BLANCA SAUCEDA
New Port Richey,Florida
Summary
Healthcare administration and care management professional with 18 years of experience in care coordination, medical insurance, and patient services. Expertise includes eligibility verification, transition-of-care support, and clinical documentation. Bilingual in English and Spanish, delivering effective communication and resource coordination to enhance patient outcomes.
Overview
19
19
years of professional experience
Work History
Care Management Support Coordinator II
CENTENE CORPORATION
Tampa, FL
02.2017 - 12.2025
- Facilitated medical utilization activities and coordinated care to enhance member support.
- Screened members for eligibility and benefits and helped connect members with appropriate services.
- Identified members without a primary care provider (PCP), documented findings, and referred them to Member Services for assistance.
- Prioritized screening of members for Case Management assessment to ensure timely support.
- Performed transition-of-care duties by contacting members, attending physicians, medical power of attorneys, healthcare providers, home health agencies, equipment vendors, and other providers to obtain information related to special needs.
- Coordinated services with community-based organizations to enhance member support.
- Produced and mailed routine Case Management letters and program educational materials.
- Entered assessments and authorizations accurately into the system while maintaining timely documentation.
Billing Specialist
WORLDWIDE MEDICAL SERVICES
Tampa, FL
01.2012 - 01.2017
- Verified patient services and insurance authorizations to ensure timely billing and compliance.
- Supported accurate billing-related documentation and administrative processes.
- Maintained daily communication with physicians' offices to secure updated clinical records for accurate billing.
- Supported accurate billing documentation and administrative processes to enhance overall billing efficiency.
Administrative Assistant
DR. ROBERT A. D'AMICO, OFFICE OF OPHTHALMOLOGY
Brooklyn, NY
01.2007 - 01.2012
- Escorted patients to examination rooms and prepared them for examinations, ensuring comfort and readiness.
- Provided professional and courteous customer service to patients.
- Managed medical billing processes and administrative tasks, facilitating accurate record-keeping and smooth operations.
- Communicated directly with pharmacies regarding patient needs and prescriptions.
- Delivered professional and courteous customer service to patients, enhancing their overall experience and satisfaction.
Education
Medical Office Assistant - New York State Certification
Franklin Career Institute
Brooklyn, NYSkills
- Care management
- Healthcare Coordination
- Member & Patient Services
- Eligibility & Benefits
- Medical Insurance
- Claims Processing
- Prior authorization
- ICD-10
- CPT
- Medical terminology
- Clinical Records
- Care transitions
- Provider relations
- Community Resources
- Microsoft Office
- Customer support
Medical And Technical Knowledge
Medical Transcription, Medical Insurance, Medical Billing, ICD-10, CPT, Medical Terminology, Examination & Treatment, Patient Safety, Medical Emergencies & First Aid, Pharmacology, Microsoft Office, Salesforce, Lytec MD, MD On-Line, English, Spanish
Timeline
Care Management Support Coordinator II
CENTENE CORPORATION
02.2017 - 12.2025
Billing Specialist
WORLDWIDE MEDICAL SERVICES
01.2012 - 01.2017
Administrative Assistant
DR. ROBERT A. D'AMICO, OFFICE OF OPHTHALMOLOGY
01.2007 - 01.2012
Medical Office Assistant - New York State Certification
Franklin Career Institute