DIANA VELAZQUEZ JUSTO
Addison
Summary
Highly motivated individual with strong assertiveness and reliability. Proficient in Microsoft Office, administrative organization, and digital communication. Several years of experience in the Healthcare Administration field, consistently delivering accurate work with meticulous attention to detail. Proven track record of establishing and maintaining cooperative relationships with staff members, fostering a collaborative work environment.
Overview
9
9
years of professional experience
Work History
Referral Specialist
Elevance Health
01.2022 - Current
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Verified insurance benefits and eligibility for Radiology and Surgical procedures before referring clients.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Maintained comprehensive knowledge of provider networks, ensuring appropriate specialist recommendations for patients.
- Assisted with completion of referral forms and verified data accuracy and completion
- Responded to patient inquiries to offer timely updates regarding referral status.
- Processed referral requests from patients, doctors and other health care professionals.
Benefit Verification Representative
CVS Specialty Pharmacy
01.2021 - 10.2022
- Executed benefit checks efficiently utilizing medical and pharmacy databases.
- Processed prior authorizations with insurance companies.
- Resolve or contact insurance companies for pharmacy claims rejections
- Ensured effective communication with providers and patients through inbound and outbound calls regarding specialty medication status.
- Improved work process by studying and implementing the required procedures
- Ensured high levels of customer satisfaction through excellent service
- Enter member demographics and prescription information into the data processing system
- Resolved issues related to denied insurance claims.
- Handle incoming and outgoing calls for patients and physicians.
- Escalated inquiries about prescriptions to pharmacists for clarification.
- Engages patients by greeting them and offering assistance with products and services
Certified Pharmacy Technician
Lifecare Pharmacy
05.2016 - 11.2020
- Assists pharmacists in scheduling and maintaining work ow
- Reports prescription errors to pharmacist and adheres to company policies and procedures
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.
- Utilized pharmacy management software to process prescriptions efficiently.
- Engaged in continuous learning to stay updated on pharmaceutical practices and products.
- Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
Dental Assistant
Access Dental
01.2017 - 05.2019
- Documented patient medical and dental histories with accuracy.
- Scheduled appointments, processed bills and received payments for dental services.
- Coordinated and arranged appointments efficiently.
- Support dental procedures including cleanings, fillings, crowns, and root canals.
- Ensured patient documentation is orderly and prepared.
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
- Successfully assisted dentist by performing four-handed dentistry and other chair-side duties.
- Educated patients on proper oral hygiene techniques, promoting long-term dental health.
Education
High School Diploma -
Addison Trail High School
Addison, IL05.2016
Skills
- Digital Communication
- Administrative Organization
- Adaptability
- Professional Attitude
- Data entry proficiency
- Attention to detail
Timeline
Referral Specialist
Elevance Health
01.2022 - Current
Benefit Verification Representative
CVS Specialty Pharmacy
01.2021 - 10.2022
Dental Assistant
Access Dental
01.2017 - 05.2019
Certified Pharmacy Technician
Lifecare Pharmacy
05.2016 - 11.2020
High School Diploma -
Addison Trail High School
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