Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gabriela Mejia

Grandview,WA

Summary

Precertification professional with comprehensive experience in healthcare administration and insurance verification. Known for strong interpersonal skills, team collaboration, and adaptability to changing needs. Expertise in medical terminology, patient communication, and reliability. Pursuing position with Member Engagement Department to further build interpersonal relationships with members, insurance companies and third party administrators.

Overview

11
11
years of professional experience

Work History

Precertification Specialist

Innovative Care Management
11.2024 - Current
  • Facilitated precertification process for medical services, ensuring adherence to insurance guidelines.
  • Collaborated with healthcare providers to gather necessary documentation for patient approvals.
  • Managed incoming authorizations, prioritizing urgent requests for timely processing.
  • Maintained accurate records of precertification requests in electronic health systems.
  • Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.

Medical Assistant

Kadlec West Richland Primary Care
07.2016 - 11.2024
  • Administered patient vital signs and recorded medical histories for efficient care delivery.
  • Assisted healthcare providers with examinations, ensuring patient comfort and safety.
  • Coordinated patient scheduling and follow-up appointments to optimize clinic workflow.
  • Managed electronic health records, maintaining accuracy and confidentiality of patient information.
  • Educated patients on medication usage and treatment plans to enhance compliance and understanding.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.

Certified Nursing Assistant

Prestige Care Inc.
03.2014 - 05.2016
  • Assisted patients with daily living activities to promote comfort and independence.
  • Monitored vital signs and reported changes to nursing staff for timely interventions.
  • Implemented infection control protocols to ensure patient safety and compliance with regulations.
  • Collaborated with multidisciplinary teams to create personalized care plans for patients.
  • Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.

Education

Medical Assistant Certification - Medical Assistant

Charter College
Pasco, WA
06-2016

Grandview High School
Grandview
06-2012

Skills

  • Prior authorization
  • Strong communication skills
  • HIPAA compliance awareness
  • Organizational growth
  • Medical terminology proficiency
  • Professionalism and ethics
  • Patient confidentiality adherence
  • Effective communication skills
  • Electronic health records management
  • Data entry
  • Knowledgeable in iCare and iCare Link and EPIC
  • Bilingual (Spanish and English)

Timeline

Precertification Specialist

Innovative Care Management
11.2024 - Current

Medical Assistant

Kadlec West Richland Primary Care
07.2016 - 11.2024

Certified Nursing Assistant

Prestige Care Inc.
03.2014 - 05.2016

Medical Assistant Certification - Medical Assistant

Charter College

Grandview High School

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