Overview
Work History
Education
Skills
Timeline
Generic

Carolina Pacheco

Las Vegas,NV

Overview

14
14
years of professional experience

Work History

Benefit Coordinator

Cano Health
Las Vegas, NV
10.2022 - 05.2023
  • Worked closely with Brokers to assist in enrolling Patients to Medicare Advantage plans
  • Worked closely with seniors to help them transition Insurance Carriers/ Primary Doctor
  • verified insurance eligibility/benefits
  • worked closely with wellness coordinator to plan activities for senior patients
  • Facilitated communication between departments regarding health-related matters.
  • Met with Patients on a daily basis to assist with scheduling Specialist appointments, resolving referral issues, and educating them on the resources available to them in our facility such as Wellness classes, enrolling them in free transportation and referring them to our social service coordinator if needed.
  • Attended social events to build relationships with brokers, patients and providers
  • Assisted in creating a positive environment for patients, family members, and staff by providing excellent customer service.
  • Ensured that all necessary documentation was completed accurately and submitted in a timely manner.
  • Provided emotional support to patients and their families during difficult times.
  • Coordinated transportation services for those who needed it.
  • Met regularly with department managers to review procedures and protocols related to patient advocacy.
  • Participated in community outreach events focused on educating individuals about healthcare options available in the area.

Property Inspector

Golden West Property Management
Las Vegas, NV
04.2021 - 11.2021
  • Conducted regular inspections of properties to identify any potential maintenance or repair issues.
  • worked off site with minimum to no supervision
  • performed administrative tasks
  • closely inspected residential properties to verify compliance with lease terms and conditions
  • provided good customer service to tenants while performing on site property inspections

Billing Representative

Direct Scripts Mail Order Pharmacy
Las Vegas , NV
09.2018 - 08.2019
  • Reviewed and processed customer invoices, credits, and payments accurately.
  • Performed data entry to update customer accounts with payment details.
  • Assisted customers with inquiries regarding their bills and payment options.
  • Researched discrepancies between customer invoices and payments received.
  • Investigated customer complaints related to billing issues.
  • Processed credit card payments from customers using secure online systems.

Benefits And Eligibility Specialist

Allergy Partners Of Nevada
Las Vegas, NV
04.2016 - 07.2017
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.

  • Responded promptly to customer inquiries regarding their benefits and eligibility status.
  • Evaluated policies and procedures related to Insurance Verification activities.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Scheduled and confirmed patient appointments and consultations.

Central Scheduler /Customer Service Representative

The Valley Health System
Las Vegas, NV
09.2013 - 07.2015
  • Scheduled patient appointments and maintained appointment records.
  • Answered phone calls in a professional manner while providing excellent customer service.
  • Pre Registered patients over the phone for surgery and out patient procedures
  • answered an average of 60 calls daily assisting patients in scheduling procedures and addressing inquires

  • Performed data entry of patient demographics into the practice management system.
  • Assisted with scheduling referrals and prior authorizations.
  • Checked physician orders and schedule availability to make accurate appointments for tests and surgical procedures.

Front Desk Receptionist /Patient Care Advocate

Surgical Weight Control Center
Las Vegas , NV
04.2009 - 03.2013
  • Provided administrative support such as filing documents, photocopying and scanning materials.
  • Handled cash transactions accurately, balancing the register at the end of each shift.
  • Explained complex medical terminology to patients and families in an understandable manner.
  • Provided emotional support to patients and their families during difficult times.
  • Assisted with the completion of insurance paperwork for patient coverage.
  • verified patients insurance and eligibility for bariatric surgery
  • assisted patients in completing insurance requirements to be able to have bariatric surgery
  • worked closely with providers to providers to arrange the patients bariatric surgery
  • set up exam rooms for medical exams
  • completed wound checks for patients after their surgery

Education

Canyon Springs High School And The Leadership And Law Prepar
North Las Vegas, NV

Skills

  • Bilingual

Timeline

Benefit Coordinator

Cano Health
10.2022 - 05.2023

Property Inspector

Golden West Property Management
04.2021 - 11.2021

Billing Representative

Direct Scripts Mail Order Pharmacy
09.2018 - 08.2019

Benefits And Eligibility Specialist

Allergy Partners Of Nevada
04.2016 - 07.2017

Central Scheduler /Customer Service Representative

The Valley Health System
09.2013 - 07.2015

Front Desk Receptionist /Patient Care Advocate

Surgical Weight Control Center
04.2009 - 03.2013

Canyon Springs High School And The Leadership And Law Prepar

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Carolina Pacheco