Flor Pineda Escobar
Austin
Summary
Dynamic Patient Service Specialist with extensive experience at Green Apple/Therapy2000, excelling in patient intake coordination and insurance verification. Proven ability in data analysis and reporting, coupled with exceptional customer service skills. Adept at training staff and collaborating with healthcare providers to enhance patient care and streamline processes.
Overview
10
10
years of professional experience
Work History
Patient Service Specialist
Green Apple/Therapy2000
01.2020 - Current
- Coordinated patient intake processes to ensure accurate and timely information collection.
- Provided exceptional customer service to patients and addressed inquiries promptly.
- Trained new staff on office procedures and patient interaction protocols.
- Collaborated with healthcare providers to ensure that the required paperwork is received.
- Responded to patient inquiries regarding account status.
- Verifying patients' insurance and eligibility.
- Assist the therapist with translation.
- Collaborated with clinical and administrative staff to meet patient needs.
Referral specialist
Centene corporation
01.2018 - 01.2020
- Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list.
- Verify insurance benefits and eligibility
- Answer phone queues and process faxes within established standards
- Processing web authorization for outpatient and inpatient services
- Making follow up calls to servicing providers to obtain missing documents to request authorization.
- Superior health plan
Processing coordinator
Care Options for Kids
01.2016 - 01.2018
- Processing referrals and obtaining all insurance information
- Verify insurance benefits and eligibility
- Communicating insurance benefits to patients
- Submitting evaluation orders and plan of care reports to Primary care physician
- Scheduling patients evaluations/therapy sessions
Education
Bastrop high school -
Bastrop High School
Bastrop, TX05-2012
Skills
- Microsoft Word and Excel
- Office software proficiency
- Data analysis and reporting
Languages
Spanish
Professional
Timeline
Patient Service Specialist
Green Apple/Therapy2000
01.2020 - Current
Referral specialist
Centene corporation
01.2018 - 01.2020
Processing coordinator
Care Options for Kids
01.2016 - 01.2018
Bastrop high school -
Bastrop High School