Flor Trevino
Houston,TX
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Ambitious Certified Nursing Assistant possessing experience with patient care in medical settings. Strong observational skills combined with excellent patient evaluation abilities. Proven history of cultivating strong patient rapport to provide quality care and patient education.
Overview
17
17
years of professional experience
Work History
Insurance Verification Specialist
Houston Methodist Hospital
11.2014 - 02.2022
- Responsible for obtaining, monitoring and track authorizations, including ensuring accurate Current Procedural Terminology (CPT) codes, location of service performed and expiration dates
- Ensure accounts are financially secure by reviewing and documenting patient liabilities, authorization/pre-certification and notification requirements.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
- Trained new staff on current, correct insurance verification procedures.
Insurance Verification Specialist
Oncology Consultants
02.2010 - 10.2013
- Verified 300+ insurance benefits monthly and checked monthly eligibility for scheduled patients daily
- Addressed patient concerns and questions in English/Spanish
- Back up team members as needed and maintain responsibilities
- Communicated any problems and resolutions to management as needed
- Updated patient records with accurate, current insurance policy information.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Office Assistant/Accounts Receivables
Cypresswood Clinic Associates
01.2005 - 10.2008
- Prepared patient charts and completed proper chart filing
- Promoted to accounts receivable within 6 months of hire
- Managed position while training new hires
- Posted 200K-350K weekly in a high volume clinic, and lowering aging by 40%.
- Completed clerical tasks such as filing, copying, and distributing mail.
- Maintained confidentiality in handling sensitive information while performing administrative tasks.
- Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
- Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
- Verified billing accounts with accounts receivable ledger and checked for payment posting.
- Enhanced accuracy of payment postings by conducting thorough audits, ensuring correct allocation to accounts.
Education
CNA
Lone Star College System
Spring, TX05.2024
Medical Assisting Certification -
National Institute of Technology
11.2004
High School Diploma -
Parkview Baptist high School
05.2002
Skills
- Attention to Detail
- Patient confidentiality
- HIPAA Compliance
- Insurance Coverage Verification
- Data entry proficiency
- Electronic Medical Records- HPI
- Prior authorization processing
- Skilled in EPIC, HIS, ARIA, NEXTGEN, EzMed, MedSoft
- Medical Terminology
Languages
Spanish
Professional Working
Timeline
Insurance Verification Specialist
Houston Methodist Hospital
11.2014 - 02.2022
Insurance Verification Specialist
Oncology Consultants
02.2010 - 10.2013
Office Assistant/Accounts Receivables
Cypresswood Clinic Associates
01.2005 - 10.2008
CNA
Lone Star College System
Medical Assisting Certification -
National Institute of Technology
High School Diploma -
Parkview Baptist high School
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