Bilingual healthcare professional with over 10 years of experience in government programs eligibility, case management, client advocacy and insurance verification.
Experienced with patient care coordination, including assessment and planning of individualized care. Utilizes effective communication and organizational skills to ensure continuity of care. Track record of supporting patient needs and improving care processes through teamwork and problem-solving.
Work History
Specialty Care Coordinator
District Medical Group - Children's Rehabilitative Services
External referral, which included, verification of eligibility and benefits for all medicaid and commercial insurance, followed by patients medical appointments for the following: Ophthalmology, Cardiology and Pulmonary departments.
Internal referrals, which included scheduling and outreach letters after the third attempt trying to reach out to patients, phone and voicemails to schedule them in any of the following: Ophthalmology, Cardiology or Pulmonary clinics.
Doctor's faxing orders to the correct specialty clinic which included, PDF four document: Patient demographics, Patient's clinical, Orders and Prior authorization if required.
Registration Representative / Scheduler
Honor Health
Registration of patients for medical appointments.
Answer and screen patient inquiries to transfer for triage or appropriate department.
Access Epic software to verify patient information and schedule appointments.
Verified Medicare/Medicaid/ALTCS/Marketplace(Obamacare) insurance plans and commercial insurance via providers portal or by phone.
Assists patients to make necessary changes to update primary care providers.
Education
Certified Nursing Assistant -
Tempe Technical
01.1990
BSW - Social Work
Arizona State University
01.2020
Certified Phlebotomy -
Phoenix College
01.1995
Certified Back Office -
Occupational Center
01.1993
Skills
Time Management
Effective Communication
Detailed Oriented
Computer software Epic
Problem Solving
Resourceful
Bilingual (English/Spanish)
Medical terminology
Scheduling
Documentation
Languages
Spanish
Native or Bilingual
Timeline
BSW - Social Work
Arizona State University
Certified Phlebotomy -
Phoenix College
Certified Back Office -
Occupational Center
Specialty Care Coordinator
District Medical Group - Children's Rehabilitative Services