Francisco Zapata Lll
Rosenberg
Summary
Experienced healthcare coordinator with a focus on customer service and communication excellence. Successfully cultivated patient relationships, improved insurance verification efficiency, and advocated for patient needs in various healthcare contexts.
Overview
1
1
Language
1
1
Certification
10
10
years of professional experience
Work History
Specialty Healthcare Coordinator
PDS Health
Sugar Land
05.2023 - 07.2026
- Demonstrated expertise in office practices, including hygiene, periodontics, endodontics, oral surgery, pediatrics, and orthodontics.
- Verified insurance benefits through online payer portals and automated systems.
- Evaluated patient healthcare benefits to confirm coverage for medications and supplies.
- Coordinated with medical providers to obtain clinical documentation supporting medical necessity.
- Communicated with patients and provider offices throughout medication order intake and processing.
- Cultivated relationships with current and prospective patients to enhance engagement.
- Addressed patient objections to initiate dental treatment while presenting financial options.
- Obtained and maintained prior authorizations throughout service duration.
Bilingual Patient Advocate
Elevate PFS (Formerly Cardon & MedData)
Rosenberg
02.2019 - 08.2020
- Screen patients at bedside for possible government assistance programs.
- Assist patients with completing applications if found eligible for assistance.
- Specialized in Texas government assistance programs including Adult, Children's, and Pregnancy Medicaid, Aged and Disabled Medicaid, Crime Victims Compensation, Fort Bend County Assistance, and Social Security Disability.
- Run the Hospital Census to identify self-pay patients for screening.
- File Medicaid applications with in-house Texas Health and Human Services Case Workers.
- Coordinated with MEPD to track status of Aged and Disabled claims, ensuring timely processing.
- Collaborated with TX OAG to monitor progress of Crime Victims applications, facilitating assistance for patients.
- Follow up and work closely with the Fort Bend County Office for status of FBIC Claims.
- Assist the hospital staff with interpreting for patients from English to Spanish.
- Verified Medicaid coverage in TMHP for certification, ensuring patients received necessary support.
Member Service Associate
Target
Sugar Land
01.2018 - 01.2019
- Resolved member concerns and complaints with professionalism and empathy.
- Resolved customer inquiries and complaints promptly and efficiently.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Assisted members with product inquiries and store navigation.
- Answered member questions about products and services.
- Consulted with customers regarding needs and addressed concerns.
- Assisted customers with price checks, lifting heavy items and addressing other inquiries.
- Collaborated with team to manage inventory levels and restock merchandise.
- Maintained cleanliness and organization of sales floor and product displays.
Member Service Associate
Sam's Club
Sugar Land
01.2017 - 12.2017
- Resolved member concerns and complaints with professionalism and empathy.
- Resolved customer inquiries and complaints promptly and efficiently.
- Assisted members with product inquiries and store navigation.
- Answered member questions about products and services.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Consulted with customers regarding needs and addressed concerns.
- Collaborated with team to manage inventory levels and restock merchandise.
- Maintained cleanliness and organization of sales floor and product displays.
Education
HS Diploma -
B.F. Terry High School
01-2017
Skills
- Insurance verification expertise
- Patient advocacy and support
- Clinical coordination skills
- Care coordination
- EHR management
- HIPAA compliance
- Medical terminology knowledge
- Records maintenance
- Healthcare administration
- Microsoft Office expertise
- Organizational skills
- Attention to detail
- Decision-making abilities
- Problem-solving skills
- Adaptability and flexibility
- Team collaboration abilities
- Communication skills
- Interpersonal skills
- Bilingual communication abilities
- Customer service excellence
- Issue and conflict resolution
Languages
Spanish
Professional
Certification
- HIPPA Certified
Timeline
Specialty Healthcare Coordinator
PDS Health
05.2023 - 07.2026
Bilingual Patient Advocate
Elevate PFS (Formerly Cardon & MedData)
02.2019 - 08.2020
Member Service Associate
Target
01.2018 - 01.2019
Member Service Associate
Sam's Club
01.2017 - 12.2017
HS Diploma -
B.F. Terry High School