Claudia Pineda
Melrose Park,Illinois
Summary
A dedicated and compassionate professional with 6 years of customer service experience in the medical field. Skilled in medical terminology and proficient at managing multiple locations, with a proven track record of coordinating with hospitals to enhance patient care. Bilingual in Spanish and English, with a strong ability to solve problems and improve operational efficiency. Seeking to contribute my expertise and commitment to excellence to help drive success in your organization.
Overview
6
6
years of professional experience
Work History
Program Coordinator
UHS
Oakpark, IL
03.2022 - Current
- Manage multiple programs, including DCFS Medication Management, Social Security services, and counseling partnerships with Garfield Park Behavioral and Hartgrove Behavioral.
- Coordinate and maintain patient schedules using Outlook, Citrix, and Excel to optimize appointment efficiency.
- Oversee insurance verification and billing, ensuring accurate coverage updates, proper claim processing, and adjusting CPT codes as needed for accurate reimbursements.
- Ensure accurate medication management, verifying prescriptions, monitoring dosages, and ensuring timely pharmacy submissions.
- Monitor and coordinate patient injections, ensuring proper administration and adherence to prescribed treatment plans.
- Provide exceptional patient support, addressing inquiries, checking in patients, and resolving concerns with professionalism and care.
- Collaborate with therapists, nurse practitioners, and doctors to enhance patient care and streamline clinical workflows.
- Develop partnerships and expand outpatient programs, fostering community engagement and improving access to mental health services.
Call Center Rep
Ears Nose And Throat Specialist
Niles , IL
06.2021 - 03.2022
- Provide exceptional customer service, ensuring patients receive timely appointments while prioritizing their needs.
- Manage daily call center operations, handling 80-100 calls per day and assisting patients with scheduling, insurance verification, and follow-ups.
- Coordinate doctors' weekly schedules, oversee patient file management, and ensure smooth workflow across multiple locations.
- Collaborate with medical professionals, including doctors, nurses, and the billing department, to enhance patient care and operational efficiency.
- Offer peer feedback and support, helping improve scheduling processes and overall workflow.
- Build trust with patients, addressing concerns related to missed messages, prescription refills, and immediate hospital consultations.
- Oversee operations across 9 medical clinics, including locations in Grayslake, Libertyville, Lutheran General Hospital, Hoffman Estates, Niles, Skokie, Glenview, Highland Park, and Lincoln Park.
- Bilingual in Spanish and English, ensuring effective communication with a diverse patient population.
Teacher Assistant
Kids Lounge
Melrose Park, IL
06.2019 - 11.2020
- Supervised and engaged with approximately 40 children, ages 5-12, fostering a safe and supportive learning environment.
- Utilized behavior modeling and teaching techniques to develop and reinforce positive social skills.
- Maintained open communication with parents, providing updates on their child's progress and offering guidance on ways to support their development.
- Delivered excellent customer service, building strong relationships with parents to establish trust and confidence in the program.
- Assisted in daily classroom activities, ensuring a structured and engaging environment for children’s growth and learning.
Education
Environmental science
Triton College
05.2022
Some College (No Degree) - Real Estate
College of DuPage
Glen Ellyn, ILSkills
- Strong Organizational skills
- conflict resolution & problem solving
- Bilingual communication ( Spanish & English )
- High-Volume Multitasking
- Adaptability & willingness to learn
- Action Oriented & Detailed-Focused
- Microsoft word
- Power point
- Excel
- Medic system
- Bed board
- Outlook
- Gmail
- Google Docs
- Skype for Communication
Timeline
Program Coordinator
UHS
03.2022 - Current
Call Center Rep
Ears Nose And Throat Specialist
06.2021 - 03.2022
Teacher Assistant
Kids Lounge
06.2019 - 11.2020
Environmental science
Triton College
Some College (No Degree) - Real Estate
College of DuPage