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
2019.08 - 2022.08
- 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
2018.07 - 2019.07
- 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, TX05.2011
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
2019.08 - 2022.08
Prior Authorization Specialist
CVS Caremark
2018.07 - 2019.07
High School Diploma -
John Paul Stevens