Healthcare coordinator with 7+ years of experience in insurance benefit quoting and patient care coordination. Demonstrated success in managing compliance and adhering to HIPAA standards. Implemented strategic solutions for diverse healthcare projects, including DSNP, CSNP, employer group, and Medicaid initiatives.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Senior Care Coordinator
United Health Care
Dallas, TX
10.2016 - 03.2026
Contacted and enrolled 500+ eligible members via outbound/inbound calls following qualifying health events to ensure timely access to healthcare services.
Enrolled 500+ eligible members through outbound/inbound calls post-health events, facilitating timely access to healthcare services.
Reviewed and approved prior authorizations for medical procedures, services, and equipment using Epic EMR system to ensure compliance with insurance requirements.
Compiled database of local services offering prescription discounts, transportation aids, and medical equipment suppliers to enhance patient assistance resources.
Researched and compiled a database of local services providing prescription discounts, transportation aids, and medical equipment suppliers for patient assistance.
Analyzed and applied CPT codes to streamline insurance billing processes and accurately quote member plan copays.
Led workshops for 50+ members on navigating dental, digital, and out-of-network coverage options, increasing benefit utilization awareness.
Collaborated with pharmacy partners and coordinated the implementation of mail-order systems for prescription delivery.
Audited patient records and updated reporting systems to ensure compliance with HIPAA and CMS standards, including LEP attestations.
Technical Support Specialist
Active Network
Dallas, TX
03.2015 - 10.2016
Resolved hardware issues for VeriFone/Datamax printers, card swipe terminals, ELO touchscreen units, and WebPOS systems.
Performed system upgrades, re-imaging, and software downloads on vendor terminals.
Configured high-speed and dial-up internet settings to ensure terminal connectivity.
Assisted vendors with transaction voids/reversals, customer profile merges, and driver's license overrides to resolve escalated service requests efficiently.
Reset vendor account passwords across multiple states; generated temporary credentials for California vendors.
Investigated customer profile discrepancies using personal identifiers to ensure database accuracy.
Liaised with state game commissions to verify rules and regulations impacting hunting/fishing license codes.
Monitored and communicated state-level regulatory changes impacting license sales.
Supported law enforcement with investigations related to noncompliance of hunting and fishing permit regulations.
Research Coordinator
Active Network
Dallas, TX
01.2016 - 05.2016
Verified license names and customer information in database and Oracle to ensure accuracy.
Verify accounts that qualify for tax exemptions and product discounts.
Looked up customer account numbers in Hy-Tek database to verify purchase or upgrade needs.
Retrieved customer orders from Hy-Tek backend store, notating important information for processing.
Invoice orders via oracle that are not holding for purchase order submission.
Sent web deliveries to customers and prepared hardcopy disks for timely shipping.
Ran end-of-day reports and submitted them to manager for review and analysis.
Outreach Specialist
Nielsen Media Corporation
Dallas, TX
10.2014 - 04.2015
Executed outbound calls to pre-qualified households, persuading participation in Nielsen television survey study.
Motivated and persuaded undecided respondents using Nielsen A.R.T. methodology to enhance survey engagement.
Place outbound calls to qualified households to follow-up on participation, and answer questions regarding the survey.
Deliver mandatory verbatim and non-verbatim scripts according to Nielsen SOPs.
Delivered customer support by addressing respondent questions and concerns about confidentiality, purpose, and survey diaries.
Utilize the ATMS system and IBM's SPSS application to code calls.
Determine appropriate code for each call based on verbal and nonverbal responses.
Determine whether respondent qualifies for survey rescheduling based on Nielsen bumping policies.