues of communication with timely and accurate information regarding policy and coverage-related questions
- Meet or exceed company goals and metrics to guarantee the best experience for customers
- Be open and motivated by feedback and guidance to be at your best for customers
- Protect customers' privacy and reassure them with empathy and professionalism
- Completed all required training without missing any content
- Was able to obtain information from multiple systems and relay to customers in a seamless manner
- Followed all documented processes/workflow to enhance customer service and reduce customer effort/operating efficiency
- Utilized resources and tools to accurately respond to customer inquiries
- Met the expectations of the quality/productivity standards.
- Skilled at working independently and collaboratively in a team environment
- Proven ability to learn quickly and adapt to new situations
- Self-motivated, with a strong sense of personal responsibility
- Worked well in a team setting, providing support and guidance
Insurance Sales Agent
08.2019 - 02.2020
- Answer Financial - remote, Tx
- 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
- Developed sales strategies to increase sales of insurance policies
- Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques
Patient Advocate
Meddata
03.2015 - 06.2019
- 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
PSJA High School
Timeliness, San Juan, Tx2000
Skills
- Patient Database Maintenance
- Insurance Terminology
- Prescription Refills
- Data Verification
- Call Center Operations
- Customer Service
- Closing Sales
- Customer Relations
- Documentation
- Special Requests
- Spanish Interpreting
- Information Updates
- Sales Quota Achievement
- Administrative and Office Support
Languages
Spanish
Native or Bilingual
Timeline
Insurance Verification Specialist
Labcorb
08.2021 - 07.2023
Unum
05.2020 - 07.2021
Insurance Sales Agent
08.2019 - 02.2020
Patient Advocate
Meddata
03.2015 - 06.2019
PSJA High School