Claudia Trujillo
Summary
Detail-oriented Executive Assistant with a strong background in patient services, adept at resolving insurance issues and managing patient records. Demonstrates excellent communication proficiency while ensuring compliance with regulations. A proactive team member committed to enhancing client satisfaction and operational efficiency.
Overview
10
10
years of professional experience
Work History
Ambulatory Insurance Verifier Patient Accounting
Emanate Health
Covina
10.2025 - Current
- Verified patient insurance coverage and eligibility for medical services.
- Communicated with insurance providers to resolve verification discrepancies.
- Managed patient records and updated insurance information accurately.
- Ensured compliance with regulations in handling sensitive patient data.
- Assisted patients in understanding their insurance benefits and coverage options.
- Utilized electronic systems for tracking and documenting insurance verifications.
- Ensured compliance with HIPAA regulations when handling confidential patient information.
- Maintained accurate records of all transactions involving insurance verifications.
- Verified insurance coverage and eligibility for services using computer software.
- Reviewed patient information to ensure accuracy of data entered into the system.
- Performed verification of Medicare coverage.
- Identified discrepancies between provider's charges and insurance company’s fee schedules.
- Received, analyzed and responded to incoming calls from patients and providers regarding insurance issues.
- Identified important patient and demographic information.
- Provided customer service support by answering questions regarding benefits, coverage, payment plans.
- Pulled patient files and forwarded to appropriate offices for processing.
- Monitored changes in health care policies and procedures related to insurance verification process.
- Updated patient and insurance data and input changes into company computer system.
- Navigated through multiple online systems to obtain documentation.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
Insurance Verifier
Emanate Health Orthopedics Clinic
West Covina
05.2023 - Current
- Verify Ins eligibility coverage ppo, epo, pos, hmo, medical.
- Verify pt’s authorization approval via provider portal
- Or call medical group on stat auths
- Verify diagnose & cpt codes
- Confirm authorization approvals for future appointments
- Update hospital system with pt’s INS & upload Auth’s
- Submit Authorizations: stat, f/up, mri, ct, xr, csi
- Confirm with pt eligibility coverage or changes with ins
- Verify co-pay office visit with patient & collect payment
- Assist pt with secondary ins coverage (mcal) via county dpss
- Assist pt with health care options medical group changes
- Assist surgery scheduling dept with authorizations for future surgeries
- Schedule f/up & new patient appointments
Medical Service Rep
Compspec Inc.
Glendale
08.2020 - 05.2023
- Customer Service
- Bedside / Telephone Screening
- Government programs enrollment
- Insurance / Medical /Voc/Out of state Insurance Verifier
- Evaluate & review Medical cases to assist with benefits coverage
- Assist outpatients with pending hospital balance
- Cooperate with case management / care coordinator & hospital social worker
- Schedule Appointments
- Collect information entering data & updating into hospital system
- Note & Update hospital accounts
Revenue Cycle / Eligibility Enrollment Specialist
St. Francis Medical Center
Lynwood
12.2015 - 08.2020
- Revenue Cycle: Covered California Certified
- Overview patient hospital balances / Invoicing
- Depth knowledge of billing
- Schedule patient’s appointments
- Arrange payment methods.
- Patient bedside screening for possible government programs.
- Hospital presumptive eligibility & full scope medical enrollment.
- Overview and assist with medicare & medical coverage for inpatients.
- Medical pending cases follow up with county supervisors/deputies.
- Private Insurance verification.
- Point eligibility scanning into patient medical records.
- Patient registration into hospital accounts.
- Lead of newborn intensive care unit.
- Closed high dollar accounts from hospital depts. (trauma, psychiatric,nicu and inhouse).
- Calfresh enrollment.
- Census, MS4 internal reports.
- Selfpay qualifications accounts.
- Full scope MCal/Restricted MCal/ Prucol enrollments.
- VOC (victim of crime) enrollments.
Education
High School Diploma -
Bell High School
Bell, CA01-1995
Skills
- Excellent communication skills
- Articulate and well-spoken
- Accurate and detailed
- Works well under pressure
- Quick learner
- Multi-line phone proficiency
- Filing and data archiving
- Critical thinker
- Invoice processing
- Efficient multi-tasker
- Organized
- Bilingual Spanish/English
Timeline
Ambulatory Insurance Verifier Patient Accounting
Emanate Health
10.2025 - Current
Insurance Verifier
Emanate Health Orthopedics Clinic
05.2023 - Current
Medical Service Rep
Compspec Inc.
08.2020 - 05.2023
Revenue Cycle / Eligibility Enrollment Specialist
St. Francis Medical Center
12.2015 - 08.2020
High School Diploma -
Bell High School