Graciela Galicia
Bookmark Medical (Revere Medical Group)
Dallas,TX
1
Language
8
years of professional experience
Patient care professional with extensive experience in coordinating healthcare services. Known for strong organizational skills, effective communication, and ability to adapt to changing circumstances. Excel in team collaboration, ensuring seamless patient experiences and achieving optimal outcomes. Skilled in managing patient records, scheduling, and liaising between patients and medical staff. Reliable and focused on delivering high-quality patient care.
Work History
Patient Care Advisor
5 Years 1 Month- Booked over 70 patient appointments with high accuracy, decreasing clinic wait times by 30%
- Act as a liaison for the patients & health clinics by directing calls to other departments as needed, use good judgment in handling calls, especially with urgent matters
- Updated patient insurance records and verified eligibility prior to appointment scheduling. Communicated co-pay and deductible information to patients before visits.
- Serviced patients and their needs by making reminder calls as requested, rescheduled appointments as needed & aid with the mailing as call volume permits.
- Oversaw prescription refill processes and coordinated referrals to enhance patient care.
- Ensured patient privacy by rigorously adhering to HIPAA.
- Identified best practices within the scheduling function, sharing these insights across teams to drive continuous improvement efforts.
- Monitored employee performance closely to identify areas for improvement or additional training needs that would lead to optimized scheduling outcomes.
- Facilitated training sessions for junior schedulers, elevating team capabilities and performance.
Member Service Representative
8 Months- Delivered detailed information to providers concerning claim questions to support accurate and timely reimbursement processing.
- Delivered accurate information on eligibility, benefit verification network, and contract status to callers.
- Facilitated pre-authorization processes for covered medical treatments.
- Facilitated member onboarding through proactive outreach to Medicaid health plan participants.
- Addressed member inquiries to ensure effective and compassionate support.
- Engaged with providers, clients, and insurance carriers to obtain eligibility details and additional information as required.
Social Work Intern
7 Months- Facilitated communication by answering calls and providing community members with essential information regarding advocacy services.
- Facilitated member enrollment in financial education, women's entrepreneurship programs, and nurse-family partnerships.
- Handled member documentation to ensure swift processing and precise tracking, supporting operational efficiency.
- Updated and organized community resource list to enhance accessibility for agency stakeholders.
- Developed and delivered comprehensive training sessions for new interns to ensure understanding of rules and job responsibilities.
- Connected clients with essential community resources and referrals to ensure their basic needs were met.
- Facilitated client engagement with career training resource applications and counseling programs.
Education
Bachelor of Arts - Social Work
- Cum laude graduate
- Dean's List Honoree Summer 2019
Skills
Registration Services
Quality Performance Measures
Medicare & Medicaid Knowledge
Flexibility
Time Management
Scheduling
Adaptability
Claims analysis & review specialist
Data Entry
HIPAA Compliance
Insurance Knowledge
Critical Thinking
Cultural awareness & sensitivity
Patient-oriented
Medical Terminology
Languages
Bilingual in Spanish
Timeline
Patient Care Advisor
Bookmark Medical (Revere Medical Group)
07.2021 - CurrentRead More
Member Service Representative
Steward Health Care
09.2020 - 05.2021Read More
Social Work Intern
WINGS
01.2019 - 08.2019Read More
The University of Texas at Arlington
Bachelor of Arts from Social Work
Read More