Crystal Guerrero
Conroe
Summary
Results-driven Insurance Verification Specialist skilled in managing insurance verification processes and improving patient communication. Committed to maintaining high standards of accuracy while supporting patients and healthcare teams in navigating insurance complexities.
Overview
4
4
years of professional experience
2022
2022
years of post-secondary education
Work History
Insurance Verification Specialist
Doctors Hospital at Renaissance Health System
Edinburg
08.2023 - 07.2025
- Verified patient insurance coverage for medical services and procedures.
- Communicated with insurance providers to resolve verification issues promptly.
- Collaborated with healthcare staff to gather necessary patient information efficiently.
- Reviewed patient records to confirm eligibility and benefits prior to appointments.
- Assisted patients in understanding their insurance benefits and coverage options.
- Trained new staff on insurance verification protocols and best practices.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Navigated through multiple online systems to obtain documentation.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Medical Office Specialist
Doctors Hospital at Renaissance Health System
Edinburg
02.2023 - 08.2023
- Managed patient scheduling and appointment confirmations effectively.
- Assisted with patient check-in and check-out procedures daily.
- Handled medical records and maintained confidentiality standards diligently.
- Coordinated communication between patients and healthcare providers efficiently.
- Greeted patients upon arrival at the office, checked-in patients, collected necessary paperwork, and provided directions to exam rooms.
- Ensured compliance with HIPAA regulations regarding privacy of patient information.
- Performed data entry of patient information into electronic health records system.
- Provided translation services between English-speaking providers and Spanish-speaking patients.
- Responded promptly to requests from medical staff members for assistance or information related to patient care.
- Processed payments from patients and maintained accurate financial records.
General Manager
Baymont By Wyndham
McAllen
07.2021 - 01.2023
- Managed daily hotel operations and ensured exceptional guest experiences.
- Oversaw staff training and development to enhance service quality.
- Implemented operational procedures to maintain safety and cleanliness standards.
- Coordinated scheduling and staffing to optimize efficiency across departments.
- Monitored inventory levels and ordered supplies to meet hotel needs.
- Developed marketing strategies to attract new guests and retain existing ones.
- Facilitated communication between departments to streamline workflows.
- Resolved guest complaints promptly to maintain satisfaction and loyalty.
- Managed all aspects of daily business operations including budgeting, staffing, scheduling, inventory control, customer service and sales.
- Resolved customer complaints quickly while maintaining high quality standards of service delivery.
- Trained employees on duties, policies and procedures.
- Administered employee discipline through verbal and written warnings.
- Tracked monthly sales to generate reports for business development planning.
- Ensured compliance with local health department regulations regarding food safety standards.
Education
Certified Medical Assistant - CMA
Southern Careers Institute
Pharr, TX 06.2024 - 02.2025
La Joya High School
La Joya, TXSkills
- Healthcare communication
- Documentation accuracy
- Customer service
- Problem solving
- Team collaboration
- Insurance benefits verification
- Deductible & co-pay calculation
- Medical terminology
- HIPAA compliance
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Certified Medical Assistant - CMA
Southern Careers Institute
06.2024 - 02.2025
Insurance Verification Specialist
Doctors Hospital at Renaissance Health System
08.2023 - 07.2025
Medical Office Specialist
Doctors Hospital at Renaissance Health System
02.2023 - 08.2023
General Manager
Baymont By Wyndham
07.2021 - 01.2023
La Joya High School