Elizabeth Mendez
Gilbert,AZ
Summary
I'm bilingual, organized and dependable professional with 13+ years of experience managing sensitive data, digital records, and administrative tasks in healthcare. Quick learner skilled in data entry, remote communications, and multitasking. Ready to apply proven attention to detail and deliver excellent remote support to patients and providers.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Access Advocate
CareMetx
11.2025 - Current
- Call Center
- Attend Training
- Point of contact for patients and providers.
- Report Safety Information Reports, Products Quality Complaint
- Request for Medical Information
Insurance Verification & Prior Authorization Specialist
Restorix Health/ AMT-Wound Care
Irvine, CA
02.2024 - 06.2024
- Verified insurance eligibility and submitted pre-authorizations via payer portals
- Maintained accurate patient data and demographic updates
- Applied HCPCS code knowledge for billing unit conversions
- Met deadlines in a fully remote role with strong attention to detail
- Verified home health and hospice coverage and communicated results to care teams
- Submitted verifications via portals and direct payer contact
- Tracked and submitted daily performance metrics
- Maintained compliance with all billing regulations and HIPAA standards
- Collaborated virtually with RCM to ensure clean claims
- Assisted with billing processing payments from insurance providers
Insurance Verification Specialist
Palms Imaging Center
Oxnard, CA
11.2019 - 11.2024
- Verified insurance coverage and obtained authorizations for imaging procedures
- Explained benefit details and out-of-pocket costs to patients
- Scheduled exams and assisted patients with payment arrangements
- Applied knowledge of radiology billing and payer requirements
Receptionist / Workers' Comp Coordinator
Ventura Orthopedics
02.2019 - 11.2019
- Scheduled appointments and verified Workers' Comp and PPO insurance
- Managed patient records and obtained work status documentation
- Provided billing support and trained front desk staff
Chiropractic Assistant / Billing Coordinator / Insurance Verification Specialist
Harer and Mortensen Chiropractic
11.2013 - 01.2019
- Managed billing and claims for PPO, HMO, and Workers' Compensation
- Obtained prior and retro authorizations
- Balanced daily deposits, managed delinquent accounts, and performed AR follow-up
- Created and maintained patient records
Education
High School Diploma - undefined
Renaissance High School
01.2009
Skills
- Remote Medical Billing & Claims Processing
- Insurance Verification (PPO, HMO, Workers' Comp)
- Prior & Retro Authorizations
- Home Health
- CPT, HCPCS, ICD-10 Coding
- Revenue Cycle Management (RCM)
- EHR / EMR Systems: Brightree, Laserfiche
- Accounts Receivable
- Payment Posting
- HIPAA Compliance
- Medical Records
- Bilingual: Fluent in English & Spanish
- Microsoft Office (Word, Excel, Outlook)
- Online Insurance Portals (eg, Availity, Navinet, United Health Care, BCBS)
- Remote Work Platforms: Zoom, Microsoft Teams, Outlook
Certification
HIPAA Training, Completed
Timeline
Access Advocate
CareMetx
11.2025 - Current
Insurance Verification & Prior Authorization Specialist
Restorix Health/ AMT-Wound Care
02.2024 - 06.2024
Insurance Verification Specialist
Palms Imaging Center
11.2019 - 11.2024
Receptionist / Workers' Comp Coordinator
Ventura Orthopedics
02.2019 - 11.2019
Chiropractic Assistant / Billing Coordinator / Insurance Verification Specialist
Harer and Mortensen Chiropractic
11.2013 - 01.2019
High School Diploma - undefined
Renaissance High School