Cynthia Lemus
Zebulon
Summary
Accomplished Patient Care Coordinator at Kids First Pediatrics of Raleigh, adept in insurance verification and bilingual support. Enhanced patient satisfaction by improving wait times 20-30%. Proven expertise in medical billing and customer service, leveraging nursing background to deliver exceptional care and streamline operations. Skilled in EMR documentation and Medicaid PCP processes.
Overview
7
7
years of professional experience
6
6
Certifications
Work History
Patient Care Coordinator / Billing & Insurance Coordinator
Kids First Pediatrics of Raleigh
Raleigh
09.2021 - 06.2025
- Managed high-volume scheduling, check-in/check-out, and patient flow.
- Completed insurance verification for Medicaid, Medicare, and commercial plans.
- Performed billing, collections, and payment posting; collected over $10,000 monthly.
- Processed prior authorizations for medications, procedures, and referrals.
- Assisted families with Medicaid PCP alignment for correct reimbursement.
- Handled 50+ calls daily and provided Spanish/English translation.
- Improved wait times by an estimated 20-30% and increased patient satisfaction.
Secretary / Administrative Assistant
Carolina Concrete LLC
Zebulon
01.2018 - 09.2021
- Managed billing, invoicing, payments, and customer service.
- Organized documents, performed data entry, and supported office operations.
Education
RN Program -
Johnston Community College
Smithfield, NC05-2026
CNA - Certified Nursing Assistant
Wake Technical Community College
Raleigh, NC06-2023
High School Diploma -
Bunn High School
Bunn, NC01-2018
Skills
- Insurance Verification
- Prior Authorizations
- Medical Billing
- Patient Scheduling
- EMR Documentation
- Customer Service
- Medicaid PCP Processes
- Translation (Spanish/English)
- Patient care
- Nursing background
- Bilingual support
- Patient assessment
Certification
CNA
Languages
Spanish
Native/ Bilingual
Timeline
Patient Care Coordinator / Billing & Insurance Coordinator
Kids First Pediatrics of Raleigh
09.2021 - 06.2025
Secretary / Administrative Assistant
Carolina Concrete LLC
01.2018 - 09.2021
RN Program -
Johnston Community College
CNA - Certified Nursing Assistant
Wake Technical Community College
High School Diploma -
Bunn High School