Summary
Overview
Work History
Education
Skills
Timeline
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Ali Garcia

Brownsville,TX

Summary

Passionate and result-driven bilingual individual, seeking a position in which my skills can be fully utilize and enhanced.

Overview

11
11
years of professional experience

Work History

Medicaid Eligibility Advocate

Valley Regional Medical Center
06.2024 - Current
  • Worked effectively with fellow team members to coordinate effective solutions to any questions or concerns.
  • Screened and evaluated patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
  • Assisted with applications and collected the required paperwork for programs.
  • Delivered friendly service, and offered expert support in every interaction.
  • Answered the telephone and directed it to the proper line of business.
  • Maintained strict compliance with HIPAA regulations in handling sensitive patient information, safeguarding confidentiality at all times.
  • Participated in ongoing professional development opportunities, staying current with industry best practices and emerging trends to continuously improve job performance.

Patient Service Specialist-PRN

Select Physical Therapy
10.2024 - 01.2025
  • Improved patient satisfaction by providing efficient and friendly service during check-ins, payment processing, and scheduling appointments.
  • Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
  • Verified patient insurance eligibility and entered patient information into the system.
  • I answered incoming calls, processed the incoming referral system, and filed medical records.
  • Kept waiting areas clean and organized, creating a welcoming environment for patients during their visit.

Medical Administrative Specialist

Orthopedic Medical Group
09.2022 - 06.2023
  • Managed patient check-in/check-out processes efficiently, ensuring smooth transitions between appointments while maintaining privacy standards.
  • Used eClinicals to schedule appointments for doctor visits and procedures.
  • Gathered patient forms on the iPad, and copied insurance cards to collect patient information for billing and insurance filing.
  • Verified scheduled patients' insurance, processed incoming referrals, and submitted for authorizations for DME and diagnostic testing as required.
  • I went into patient rooms to educate them about their DME benefits for the suggested braces needed after surgery.
  • Supported billing department operations by compiling invoices accurately and promptly addressing any discrepancies or disputes that arose.
  • Facilitated effective communication between patients and medical professionals, resulting in improved patient care outcomes.
  • Adhered to strict HIPAA guidelines to protect patient privacy.

Front Desk Medical Receptionist/Medical Records

BRANDON AREA PRIMARY CARE
01.2021 - 06.2022
  • Increased guest satisfaction by efficiently managing front desk operations and addressing customer inquiries promptly.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Handled financial transactions related to copayments or self-pay fees while maintaining accurate financial records through diligent handling of cash transactions and daily reporting activities.
  • Coordinated appointment reminders for patients via phone calls or email notifications, reducing no-show rates.
  • Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
  • Provided administrative support to medical staff, assisting with various clerical tasks as needed.
  • Assisted in training new hires on company policies, procedures, software systems, leading to faster integration into the team.
  • Maintained a clean and organized workspace which contributed positively towards the professional image of the Front Desk department.
  • Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.

Patient Care Coordinator

FLORIDA ENT AND ALLERGY
11.2018 - 05.2022
  • Appointment scheduler, submitted authorizations, processed insurance information for verification, and updated medical records in addition to registering new patient accounts.
  • Answered general questions regarding appointments and procedures and provided instructions to ensure they were prepped for their scheduled visit
  • Greeted and checked in all patients, performed clerical task
  • Maintained Front office lobby area

Referral Coordinator-Medical Admin

SUNCOAST SURGICAL ASSOCIATES-GENERAL SURGERY
01.2019 - 10.2020
  • Assisted with phones, scheduling and registering patient appointments
  • Paged on call physicians for hospital consults
  • Processed incoming referrals, in addition verified insurance for scheduled patients and prepped paper charts for following day
  • Assisted other medical staff as requested and other admins

Dual Customer Service Representative MEDICARE & MARKETPLACE

GENERAL DYNAMICS/MAXIMUS
07.2014 - 04.2018
  • Bilingual Spanish representative, took inbound calls from millions of individuals enrolled in Medicare and Marketplace Health plans.
  • Enrolled the new individuals seeking for coverage and assisted by comparing health plans and filling out their online applications
  • Navigated scripted answers to assist individuals with any inquiries or directed to other team members for assistance
  • Utilized standard technology such as telephone, e-mail, and authorized web browser to perform job duties
  • Followed policy and standard procedures such as filling out our timesheet daily, adhering to privacy and HIPAA rules

Education

GED -

Lennard High School
Tampa, FL
01.2014

PCT - Patient Care Tech

Florida Career College
Tampa, FL
01.2015

Skills

  • Communication-active listening, oral and verbal
  • Computer and Technical-MS office, Database, Web, Email
  • Problem solving, adaptability, Team player

Timeline

Patient Service Specialist-PRN

Select Physical Therapy
10.2024 - 01.2025

Medicaid Eligibility Advocate

Valley Regional Medical Center
06.2024 - Current

Medical Administrative Specialist

Orthopedic Medical Group
09.2022 - 06.2023

Front Desk Medical Receptionist/Medical Records

BRANDON AREA PRIMARY CARE
01.2021 - 06.2022

Referral Coordinator-Medical Admin

SUNCOAST SURGICAL ASSOCIATES-GENERAL SURGERY
01.2019 - 10.2020

Patient Care Coordinator

FLORIDA ENT AND ALLERGY
11.2018 - 05.2022

Dual Customer Service Representative MEDICARE & MARKETPLACE

GENERAL DYNAMICS/MAXIMUS
07.2014 - 04.2018

PCT - Patient Care Tech

Florida Career College

GED -

Lennard High School

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