Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

ANGELICA SANDOVAL

JB Mcguire Lakehurst

Summary

Dedicated healthcare professional with a proven track record in customer service, time management, and care management. Exceptional verbal and written communication skills facilitate effective collaboration with clinical staff and internal departments, leveraging extensive knowledge of medical services and patient rights. Committed to providing comprehensive support tailored to diverse patient needs, ensuring optimal care experiences. Possesses in-depth understanding of medical terminology, procedures, and billing practices within the healthcare sector.

Overview

11
11
years of professional experience

Work History

Pre- Kindergarten Teacher Aide

DODEA- Daegu Elemantary School
02.2024 - 06.2025
  • Assisted lead teacher in implementing lesson plans and engaging students in various educational activities
  • Supervised children during playtime, lunch, and outdoor activities to ensure their safety and well-being
  • Provided one-on-one support to students with special needs or learning challenges to help them succeed in the classroom
  • Helped maintain a clean and organized classroom environment by assisting with daily cleaning tasks and organizing classroom materials
  • Documented and evaluated the academic and developmental progress of prekindergarten students.
  • Communicated effectively with parents and other staff members to provide updates on student progress and address any concerns or questions
  • Helped create a positive and inclusive learning environment by promoting kindness and good behavior among students
  • Implemented efficient filing systems and document management procedures to improve organization and workflow
  • Assisted with student assessments, grading papers, and providing feedback on progress.
  • Provided assistance to teachers in the classroom by helping to prepare materials for lessons, organizing supplies, and supervising students.

Substitute Teacher

DODEA - Daegu Elementary School
08.2023 - 02.2024
  • Planned and delivered creative lessons for children, teaching through play and practical activities.
  • Kept age-appropriate resources readily available to enhance children's learning and discovery.
  • Encouraged learning and development through play, activities and teaching.
  • Closely monitored child behaviour, promptly reporting changes or emerging issues to relevant parties.
  • Supported school practices, aiding children's growth through hands-on learning and discovery in nature.
  • Assisted with breakfast, breaks and lunchtimes through monitoring, behaviour management and preparing meals.
  • Became familiar with school emergency protocols to be prepared for class evacuation from assigned classrooms.
  • Assisted with bus and lunch duty as assigned to maintain proper teacher-to-student ratios.
  • Provided comprehensive reports to full-time teachers to document accomplishments achieved during teacher absences.
  • Contacted head's office to handle safety and disciplinary problems.
  • Mentored, tutored and instructed students in need of additional support.
  • Used learning outcomes as benchmarks to continually adapt teaching methods.
  • Kept classroom safe, organized and clean to facilitate positive learning environment.
  • Provided ordered and disciplined learning environments by giving students necessary support and encouragement to understand classroom expectations.

Office Automation Assistant

Osan Middle Highschool - DODEA
01.2023 - 06.2023
  • Maintained day-to-day classroom management and discipline to promote learning initiatives.
  • Kept accurate and current attendance records and assignment sheets to maintain file compliance.
  • Monitored student progress and provided feedback to students, parents and school administrators.
  • Collaborated with colleagues to develop innovative approaches to teaching.
  • Enforced school and class rules to maintain order in classroom.
  • Performed clerical and administrative support duties to optimize workflow procedures.
  • Answered multi-line telephones and greeted visitors and parents to facilitate office operations.
  • Used computer to prepare a variety of letters and messages.
  • Provided support to virtual students with instructional needs.
  • Collaborated with virtual school teacher to enhance the instructional environment for students.

