Overview
Work History
Education
Skills
Timeline
Generic

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

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Charlize Cortez