ADRIANA SALINAS
DEL RIO,USA
Summary
Detail-oriented Insurance Claims Processor with expertise in claims management and policy processing. Demonstrated proficiency in data entry and record maintenance, ensuring operational excellence through accuracy and efficiency. Committed to delivering exceptional customer service and adept at managing timely claims resolution.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Enrollment Specialist
Humana
09.2025 - 12.2025
- Streamlined application tracking, enhancing efficiency with CRM systems.
- Identified process improvement opportunities through thorough enrollment trend analysis.
- Ensured data accuracy by meticulously maintaining and updating applicant records.
- Prioritized customer needs by delivering prompt and efficient service.
- Reduced applicant wait times by improving application processing procedures.
- Conducted eligibility assessments to guarantee compliance with program requirements.
Customer Service Representative (CSR)
Rotech
01.2024 - 01.2025
- Ensured accuracy of doctor orders by verifying correct codes and qualifications for patient treatment.
- Validated insurance coverage, calculated patient payments, including coinsurance, copay, and deductibles.
- Confirmed authorization requirements for devices, submitting necessary requests to insurance providers.
- Conducted proactive patient outreach for payment collections, ensuring timely settlements for services rendered.
- Verified patient delivery addresses and email contacts to facilitate seamless communication and service provision.
- Explained insurance regulations related to device use, providing clarity to patients regarding their responsibilities.
- Scheduled appointments for patients, coordinating effectively to meet their needs and preferences.
- Maintained detailed records of patient interactions, enhancing overall service quality and follow-up efficiency.
Patient Admitting Representative
Val Verde Regional Medical Hospital
02.2020 - 12.2023
- Enhanced patient care coordination by facilitating interdepartmental communication.
- Streamlined appointment scheduling, boosting operational efficiency throughout the hospital.
- Promoted inclusiveness and teamwork, fostering professional growth and positive culture.
- Registered patients and updated demographic information efficiently and accurately.
- Resolved customer complaints promptly, restoring confidence and retaining business.
- Collected copays and deductibles, ensuring accuracy in daily financial deposits.
Patient Care Coordinator
Back to Action Physical Therapy
07.2018 - 05.2019
- Medical front office clerk responsible for answering phones, scheduling appointments, inputing patients' demographics into computer program, verifying patient's insurance and obtaining in prior authorizations needed to treat patient. Collected co-pays and co insurances due by patients. Ran daily reports for any pending actions needed to be done on my behalf.
Customer Service Representative
Back to Action Physical Therapy
05.2018 - 05.2019
- Enhanced member relations by drafting weekly meeting agendas.
- Promoted diversity initiatives and language services for Spanish-speaking patients.
- Delivered exceptional customer service to improve patient satisfaction and retention.
- Created accurate patient charts and verified insurance coverage efficiently.
- Secured authorizations for specific treatment options to expedite patient care.
- Collected copayments and processed daily deposits, ensuring financial accuracy.
Receptionist
Life Choices Unlimited
03.2018 - 07.2018
- Greeted patients and checked them in accordingly. Answered and initiated phone calls, as well taking detailed messages. Responsible for billing services for clients, keeping petty cash ledger for office and clients, collecting service delivery logs, customer service, filling, making client charts, maintain HR requirements on employees, compiling weekly and monthly reports up loading all logs into SYNC, used Task Management Program software
Office and Administrative Support Workers, All Oth
Pico Propane & Fuels
02.2003 - 08.2017
- Over 12 years comprehensive managerial background in transportation and logistics coordinator, directly responsible for money transaction and payroll activities for employees. Oversee waste operation and safety compliance, responsible for electronic communications between dispatch and vehicles. Supervised 7 delivery fuel drivers, arranged fuel tanks, priced fuel for customers as well for bulk plant and pricing per tank. Maintained monthly fuel inventory of gas, diesel, propane and oil as well as fuel invoices. Responsible for the filing of billing requisitions as well as accountability for all money transactions. Entered and retrieved data from computer system, maintaining records, typing and compiling reports and dispatching and using general office skills.
Education
office systems mgmt
University of Crookston Minnesota
CrookstonHigh School Diploma - Diploma
Del Rio Highschool
Del Rio, TXSkills
- Billing support
- Customer service
- Benefits research
- Teamwork
- Problem-solving skills
- Multitasking
- Excellent communication
- Computer skills
- Exceptional communication
- Reporting and analytics
- Money handling
- Call center experiance
- Quality control
Certification
None Specified
Additional Information
Available to start work immediately.
Languages
Spanish
Native or Bilingual
Timeline
Enrollment Specialist
Humana
09.2025 - 12.2025
Customer Service Representative (CSR)
Rotech
01.2024 - 01.2025
Patient Admitting Representative
Val Verde Regional Medical Hospital
02.2020 - 12.2023
Patient Care Coordinator
Back to Action Physical Therapy
07.2018 - 05.2019
Customer Service Representative
Back to Action Physical Therapy
05.2018 - 05.2019
Receptionist
Life Choices Unlimited
03.2018 - 07.2018
Office and Administrative Support Workers, All Oth
Pico Propane & Fuels
02.2003 - 08.2017
High School Diploma - Diploma
Del Rio Highschool
office systems mgmt
University of Crookston Minnesota