Cynthia Alvarado
Rialto,CA
Summary
Dedicated and results-oriented professional with a comprehensive background in medical administration, seeking a challenging role in a forward-thinking organization. I am eager to leverage my extensive experience and unwavering commitment to exceptional customer service to contribute proactively to the operational efficiency and success of the team.
Operations professional prepared to drive operational success. Known for improving process efficiencies and supporting strategic initiatives. Strong collaborator with focus on achieving results and adapting to dynamic environments. Expertise in logistics management and team coordination.
Overview
19
19
years of professional experience
Work History
Central Support Operations Coordinator
OPTUM SERVICES
02.2024 - 03.2025
- Manage phone calls to and from home health agencies to build authorizations for home health services, provide approval notification, retrieve any needed information that is missing from the request, and to resolve any questions the agency may be calling about
- Work out of an online portal to review authorization requests submitted online by home health agencies, ensuring all required information is entered accurately and sent for medical review, if necessary, in a timely manner
- Establish cross departmental relationships to work effectively with care management staff, attributing to a smooth process for completion of authorization requests
- Meeting expectations set for the goal of productivity, which is 93% for the year, receiving an average of 99% for the 2024 year
Customer Service Representative
CALL THE CAR
02.2020 - 12.2023
- Coordinated medical transportation for patients to and from medical appointments to SNF, hospital and dental
- Verified eligibility by checking the patient's insurance benefits and confirming coverage for transportation, and obtained authorization for needed services
- Assisted management by conducting member outreach for online reservations
- Met and exceeded daily call goals of 100 plus calls
Customer Service Representative
PRECISION CONNECT
02.2019 - 11.2020
- Collaborated with Blue Cross and Blue Shield of California Promise Health Plan, managing a high call volume confirming members eligibility benefits
- Scheduled medical transportation services for members
- Arranged transportation via ambulance for members being discharged or transferred to and from acute facilities
Administrative Assistant
TEJEDA AND SON PLUMBING
04.2008 - 11.2018
- Welcomed and assisted customers, addressing inquiries and maintaining a secure environment
- Managed telephone and fax communications, generating work orders for plumbing services
- Uphold operations efficiency through diligent record keeping and account management
Administrative Assistant
LAW OFFICES OF CIPOLLA & CALABA
07.2006 - 08.2007
- Provided comprehensive administrative support to attorneys and paralegals
- Answered phone calls from existing and potential clients, ensuring their concerns are addressed and they are directed to the appropriate areas
- Distributed mail to staff and shipped files to attorneys’ offices if necessary
- Conducted meticulous data entry and liaised with insurance companies for information retrieval
Education
High School Diploma -
SAN GABRIEL HIGH SCHOOL
SAN GABRIEL, CA01.2002
Skills
- Advanced knowledge of medical transportation scheduling software
- In-depth knowledge of Medicare and Medi-Cal policies
- Expertise in coordinating medical transportation services
- Highly adaptable to process changes
- Review authorizations
- Work effectively with others
- Scheduling management
- Customer invoicing
- Process implementation
- Supply ordering
Timeline
Central Support Operations Coordinator
OPTUM SERVICES
02.2024 - 03.2025
Customer Service Representative
CALL THE CAR
02.2020 - 12.2023
Customer Service Representative
PRECISION CONNECT
02.2019 - 11.2020
Administrative Assistant
TEJEDA AND SON PLUMBING
04.2008 - 11.2018
Administrative Assistant
LAW OFFICES OF CIPOLLA & CALABA
07.2006 - 08.2007
High School Diploma -
SAN GABRIEL HIGH SCHOOL
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