Flexible hard worker ready to learn and contribute to team success.
Energetic professional focused on patients rights and program assistance. Outgoing and collaborative professional thrives in high-volume, challenging settings.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Patient Advocate
Capital pain institute
Austin
04.2024 - Current
Utilized hospital systems to update patient records, ensuring accuracy and completeness.
Conducted financial counseling for patients, explaining payment options and assistance programs.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Insurance Verification Specialist
Hospital Of Westlake
Austin
09.2022 - 08.2023
I verify insurance policies to updated policies in the patients chart
Handle incoming calls and assist with patients calling in resolving their issues
I assist where I'm needed throughout my department
Customer Service Representative
Ascension Seton
Austin
02.2020 - 10.2021
I open and close the office
I check in and out patients
I confirm appointments and reschedule appointments
I verify insurance policies to updated policies in the patients chart
Handle incoming calls and assist with patients calling in resolving their issues to them wanting to know their coverage for the office visit
I assist where I'm needed throughout my department
Insurance Verification Representative
Northwest Hills Surgical Hospital
Austin
10.2015 - 12.2019
Verified health insurance policies for all major commercial carriers, as well as government healthcare agencies
Ensured accurate data entry into healthcare verification applications
Entered pertinent information in a timely manner while paying special attention to detail
Ensuring that all insurance information needed for billing and collection processes are appropriately obtained and recorded in the computer system
Contacting patients and pre-registering outpatients as assigned
Ensures medical necessity is completed prior to testing
Informs patients of their financial responsibility for services to be rendered
Initiated the pre-authorizations/pre-determinations for insurance to get verified and processed correctly
Followed up with decisions from providers
Communicated with both patients and primary care physicians (PCP's) and/or specialists in regards to standings
Communicated with patients about their estimated out of pocket payments
Followed up with doctors office with authorizations
Front Desk Receptionist/Assistant Manager
SMILE CENTER DENTAL
Austin
01.2008 - 08.2015
Started as a front desk receptionist as to answering incoming calls, make appointments, verify insurance, treatment plans and open/close office
I moved myself up to assistant manager in the company
Customer Service Representative
Doc'Auto Insurance
Austin
06.1996 - 02.2008
Handled incoming calls from policyholders, responding to inquiries, resolving problems and correcting policy errors
Provided quotes and executed online policy changes for auto, liability
Used consultative selling techniques to provide leads for telesales personnel
Education
Diploma Medical Assistant - Medical
N.I.T
Austin, TX
06-2006
Skills
Good communication
Effective leadership
Teamwork and interpersonal skills
Work Ethic
Reliable
Determination and Persistence
Ability to Work in Harmony with Co-Workers
Insurance Verification
Medical Office Experience
Medical Records
Medical Scheduling
Medical Terminology
Order Entry
HIPAA
Experience Administering Injections
Medical Billing
CPT Coding
Hospital Experience
Clerical Experience
Dental Receptionist
Medical Receptionist
Data Entry
ICD-9
Microsoft Word
Customer service
Office Management
Athenahealth
ICD-10
Filing
Bilingual
Dental office experience
ICD Coding
Certification
Public Notary, 07/01/96, 05/31/21
Languages
Spanish, Fluent
Personal Information
Work Permit: Authorized to work in the US for any employer