Anna Guerrero
Spring,TX
Summary
Seasoned Clinical Administrative Coordinator with a proven track record, showcasing exceptional service excellence and EMR software proficiency. Expert in insurance verification and claims management, significantly enhancing patient care coordination. Bilingual communicator, adept at leveraging both hard and soft skills to exceed employer expectations without exceeding a 55-word limit.
Overview
11
11
years of professional experience
Work History
Clinical Administrative Coordinator
Optum
07.2022 - 01.2025
- Facilitated communication between patients, families, and healthcare teams to ensure coordinated care.
- Handled incoming phone calls from members and providers, and responded to inquiries accordingly.
- Prepared and maintained various reports for management regarding prior authorization workflow.
- Collaborated with clinical team members regarding administration and filing for patient referrals and service authorization.
Patient Service Representative Sr.
Houston Methodist The Woodlands
10.2020 - 07.2022
- Accessed third-party insurance databases to identify coverage of benefits.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Counseled patients on potential financial liabilities and payment requirements.
- Provided customer service by answering patient questions and addressing concerns.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
Patient Benefits Rep Sr.
Texas Oncology
07.2019 - 10.2020
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
- Educated patients on their insurance benefits and coverage limitations.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Clinic Coordinator
Houston Methodist Hospital
03.2017 - 07.2019
- Assisted in the coordination of patient care services, including scheduling appointments and managing medical records.
- Helped with administrative clinic work such as making appointments, answering telephone calls and greeting patients.
- Managed daily appointment schedules for physicians and other clinical personnel.
- Accessed third-party insurance databases to identify coverage of benefits.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
OA/MA
CHI St. Joseph Pediatrics
06.2014 - 07.2016
- Provided customer service by answering patient questions and addressing concerns.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
- Processed insurance verifications and authorizations to ensure coverage of services.
- Coordinated scheduling of appointments to optimize patient care.
- Assisted back office patient processes to reduce office wait times.
- Measured vital signs and took medical histories to prepare patients for examination.
Education
Highschool -
Bishop Lynch
Dallas, TXSkills
- Bilingual
- EMR Software Proficiency
- Service Excellence
- Skilled in ICD and CPT Code Applications
- Proficient in Microsoft Office
- Claims management
- Insurance verification
References
Available upon request
Timeline
Clinical Administrative Coordinator
Optum
07.2022 - 01.2025
Patient Service Representative Sr.
Houston Methodist The Woodlands
10.2020 - 07.2022
Patient Benefits Rep Sr.
Texas Oncology
07.2019 - 10.2020
Clinic Coordinator
Houston Methodist Hospital
03.2017 - 07.2019
OA/MA
CHI St. Joseph Pediatrics
06.2014 - 07.2016
Highschool -
Bishop Lynch