EGLA VAZQUEZ ENRIQUEZ
Summary
Results-driven professional with a solid background in administrative support and project management. Adept at handling multiple tasks with a high degree of accuracy and efficiency, utilizing strong organizational and problem-solving skills. Recognized for excellent interpersonal abilities and a keen eye for detail, with a proven track record of enhancing operational processes and delivering top-tier customer service. Bilingual in Spanish and English, offering valuable communication skills to effectively engage with diverse audiences. Committed to achieving organizational goals through strategic thinking, adaptability, and a focus on quality and efficiency.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Remote Patient Care Coordinator/Prior Authorization Specialist
Optum Specialty Pharmacy
03.2020 - 03.2023
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Developed and updated policies and procedures to ensure compliance with HIPAA, benefits administration, and general healthcare guidelines
- Established and maintained effective communication with staff, physicians, and community organizations to promote high-quality patient care
- Provided customer support via telephone, assisting with order placement, system navigation, and item location
- Entered and processed patient prescriptions into internal systems while maintaining confidentiality of patient data
- Coordinated with physicians and insurance representatives to resolve prescription discrepancies and billing issues
- Consulted with insurance companies to complete claims processing and reconcile payments.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
Certified Medical Assistant
WellMed Medical Management - United Health Group
03.2018 - 03.2020
- Sanitized, restocked, and organized exam rooms and medical equipment to ensure a safe and efficient clinical environment
- Documented patient vital signs and health history in both clinic and hospital settings
- Directed patients, answered queries, and prepared for physician examinations
- Scheduled appointments, registered patients, and managed sample pharmaceuticals as prescribed
- Assisted in minor surgeries, prepared operating rooms, and sterilized instruments
- Educated patients on medication, diet, and clarified physician orders.
Lead Certified Medical Assistant
MT West Family Health Center
01.2013 - 04.2018
- Supported diagnostic and technical treatment procedures, including operating special medical equipment
- Conducted inventory checks and maintained up-to-date tracking of supplies and vaccines
- Implemented efficiency improvements to enhance office operations and patient care
- Prepared lab specimens for diagnostic evaluation and assisted physicians with minor surgeries
- Trained new staff on procedures and policies, improving overall team performance
- Educated patients on treatments and care, contributing to better patient outcomes.
Education
Bachelor of Business Administration -
University of Texas at El Paso (UTEP)
El Paso, TX01.2015
Certified Medical Assistant -
Kaplan Career Institute
El Paso, TX01.2002
Skills
- Claim Processing
- Benefits Explanations
- EMR Systems
- Healthcare Operations
- Billing Issue Resolution and Support
- Interpreting Physician Orders
- Patient Assessments
- Insurance Practices
- Prior authorization specialist
- Administrative Supervision
- Office Supplies and Inventory Management
- Clerical and Filing Support
- Medical Transcription
- Customer Service
- Critical Thinking Skills
- Patient Care and Monitoring
- Risk Management Assessments
- Explaining Patient Benefits
- Attention to Detail
- Bilingual in Spanish and English
Certification
Certified Language Translator
Languages
- Spanish, Native/Bilingual
- English, Fluent
Timeline
Remote Patient Care Coordinator/Prior Authorization Specialist
Optum Specialty Pharmacy
03.2020 - 03.2023
Certified Medical Assistant
WellMed Medical Management - United Health Group
03.2018 - 03.2020
Lead Certified Medical Assistant
MT West Family Health Center
01.2013 - 04.2018
Bachelor of Business Administration -
University of Texas at El Paso (UTEP)
Certified Medical Assistant -
Kaplan Career Institute
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