Alyssa Canales
McAllen
Summary
Bilingual healthcare professional with over 8 years of experience in program coordination, clinical support, and revenue cycle management. Expertise in data entry (80-90 WPM), medical billing and coding (ICD-10, CPT), and claims processing, consistently achieving success in managing insurance authorizations. Committed to enhancing patient outcomes through meticulous administrative oversight and a compassionate approach to care. Proven ability to streamline processes and improve operational efficiency within healthcare settings.
Overview
7
7
years of professional experience
Work History
Program Coordinator
Superior HealthPlan
McAllen, TX
01.2024 - 07.2024
- Insurance Authorization: Facilitated member access to services by managing authorizations and coordinating with internal teams.
- Service Compliance: Conducted outbound calls to verify service quality and maintain detailed compliance documentation.
- Workflow Management: Managed service records and resolved delays to improve outcomes for heath plan members. Coordinated program activities to enhance operational efficiency and service delivery.
- Leadership: Guided new team members through onboarding and specialized training.
Customer Care Representative
Maximus
Edinburg, TX
01.2023 - 01.2024
- Handled a high volume of customer inquiries related to healthcare programs and benefits.
- Resolved client issues efficiently while maintaining a high level of professionalism and empathy.
- Built rapport and trust with customers through active listening, clear communication, and personalized support.
- Contributed to workflow improvements and coached junior representatives on call handling and issue resolution.
- Resolved customer inquiries efficiently, ensuring high satisfaction levels and prompt issue resolution.
- Implemented process improvements that enhanced service delivery and reduced response times for customer issues.
Ophthalmic Technician
Shah Eye Center
Mission, TX
08.2021 - 01.2023
- Supported ophthalmology patients by conducting medical tests, educating them about procedures, and providing compassionate care throughout clinical visits.
- Managed patient flow, EMR updates, and Operated diagnostic equipment, ensuring precision in measurements and test results.(OCT, fundus photography, topography).
- Assisted with daily clinic operations and collaborated with providers to ensure timely patient care and scheduling efficiency.
- Assisted with patient examinations, collecting and documenting vital data for ophthalmic assessments.
Physical Therapy Technician & Medical Biller
Alamo Injury Wellness Center
Edinburg, TX
05.2017 - 05.2020
- Assisted patients with therapeutic exercises and rehabilitative care under clinical supervision.
- Processed insurance billing using ICD-10 codes and performed insurance verification.
- Ensured a positive patient experience by coordinating appointments and answering healthcare-related questions.
- Assisted physical therapists in implementing treatment plans for diverse patient needs.
- Maintained cleanliness and organization of therapy equipment and treatment areas.
Education
Certification - Rehabilitation Therapy
The College of Health Care Professions
McAllen, TX04.2017
High School Diploma - undefined
James “Nikki” Rowe High School
McAllen, TX06.2011
Skills
- Medical Billing and Coding
- Insurance Authorization and Verification
- Claims Specialist
- High Speed Data Entry
- Quality Assurance
- Bilingual Communication (English/Spanish)
- HIPAA Compliance
- Conflict Resolution & De-escalation
- Case Coordination
- Program management
- Office administration
- Proactive mindset
- Strategic planning
- Medical terminology expertise
- Active listening
- Critical thinking
- Coaching and mentoring
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Program Coordinator
Superior HealthPlan
01.2024 - 07.2024
Customer Care Representative
Maximus
01.2023 - 01.2024
Ophthalmic Technician
Shah Eye Center
08.2021 - 01.2023
Physical Therapy Technician & Medical Biller
Alamo Injury Wellness Center
05.2017 - 05.2020
High School Diploma - undefined
James “Nikki” Rowe High School
Certification - Rehabilitation Therapy
The College of Health Care Professions