Summary
Overview
Work History
Education
Skills
Timeline
Generic

Evelyn Medina

San Antonio,TX

Summary

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.

Education

High School Diploma -

John Paul Stevens
San Antonio, TX
05.2011

Skills

  • HIPAA Compliance
  • Customer Service
  • Written and verbal communication
  • HIPAA Regulations
  • Data Entry
  • Document Scanning
  • Call Center Customer Service
  • Inbound phone calls
  • Call Center Operations
  • Communicating with clients
  • Logging call information
  • FLUENT in spanish

Timeline

Medical Records Clerk

South Alamo Medical Group
08.2019 - 08.2022

Prior Authorization Specialist

CVS Caremark
07.2018 - 07.2019

High School Diploma -

John Paul Stevens
Evelyn Medina