Senior Customer Service Representative

Optum Care Network-Monarch
01.2019 - 08.2022
  • Serve as Subject Matter Expert for team members and internal customers.
  • Handle escalated calls, resolving, complex customer issues, applying critical thinking skills, applied logic while demonstrating compassion and empathy.
  • Answer incoming calls from customers and identify type of assistance customer needs (i.e benefits, eligibility, billing, payments, authorizations for treatment and explanation of benefits).
  • Ask probing questions and listen actively to identify specific questions or issues
    while documenting required information in computer systems.
  • Intervene with care providers on behalf of customer to assist with appointment scheduling or connections with internal specialists for assistance when needed.
  • Assisting customers with navigating their health plan, benefits, eligibility and conducting outbound calls to health plan partners when required.
  • Provided education and status on previously submitted pre-authorizations or predetermination requests.
  • Provide claim status and payment information to providers in timely manner
  • Assist with Provider disputes and also send claims back for reprocessing when
    appropriate.
  • Receive and record complaints and grievances following standard operating procedures and internal department workflow processes.
  • Foster interpersonal relationships showing empathy and understanding towards staff and customers to build ever growing relationships
  • Handled between 60-80 calls per day depending on business needs
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Adhered to company policies and government regulations regarding data oversight and confidentiality to promote overall information security.
  • Performed various administrative tasks by filing, copying and faxing documents.

Patient Care Coordinator

Pacific Cardiovascular Associates
06.2017 - 12.2018
  • Worked closely with patients to deliver excellent and direct individualized patient care.
  • Scheduled appointments using automated computer system. ( i.e Nextgen)
  • Helped patients and their families make informed decisions throughout their treatment
  • Conducted basic health questionnaires regarding cardiovascular health history.
  • Responsible for answering all incoming calls and directed callers to appropriate department/s.
  • Responsible for verification of eligibility and benefits via health plan portals ((i.e Medi-Cal, Medicare, Anthem Blue Cross/ Blue Shield, Aetna Scan
    ,Cigna, Scan, Tri-care, Humana, ).
  • Verified patients authorizations, if assigned to HMO network and confirmed
    CPT codes approved are appropriate for visits.
  • Work closely with management to call on all incoming referrals in timely
    manner and assist with appointment reminders when necessary.
  • Explained upcoming treatment preparation, instructions and other facts to patients.
  • Upheld confidentiality requirements and regulatory compliance guidelines.
  • Utilized NextGen to manage and confirm patient data, such as insurance, demographics and medical history information.
  • Sets priorities and deadlines adjusting flow of work to meet team and patient needs
  • Participated in team huddles and team meetings to manage, plan and follow up with patient care
  • Coordinated and maintained office organization to keep facilities efficient, organized and professional.
  • Compiled electronic patient records covering conditions, treatments and diagnoses using NextGen automated computer system
  • Inputed data into computer programs and filing systems.
  • Handled over 50 patient calls per day.
  • Collaborated with other health and social care providers to promote communication , seamless care and support for patients.

Front Desk Receptionist

Coast Urological Medical Group
01.2017 - 06.2017
  • Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
  • Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
  • Used internal software to process appointments, check-ins and check-outs.
  • Verify eligible and benefits before patients appointment to ensure all copays/ coinsurance are received during check in.
  • Requested and received medical records before patients scheduled appointment.
  • Kept accounts in balance and ran daily reports to verify totals.
  • Liaised between patients and internal staff to resolve problems involving access and eligibility issues concerning medical care.
  • Contacted health plans to gather information regarding copays, co-insurances, and deductible on patients behalf before procedure. Educated patient on their benefit plan information before patients upcoming procedure.
  • Assist billing department with inputting new patients in systems and gather information by contacting health plans and/or network to inquire about
    claim denials.
  • Resolved customer issues quickly and notified supervisor immediately when problems escalated.
  • Assist billing department with inputting new patients demographics in system.
  • Contacted health plans and/or medical networks to inquire about claims denials. Gathered information was given to claims department for processing.
  • Managed over 40 patient calls per day.

