Ciara Ochoa
Alvin
Summary
Results-driven and dedicated healthcare professional with over 8 years of experience in outpatient services and healthcare administration. Proven track record of improving operational efficiency, enhancing patient satisfaction, and leading teams in fast-paced environments. Adept at managing patient flow, scheduling, and clinical operations with a focus on delivering high-quality care while optimizing resources. Passionate about professional growth and eager to contribute expertise to a dynamic healthcare organization that offers opportunities for further development and advancement.
Overview
7
7
years of professional experience
Work History
Patient Benefits Coordinator
Altus Biologics
04.2023 - Current
- Verifies patient insurance coverage before appointments to ensure necessary procedures are covered by their plan
- Gathers required medical information, authorizations, and verifications from patients before appointments to ensure timely treatment
- Submits prior authorizations to insurance companies through payer-specific portals and vendors for assigned clients
- Obtains PCP referrals, coordinates benefits, and updates patient cost share before appointments
- Uses portals, phone calls, and fax to communicate with insurance companies, providers, pharmacies, and patients about insurance verification, benefit coverage, appointments, and prior authorizations
- Follows up on pending insurance authorizations and ensures all interactions are properly documented in the medical record
- Schedules and reschedules patient appointments as needed
Ambulatory Service Lead
Kelsey-Seybold
10.2023 - 04.2024
- Streamlined appointment scheduling for improved patient experience and reduced wait times.
- Determined eligibility for patient insurance benefits.
- Optimized client experience with effective and polite service throughout all procedural steps.
- Reviewed account information and explained charges and other related inquiries from patients and insurance carriers in person or via telephone.
- Ensured timely completion of necessary forms to facilitate efficient patient registration.
- Generated thorough daily summaries on key metrics including patient numbers, income received, and pending accounts for executive review.
- Educated new employees on departmental processes, software applications, and collaboration protocols.
Referral Coordinator
University of Texas Medical Branch
08.2020 - 06.2022
- Reviewed and processed referrals, including verifying eligibility and pre-authorizations
- Collaborated with multiple departments to ensure smooth referral transitions for patients
- Communicated with patients and specialists to provide updates on referral status and to schedule follow-up appointments
- Handled high-volume requests while ensuring attention to detail and patient satisfaction
- Kept comprehensive records of all referral processes and communicated updates to healthcare providers
Life Insurance Representative
American National Family of Companies
08.2017 - 04.2020
- Managed a high-volume workload in a fast-paced environment, assisting an average of700 clients per week while maintaining excellent phone etiquette and consistently meeting performance benchmarks in speed, accuracy, and volume, achieving an overall performance score of110%
- Provided clients with detailed information about Credit Insurance, Annuities, and Life Insurance products to help them plan for the future and make informed decisions about their financial security
- Delivered death benefits by distributing policy proceeds and reassessing client needs to ensure ongoing coverage or updates to policies as necessary
- Calculated premiums and helped clients establish convenient payment methods to ensure consistent coverage and customer satisfaction
- Offered guidance on policy options and managed client policies to promote asset protection and help clients achieve long-term financial goals
Education
High School Diploma - undefined
Clear Creek High School
League City, TX06.2016
Skills
- Epic Strategy Development
- Patient Care
- HIPAA Compliance
- Medical Vocabulary Proficiency
- Proficient in EMR Systems Management
- CPT Code Proficiency
- Healthcare Administration Experience
- Customer relationship management
- Proficient in EHR Technologies
- Microsoft
ICD-10 Coding Expertise
Timeline
Ambulatory Service Lead
Kelsey-Seybold
10.2023 - 04.2024
Patient Benefits Coordinator
Altus Biologics
04.2023 - Current
Referral Coordinator
University of Texas Medical Branch
08.2020 - 06.2022
Life Insurance Representative
American National Family of Companies
08.2017 - 04.2020
High School Diploma - undefined
Clear Creek High School
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