Darlene Jimenez
Orlando,FL
Summary
Bilingual healthcare and administrative professional with 15 years of experience in patient support and healthcare operations. Skilled in eligibility and insurance verification, medical records management, patient registration, and front-office operations. Proficient in EMR/EHR platforms, including Epic and eClinic Works, ensuring accuracy and confidentiality while delivering exceptional service in fast-paced environments.
Overview
1
1
Language
23
23
years of professional experience
Work History
Eligibility Representative
Accredo Specialty Pharmacy
Orlando, FL
09.2022 - 06.2026
- Managed 30-40 patient accounts daily, reviewing and updating records to ensure accurate eligibility and medication discount processing.
- Delivered professional customer service support, addressing patient inquiries and concerns effectively.
- Ensured confidentiality of patient documentation, preventing data compromise and maintaining HIPAA compliance.
- Add, update and remove medication discount cards or foundation details in the patient account.
- Placed outbound calls to notify patients when discount cards or foundations could not be used.
- Attended meetings, trainings, and workshops to enhance knowledge.
- Assisted team with various projects to enhance operational efficiency. as requested.
Medical Records Technician/Front Office Receptionist
Altamonte Medical Group
Longwood, Florida
10.2010 - 09.2022
- Released records following HIPAA privacy and authorization requirements.
- Retrieved records for providers, billing staff, and outside requests.
- Assisted Altamonte Medical Group staff with medical records inquiries.
- Assisted physicians with retrieving old medical records for reference purposes.
- Scanned, indexed, and electronically stored documents into the electronic health record system.
- Worked with EMR/EHR systems including Epic and ECW to access, update, organize and maintain accurate patient documentation.
- Verified insurance coverage for patients to confirm eligibility for services., collected payments from customers, processed cash and credit card transactions accurately.
- Facilitated check-in/check-out and front-desk operations in a high-traffic medical office.
- Answered office phone and emails to schedule appointments, answer questions and document information.
- Transmitted information or documents to customer, provider or attorney through email, mailings or facsimile machine.
- Clarified policies and procedures to visitors, enhancing their understanding of office operations.
Office Supervisor
Orlando Family Physician
Altamonte Springs, Florida
09.2006 - 10.2008
- Supervised front desk operations in family physician practice and coordinated operations to support efficient patient flow and a positive patient experience.
- Coordinated patient scheduling and appointment changes to enhance patient access and minimize wait times.
- Managed phone calls, messages, and patient questions
- Trained and mentored staff on office equipment and procedures to ensure consistent service delivery and operational readiness.
- Provided administrative support and organized office procedures to streamline daily operations and maintain workflow efficiency.
- Verified insurance eligibility and referral authorizations while delivering responsive customer service.
- Reviewed insurance verification and patient intake records
- Attended weekly staff meetings to address departmental concerns.
Certified Nursing Assistant
Mansfield Center for Nursing and Rehab
Storrs, Connecticut
06.2004 - 08.2006
- Assisted patients with activities of daily living such as bathing, grooming, and dressing.
- Monitored vital signs including blood pressure, pulse rate, respiration rate.
- Answered call lights promptly and responded to patient needs accordingly.
- Maintained clean, safe resident areas and followed infection control procedures.
- Served meals to patients in their rooms and assisted with feeding when needed.
- Assisted patients with shaving, bathing, and oral hygiene to promote healthy habits and overall wellness.
- Assisted residents with walking to promote mobility and independence. with or without self-help devices.
- Supported non-ambulatory residents in range of motion exercises.
Teachers Aid
Natchaug Elementary School
Willimantic, Connecticut
08.2003 - 06.2004
- Monitored student behavior and reinforced classroom rules, fostering a positive learning environment.
- Guided students in completing assignments and practicing skills, ensuring understanding of directions.
- Supported lead teacher in delivering engaging classroom instruction during morning and after school program activities.
- Organized classroom materials and supplies to create an inviting learning environment.
Education
High School Diploma -
Colonial High School
Orlando, FL05-2002
Some College (No Degree) - Certified Nursing Assistant
Quinebaugh Valley Community College
Willimantic, CTSkills
- Eligibility verification
- HIPAA compliance
- EHR documentation (Epic EMR/ECW System)
- Medical records & Documentation
- Insurance verification
- Appointment scheduling
- Front Office Operations
- Data entry
- Customer service
- Patient and Account Support
- Patient communication
- Microsoft office
Languages
Spanish
Native/ Bilingual
Timeline
Eligibility Representative
Accredo Specialty Pharmacy
09.2022 - 06.2026
Medical Records Technician/Front Office Receptionist
Altamonte Medical Group
10.2010 - 09.2022
Office Supervisor
Orlando Family Physician
09.2006 - 10.2008
Certified Nursing Assistant
Mansfield Center for Nursing and Rehab
06.2004 - 08.2006
Teachers Aid
Natchaug Elementary School
08.2003 - 06.2004
High School Diploma -
Colonial High School
Some College (No Degree) - Certified Nursing Assistant
Quinebaugh Valley Community College