Denise De La Noval Medina
Miami,,Florida
Summary
Nursing student with a strong commitment to patient care and demonstrated leadership in healthcare environments. Experienced in delivering high-quality service in medical settings, supported by a solid foundation in customer relations. Ready to apply practical experience and academic training to enhance patient outcomes in a professional healthcare role.
Overview
5
5
years of professional experience
Work History
Insurance Verifier/Prior Authorization Specialist
South Florida Pediatric Urology
04.2023 - Current
- Initiated and managed authorization processes for surgical procedures, ensuring timely documentation submission to insurance companies.
- Gathered medical records, completed forms, and communicated with insurance representatives to secure necessary approvals.
- Provided patients and families with detailed estimates of out-of-pocket expenses based on insurance coverage.
- Explained deductibles, co-payments, and potential costs associated with surgeries according to benefits information.
- Served as liaison among healthcare providers, insurance companies, and patients to maintain alignment throughout authorization process.
- Facilitated effective communication and collaboration to enhance patient and family experiences.
- Ensured all parties received timely updates regarding authorization status and requirements.
- Streamlined documentation processes to improve efficiency in obtaining insurance approvals.
Scheduler/Insurance Verification Specialist
Icare Health Options
06.2022 - 04.2023
- Serviced maximum number of callers swiftly while maintaining service quality.
- Ensured patient satisfaction through direct communication with patients, providers, and health plans.
- Applied critical thinking and expertise to address various issues effectively.
- Verified patient insurance by reviewing information and consulting insurance provider websites.
- Followed up on unresolved issues until completion, keeping patients informed throughout the process.
Front Desk Receptionist
Community Medical Group
09.2021 - 05.2022
- Served as primary point of contact for patients and visitors at doctor's office.
- Greeted visitors and determined purpose of visit efficiently.
- Checked in and out patients accurately and professionally.
- Recorded data in Electronic Health Record system and uploaded necessary documents.
- Scheduled appointments while verifying patient's insurance information for proper billing.
- Collected co-payments and directed messages to appropriate staff members.
- Answered phone calls courteously, liaising with outside medical offices regarding mutual patients.
- Ensured compliance with all HIPAA and OSHA standards, delivering exceptional customer service.
Medical Assistant Intern
Juan M. Garcia DDS
07.2020 - 08.2020
- Escorted patients to examination rooms and prepared them for provider or hygienist.
- Performed bitewing and panoramic x-rays, ensuring accurate diagnostic imaging.
- Sterilized equipment according to established protocols to maintain safety standards.
- Maintained cleanliness of examination rooms and stocked necessary supplies for patient readiness.
Front Office Secretary
Juan M. Garcia DDS
06.2020 - 08.2020
- Ensured office organization by maintaining complete and accurate documentation.
- Managed mailing of bills and treatment plans, ensuring timely delivery.
- Faxed essential documents and coordinated with insurance companies on claims.
- Requested prescriptions from local pharmacies for patient convenience.
- Shredded outdated documents to uphold confidentiality standards.
- Handled daily mail collection and efficient filing system.
- Answered incoming calls, scheduled appointments, and verified insurance details.
- Greeted patients and facilitated check-in and check-out processes.
Education
Bachelor of Science - BSN, RN
Nova Southeastern University - Ron And Kathy Assaf College of Nursing
05.2025
High School Diploma -
Hialeah Gardens Senior High School
06.2021
Associate of Science - Pre- Nursing
Florida International University
Skills
- Customer service
- Goal orientation
- Proactivity
- Resilience
- Quick learning
- Technological proficiency
- Organization skills
- Leadership abilities
- Team collaboration
- Active listening
- Time management
- Attention to detail
- Strategic planning
- Communication skills
- Empathy and compassion
- Problem-solving skills
- Adaptability
- Cultural competence
- Professionalism
- Commitment to excellence
- Electronic health records
- Medical terminology
- Patient assessment
- Insurance verification
- Healthcare Compliance
- Basic life support for health care providers (BLS)
- Reliability
- Adaptable and flexible
- Multitasking
Affiliations
Fitness and exercise, international travel, culinary exploration, discovering new restaurants and cuisines.
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Accomplishments
Consistently received positive feedback and strong performance appraisals from managers across all previous positions.
References
References available upon request.
Timeline
Insurance Verifier/Prior Authorization Specialist
South Florida Pediatric Urology
04.2023 - Current
Scheduler/Insurance Verification Specialist
Icare Health Options
06.2022 - 04.2023
Front Desk Receptionist
Community Medical Group
09.2021 - 05.2022
Medical Assistant Intern
Juan M. Garcia DDS
07.2020 - 08.2020
Front Office Secretary
Juan M. Garcia DDS
06.2020 - 08.2020
Bachelor of Science - BSN, RN
Nova Southeastern University - Ron And Kathy Assaf College of Nursing
High School Diploma -
Hialeah Gardens Senior High School
Associate of Science - Pre- Nursing
Florida International University
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