Alicia Hernandez
Summary
Enthusiastic about helping patients get necessary medical support by obtaining authorizations, scheduling procedures and coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach. Proficient in EHR Systems.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Case Manager
Cardinal Health
09.2023 - Current
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Create and complete applications for enrollment within program timeframes.
- Review forms and supporting documentation thoroughly for any missing or new information.
- Handle inbound and outbound calls, in addition to managing correspondence (fax, mail, email) to support the needs of the patient and/or program.
- Complete benefit investigations to assess patient's financial ability to afford therapy and review eligibility criteria to determine what type of assistance patient may be eligible for.
- Ability to identify, document and submit Adverse Events during customer contact or via received documentation for timely submission.
- Review all requests for prior authorizations/appeals and ensure supporting documentation is present.
- Ability to mediate situations in which parties are in disagreement and facilitate a positive outcome.
Patient Service Representative
The START Center For Cancer Care
01.2023 - 09.2023
- Answered incoming calls, scheduled appointments and filed medical records.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified insurance eligibility and coverage for patients.
- Entered patient demographic and insurance data into electronic medical record system.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Greeted and assisted patients with check-in procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Patient Access Representative
Resolute Health Hospital
03.2022 - 01.2023
- Organized and maintained records by updating and obtaining both personal and financial information from patients
- Obtained necessary signatures for privacy laws and consent for treatment
- Applied HIPAA privacy and security regulations while handling patient information
- Assembled registration paperwork and placed identification bands on patient
- Processed patient responsibility estimate determined by insurance at pre-registration
- Communicated financial obligations to patients and collected fees at time of service.
Cashier
Taqueria Taco Rico
09.2021 - 02.2022
- Count in cash drawers at the beginning of shifts to ensure that amountsare correct and that there is adequate change
- Greet customers entering establishments
- Maintained a clean, organized, and well-stocked checkout area
- Engaged with customers while completing cash register transactions.
Cashier
Walmart
03.2018 - 10.2020
- Helped customers find specific products, answered questions and offeredproduct advice
- Worked closely with front-end staff to assist customers
- Accepted cash and credit card payments, issued receipts and providedchange
- Trained new team members in cash register operation, stock procedures andcustomer services
- Answered customer questions, provided store information and directedcustomers to designated store areas.
Education
Medical Assistant Certification - Medical Assisting
San Antonio Medical Assistant School
9150 Huebner Rd Suite 240, San Antonio, TX 7824009.2023
High School Diploma -
George Gervin Academy
San Antonio, Tx06.2019
Skills
- Patient Medical Histories
- Clinical Data Entry
- Vitals Collection and Documentation
- EMR & EHR Systems
- Medical Terminology
- Payment Collection
- Registration Requirements
- HIPAA
Certification
- CCMA - Certified Clinical Medical Assistant
- BLS Provider Certification
Languages
Spanish
Native or Bilingual
Timeline
Case Manager
Cardinal Health
09.2023 - Current
Patient Service Representative
The START Center For Cancer Care
01.2023 - 09.2023
Patient Access Representative
Resolute Health Hospital
03.2022 - 01.2023
Cashier
Taqueria Taco Rico
09.2021 - 02.2022
Cashier
Walmart
03.2018 - 10.2020
Medical Assistant Certification - Medical Assisting
San Antonio Medical Assistant School
High School Diploma -
George Gervin Academy