Checkout Receptionist

Orthopaedic Surgery Medical Group
04.2016 - 12.2016
  • Maintained consistent follow-up on status of prior authorization requests.
  • Scheduled, rescheduled and cancelled appointments for patients.
  • Reviewed authorizations from payer to determine approved or denied items.
  • Enhanced office productivity by handling high volume of callers.
  • Kept patients' appointments on schedule by informing provider of patient's arrival and any delays.
  • Pulled charts and prepared for doctor assessment.
  • Verified eligibility and benefits to ensure insurance coverage for upcoming appointments
  • Calculated estimated copay based on current insurance benefits.
  • Supported office staff and operational requirements with administrative tasks.
  • Submitted for prior authorization with required documentation to appropriate insurance, health plan and/or medical network.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Ensured patients are aware of upcoming appointments and send reminders via mail or phone call.
  • Checked out between 30-40 patients per day.

Teller

Banc of California
11.2015 - 04.2016
  • Answered customer inquiries regarding account balances, transaction history, services charges and interest rates.
  • Processed customer transactions promptly, minimizing wait times.
  • Completed highly accurate, high-volume money counts via both manual and machine-driven approaches.
  • Learned about customer's financial needs, established trust and optimized sales opportunities resulting in quality customer service.
  • Educated customers on use of banking website and mobile apps.
  • Identified sales opportunities and referred customers to branch partners in financial services.
  • Maintained friendly and professional customer interactions.
  • Executed wire transfers, stop payments and account transfers.
  • Counted, verified and handled bank deposits.
  • Processed customer transactions promptly, minimizing wait times.

Coffee Barista

Disneyland
04.2014 - 08.2015
  • Brewed and served coffee, tea and other non-alcoholic drinks according to company standards.
  • Maintained cleanliness and sanitation of customer-facing work area and dining room space to meet governmental and organizational safety and health guidelines.
  • Cross-sold pastries and sandwiches with coffee orders, boosting customer purchases.
  • Handled OLTP systems, payment processing, cash change and issuing of receipt.
  • Cleaned counters, machines, utensils and seating areas daily.
  • Maintained and operated espresso machines, blenders, commercial coffee brewers, coffee pots and other equipment.
  • Controlled line and crowd with quick, efficient service.
  • Created wide variety of hot and cold drinks in average shifts with consistently positive customer satisfaction scores.
  • Prepared and stocked baked goods, sandwiches, wraps and light snacks to compliment beverage choices.
  • Memorized recipes for specialty coffee beverages and seasonal offerings.
  • Pleasantly interacted with customers during hectic periods to promote fun, positive environment.
  • Sanitized equipment and wiped down counters and tables to prevent spread of germs.
  • Maintained supply levels in counter and customer areas to meet typical demands.
  • Completed daily cash audits to correctly balance drawer at end of each shift.

Education

Associate of Arts - Public Health

Orange Coast College
12-2025

Bachelor of Science - Public Health

California Baptist University
Riverside, CA
12-2026

High School Diploma -

Godinez Fundamental Highschool
06.2011

Skills

  • Insurance verification
  • Healthcare documentation
  • Organizational skills
  • Strong interpersonal skills
  • Appointment scheduling
  • Patient education
  • Referral coordination
  • Call center experience

Languages

Spanish
Native or Bilingual

Timeline

Pre- Kindergarten Teacher Aide

DODEA- Daegu Elemantary School
02.2024 - 06.2025

Substitute Teacher

DODEA - Daegu Elementary School
08.2023 - 02.2024

Office Automation Assistant

Osan Middle Highschool - DODEA
01.2023 - 06.2023

Senior Customer Service Representative

Optum Care Network-Monarch
01.2019 - 08.2022

Patient Care Coordinator

Pacific Cardiovascular Associates
06.2017 - 12.2018

Front Desk Receptionist

Coast Urological Medical Group
01.2017 - 06.2017

Checkout Receptionist

Orthopaedic Surgery Medical Group
04.2016 - 12.2016

Teller

Banc of California
11.2015 - 04.2016

Coffee Barista

Disneyland
04.2014 - 08.2015

Associate of Arts - Public Health

Orange Coast College

Bachelor of Science - Public Health

California Baptist University

High School Diploma -

Godinez Fundamental Highschool

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