A customer focused , bilingual call center professional with 8 plus years of experience in high volume inbound and outbound call centers. A proven track record of interfacing with diverse clientele and identifying opportunities to improve the customer experience. Adept at handling a high volume of calls on a daily basis and recording customer information quickly and accurately.
Overview
4
4
years of professional experience
Work History
Medical Records Clerk
South Alamo Medical Group
San Antonio, TX
08.2019 - 08.2022
Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
Processed medical records requests from outside providers according to facility, state, and federal law.
Scanned medical records in digital format for easy retrieval and accessibility.
Maintained patient confidence by keeping patient records information confidential.
Printed and photocopied documents to provide patients with copies of medical records.
Uploaded physician progress notes, history, and physicals into electronic medical records.
Prior Authorization Specialist
CVS Caremark
San Antonio, TX
07.2018 - 07.2019
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Verified eligibility and compliance with authorization requirements for service providers.
Analyzed medical records and other documents to determine approval of requests for authorization.
Responded to inquiries from healthcare providers regarding prior authorization requests.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.