Ana Hinojosa
Laredo
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Eligibility Advisor
Texas Health and Human Services
Laredo, TX
01.2025 - Current
- Assessed client eligibility for health and human services programs using established guidelines.
- Facilitated application processes, ensuring compliance with regulatory standards and procedures.
- Reviewed documentation for accuracy, maintaining high standards of quality control in case management.
- Implemented process improvements that reduced processing times for applications significantly.
- Developed educational materials to assist clients in understanding program requirements and benefits available.
- Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
- Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
- Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
- Resolved discrepancies with client applications to verify eligibility.
- Maintained detailed records of client interactions, ensuring accuracy and confidentiality of sensitive information.
- Evaluated financial documents to accurately assess income levels, assets, expenses, and other relevant factors impacting client eligibility status.
- Interviewed applicants and explained scope of different available benefits.
- Communicated with people from various cultures and backgrounds on application process.
- Established trust with clients by consistently demonstrating empathy, professionalism, and a commitment to their wellbeing.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Medical Biller and Coder
Martinez Pharmacy, LLC
Laredo, TX
01.2024 - 01.2025
- Correctly coded and billed medical claims for various physician offices.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Optimized workflow efficiency within the office by cross-training in additional administrative tasks such as scheduling appointments or managing phone calls during peak periods.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
- Participated in continuing education opportunities to stay current on advancements within the field of medical billing and coding, thereby elevating the overall quality of work.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Verified signatures and checked medical charts for accuracy and completion.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Assisted in training new staff on medical record processing and filing procedures.
- Developed and implemented new filing system for medical records to improve efficiency.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Tracked and monitored requests for medical records release.
- Sorted and distributed incoming and outgoing medical records.
Pharmacy Technician
Martinez Pharmacy, LLC
Laredo, TX
08.2021 - 01.2025
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Provided customer service to patients by answering questions about medications and health-related topics.
- Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review.
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
- Verified accuracy of medication labels before they were dispensed to customers.
- Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
- Received payment from customers and processed credit card transactions when necessary.
- Resolved customer complaints in a timely manner while maintaining professionalism at all times.
- Checked expiration dates on medications to ensure that only unexpired products were dispensed.
- Reported any discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.
- Restocked shelves with new supplies of medications as needed.
- Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations.
- Organized work areas so that everything was easily accessible when needed.
- Monitored inventory levels of commonly used drugs and placed orders when necessary.
- Assisted in training new employees on pharmacy procedures.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Interpreted and processed medication orders under supervision of pharmacist.
- Prepared prescription transfers to other pharmacies.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Entered and processed patients' prescriptions into internal system.
- Collected co-payments or full payments from customers.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Collaborated with healthcare professionals to clarify prescription details, ensuring accuracy.
- Utilized pharmacy management software to process prescriptions efficiently.
Customer Service Representative
Walmart
Laredo, TX
03.2020 - 08.2021
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
- Greeted customers and answered any questions they had about the store's products and services.
- Verified that customers were of legal age to purchase alcohol or tobacco products.
- Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
- Issued receipts, refunds, credits or change due to customers.
- Stocked shelves with merchandise when needed.
- Processed returns and exchanges of merchandise in accordance with store policies.
- Conducted price checks for special orders or discounts as requested by customers.
- Maintained cleanliness of checkout area including countertops, registers, windowsills and floors.
- Ensured compliance with all safety regulations within the store environment.
- Reconciled transactions at end of shift using appropriate forms and reports to verify accuracy of transactions.
Customer Service Cashier
Dollar Tree
Laredo, Texas
08.2019 - 12.2019
- Greeted customers and provided friendly customer service.
- Operated cash registers to process payments for goods and services.
- Balanced cash drawers at the end of each shift.
- Processed credit card transactions accurately and efficiently.
- Assisted customers with locating merchandise within the store.
- Assisted co-workers with tasks as needed to ensure smooth operations of the store.
Education
Bachelor of Science - Criminal Justice
Texas A&M International University
Laredo, TX12.2021
Associate of Arts - General Studies
Laredo College
Laredo, TX05.2019
Skills
- Data Verification
- Multitasking Abilities
- Microsoft Excel
- Detail Oriented
- Medical Documentation
- Microsoft PowerPoint
- Computer Proficiency
- Filing
- Communication Skills
- Adaptive Team Player
- Medical Claims Coding
- Interviewing
- Telephone Etiquette
- Eligibility Procedures
- Public Assistance
Certification
- Texas Driver's License
- Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB)
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Eligibility Advisor
Texas Health and Human Services
01.2025 - Current
Medical Biller and Coder
Martinez Pharmacy, LLC
01.2024 - 01.2025
Pharmacy Technician
Martinez Pharmacy, LLC
08.2021 - 01.2025
Customer Service Representative
Walmart
03.2020 - 08.2021
Customer Service Cashier
Dollar Tree
08.2019 - 12.2019
Associate of Arts - General Studies
Laredo College
Bachelor of Science - Criminal Justice
Texas A&M International University