Charlize Cortez
Floresville,TX
Overview
5
5
years of professional experience
Work History
Insurance Verification Specialist
Arthritis Associates
San Antonio, TX
01.2025 - Current
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Ensured that the most current version of provider contracts were stored in the database.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Examined claims, records and procedures to grant approval of coverage.
- Analyzed and interpreted insurance coverage policies to determine patient eligibility for services.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Phone Operator
Arthritis Associates
San Antonio, TX
06.2024 - Current
- Assisted individuals with hearing difficulties with using assistive services to complete calls.
- Ensured compliance with all applicable federal regulations pertaining to telephone operations.
- Kept equipment operational by following manufacturer's instructions and established procedures.
- Called prospective customers by operating telephone equipment, automatic dialing systems and other telecommunications technologies.
- Transcribed message details to promptly relay to appropriate recipients.
- Utilized various software programs including Microsoft Word, Excel, and Outlook to complete job tasks efficiently.
- Operated telephone switchboard to provide information, take messages and forward calls.
- Oversaw appointment scheduling for corporate employees and company visitors.
- Listened to customer requests, referring to alphabetical or geographical directories to answer questions and provide telephone information.
CNA
Prairie Meadows
Floresville, TX
07.2022 - 06.2024
- Helped residents walk with or without self-help devices.
- Supported non-ambulatory residents in range of motion exercises.
- Monitored food intake and output as directed by nursing staff.
- Participated in educational programs designed to improve knowledge of health care practices.
- Conducted patient education on health maintenance and disease prevention.
- Supplied, collected and emptied patient bedpans on frequent basis.
- Provided compassionate care to patients, ensuring their comfort and well-being.
CNA
Rehabilitation center of floresville
Floresville, TX
01.2020 - 07.2022
- Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
- Distributed drinking water and nourishment to residents.
- Educated patients on self-care techniques that would help them maintain their independence.
- Monitored vital signs such as pulse rate, respiration rate, and blood pressure.
- Reminded patients to take prescribed medications or nutritional supplements.
- Measured and recorded food and liquid intake and output, reporting changes to medical or nursing staff.
- Participated in educational programs designed to improve knowledge of health care practices.
Education
High School Diploma -
Floresville High School
05-2020
Skills
- Collaborative relationships
- Prior authorization processing
- Statement preparation
- Secure data practices
- Insurance terminology
- Patient contact
Timeline
Insurance Verification Specialist
Arthritis Associates
01.2025 - Current
Phone Operator
Arthritis Associates
06.2024 - Current
CNA
Prairie Meadows
07.2022 - 06.2024
CNA
Rehabilitation center of floresville
01.2020 - 07.2022
High School Diploma -
Floresville High School