Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Gloria P Valencia

Miami,FL

Summary

I am an enthusiastic and caring person, customer service and sales specialist in the search for the opportunity to help grow within a team while achieving the company’s goals. I am especially interested in the customer service and Health Care field; I would like to further learn and teach about the development and implementation of new patient service strategies to increase a better service

Overview

8
8
years of professional experience
1
1
Certification

Work History

Referral Coordinator

Cano Health
Miami, FL
04.2022 - Current
  • Prioritizes and completes all referrals patients in Primary Care Physicians panel, stats, expedites and orders over 3 days.
  • Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc.
  • Uses Web IVR to generate authorizations (Availity, Careplus, Humana NIA and any other approved web IVR for authorization processing).
  • Completes orders with proper documentation on where patient is scheduled and how patient was notified.
  • Sent the referrals specialist office & confirmed receipt.
  • Confirm with the PT and arrange transportation
  • Ensures patient's external missed appointment are rescheduled and communicated to the physician/clinician.
  • Participates in Super Huddle and provides updates on high priority patients referrals.
  • Addresses referral-based phone calls for Primary Care Physicians panel.
  • Completes and addresses phone messages within 24 hours of call.
  • Work all referrals DME orders to ensure patient receives services ordered.
  • Provide extraordinary customer service to all internal and external customers (including patients and other
  • Performs other related duties as assigned.

Front Desk Medical Receptionist

Vital Imaging Center
Miami, FL
05.2021 - 01.2022
  • Greeting patients professionally both in person and on the phone
  • Checking in/out
  • Collecting and updating patient demographics
  • Scheduling/Confirming appointments.
  • Insurance verifications/payment estimators
  • Scanning records into EMR system
  • Quickly answering or properly referring questions and issues
  • Optimizing provider schedules and patient satisfaction with efficient scheduling
  • Notifying providers of patient arrivals
  • Verifying financial records and collecting patient charges while filing and expediting third-party claims
  • Maintaining office inventory and equipment by anticipating supply needs and expediting supply orders

· Assisting co-workers with tasks as needed

Airport Wheelchair Assistant

Envoy Airlines
Miami, FL
10.2018 - 05.2021
  • Assisting and transporting airline passengers requiring wheelchair in a courteous and respectful manner, offer an excellent Service and helping with the bags.
  • Help the wheelchair coordinator to do the preboards and deplane.
  • Transported clients in wheelchairs safely to their destinations using elevators or ramps when necessary.
  • Provided assistance to wheelchair users in the use of specialized equipment such as oxygen tanks and breathing apparatus.
  • Instructed patients on proper posture while seated in a wheelchair for comfort and safety purposes.

International Security Agent - Ground Security

American Airlines
Miami, FL
05.2016 - 10.2018

International security agent – Ground Security Coordinator

  • Maintain security environment and commitment to ensure the well being of all, passengers’ crew member, other employees and aircraft.
  • Be the primary operational liaison between American Airlines and the TSA who serve in a security role to prevent a threat.
  • Be aware of local security requirements as provided by the local airport administration and measures including methods implemented by American Airlines and the airport operator to ensure compliance
  • Conducted regular patrols throughout the premises to identify potential security risks.
  • Enforced rules and regulations regarding access control, fire prevention and health and safety protocols.
  • Assisted in the implementation of new security measures as required by management.
  • Adhered to local laws, regulations and standards pertaining to the protection of people, property and information systems.

Education

Life And Health License Florida State - Life And Health License Florida State

FX Exam Online
Miami, FL
09-2022

English Certificate - English Education

Universidad Catolica De Oriente Medellin, Colombia
Medellin, Colombia
11-2004

Operation And Managment of Computer - Computers

Compualfa
Medellin, Colombia
11-2005

GED -

Concentracion Educativa LaChapa
Colombia
11-1998

Some College (No Degree) - Health Office Procedures

Sullivan And Cogliano Training Centers
Hialeah, FL
02-2015

Some College (No Degree) - Quick Books, Excel And English

Miami Dade College
Miami, FL

Some College (No Degree) - Paralegal Studies

Paralegal Institute of South Florida
Miami, FL

Skills

  • Accurate Documentation
  • Multi-Line Phone Proficiency
  • Caseload Management
  • Insurance Precertification Processes
  • Medical Terminology Knowledge
  • Referral Tracking
  • Patient Scheduling
  • Insurance Verification
  • Organizational Abilities
  • HIPAA Regulations
  • Critical Thinking
  • Medicare Compliance
  • Problem-Solving Abilities
  • Patient Safety
  • Effective Communication
  • Teamwork and Collaboration
  • Adaptability

Certification

  • Health and Life Insurance License

Languages

English
Professional
Spanish
Native/ Bilingual

Timeline

Referral Coordinator

Cano Health
04.2022 - Current

Front Desk Medical Receptionist

Vital Imaging Center
05.2021 - 01.2022

Airport Wheelchair Assistant

Envoy Airlines
10.2018 - 05.2021

International Security Agent - Ground Security

American Airlines
05.2016 - 10.2018

Life And Health License Florida State - Life And Health License Florida State

FX Exam Online

English Certificate - English Education

Universidad Catolica De Oriente Medellin, Colombia

Operation And Managment of Computer - Computers

Compualfa

GED -

Concentracion Educativa LaChapa

Some College (No Degree) - Health Office Procedures

Sullivan And Cogliano Training Centers

Some College (No Degree) - Quick Books, Excel And English

Miami Dade College

Some College (No Degree) - Paralegal Studies

Paralegal Institute of South Florida
Gloria P Valencia