Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cecliy Hernandez

Houston,TX

Summary

Dedicated Authorization Representative Skilled in processing authorization requests and ensuring accurate documentation to support efficient patient care. I also maintained and organized patient medical records in both electronic and paper formats, ensuring accuracy, confidentiality, and compliance with healthcare regulations. Reviewed, updated, and filed medical documents, including test results, physician notes, and treatment histories. Responded to requests for medical records from authorized personnel, patients, and insurance providers in a timely manner. Verified patient information for completeness and accuracy, correcting discrepancies when necessary. Utilized electronic health record (EHR) systems to input, retrieve, and manage data efficiently. Followed strict privacy standards, including HIPAA guidelines, to protect sensitive patient information.

Overview

11
11
years of professional experience

Work History

Authorization Representative

Medical Plus Supplies
Houston, TX
09.2022 - Current
  • Process authorization requests for medical supplies efficiently and accurately.
  • Collaborate with healthcare providers to verify patient eligibility and coverage.
  • Utilize electronic health record systems to track authorization status and updates.
  • Resolve discrepancies in claims to ensure timely approval of services.
  • Coordinated with healthcare professionals to verify patient information and resolve discrepancies promptly.
  • Conducted regular audits of medical records, ensuring adherence to regulatory standards and guidelines.
  • Managed patient records using electronic health record (EHR) systems to ensure data accuracy and compliance.
  • Responded to patient inquiries to provide information and details of medical records.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Ensured timely completion of audit tasks by effectively managing workload and prioritizing assignments according to urgency level.

Customer Service Representative

ABM Industries
Houston, TX
02.2015 - 08.2022
  • Resolved customer inquiries and complaints through effective communication and problem-solving techniques.
  • Managed high-volume calls, ensuring timely responses and adherence to service standards.
  • Trained new staff on customer service protocols and system navigation to enhance team performance.
  • Developed and implemented process improvements to streamline call handling efficiency.
  • Managed customer inquiries regarding invoices and payment discrepancies efficiently.
  • Reconciled accounts receivable and ensured timely collections of outstanding payments.
  • Handled account payments and provided information regarding outstanding balances.
  • Demonstrated excellent time management skills by prioritizing tasks and meeting deadlines in a fast-paced, high-volume work environment.

Education

High School Diploma -

Ceasar Chavez
Houston, TX
05-2011

Skills

  • HIPAA compliance
  • Authorizations
  • Problem-solving
  • Attention to detail
  • Excellent communication
  • Medical terminology
  • Data entry proficiency
  • Documentation review
  • Expertise in Brightree/EXL

Timeline

Authorization Representative

Medical Plus Supplies
09.2022 - Current

Customer Service Representative

ABM Industries
02.2015 - 08.2022

High School Diploma -

Ceasar Chavez