Summary
Overview
Work History
Education
Skills
Languages
Timeline
Additional Details

Guadalupe Moreno

Houston,TX

Summary

Experienced healthcare administrator with a strong background in insurance claims and patient coordination. Proficient in insurance verification, medical billing, claims processing, and office operations. Known for enhancing workflows, ensuring compliance, and providing top-notch patient care in high-pressure settings.

Overview

7
7
years of professional experience

Work History

Referral Specialist

Suvida Healthcare
01.2025 - Current
  • Attend clinic huddles and meetings
  • Expedite patient referrals to specialty offices
  • Manage patient referrals by processing and obtaining authorization in a timely manner
  • Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and patient safety
  • Ensure complete and accurate registration, including patient demographic and current insurance information
  • Assemble information concerning patient’s clinic background and referral needs
  • Provide and fax appropriate clinical information to specialist's office
  • Schedule, problem solve, communicate, and coordinate referral appointments with outside specialists
  • Update patient information and make changes to EMR platform
  • Review details and expectations about referrals with patients
  • Routinely provide patients with other clinic and community-based resource materials as appropriate
  • Obtain consultation notes from the specialist’s office and upload them to EMR
  • Handle and respond to EMR messages.

Office Manager

Family Foot Center, PLLC
01.2021 - 01.2025
  • Oversaw daily clinic operations, serving as both Office Manager and Medical Assistant during staffing shortages.
  • Managed surgical scheduling, secured prior authorizations, and ensured accurate insurance verification for procedures.
  • Accurately processed insurance payments and successfully appealed denied claims, reducing financial discrepancies.
  • Coordinated post-hospital visit documentation and managed insurance recoupment process.
  • Streamlined patient scheduling and insurance verification, optimizing clinic efficiency by 30%.
  • Ensured compliance with medical records requests, maintaining confidentiality, and HIPAA standards.
  • Submitted and tracked insurance claims through OfficaAlly, ensuring accuracy and adherence to regulations.

Medical Assistant

Family Foot Center, PLLC
01.2019 - 01.2021
  • Conducted patient intake, documented chief complaints, and recorded vital signs.
  • Assisted in patient charting and preparations, ensuring seamless doctor-patient interactions.
  • Verified insurance eligibility and obtained necessary authorizations for treatments.
  • Managed appointment scheduling, test results communication, and billing inquiries.
  • Collected co-pays and payments, ensuring accurate financial transactions.

Education

MIS

Houston Community College
05.2026
Expected May 2026

Skills

  • Healthcare administration
  • Authorization management
  • Appointment coordination
  • Electronic Medical Records (EMR) Management
  • HIPAA compliance expertise
  • Accurate payment posting
  • Effective multitasking
  • Insurance eligibility verification
  • Accurate data entry
  • Medical terminology
  • Pre-authorization

Languages

Spanish
Native or Bilingual

Timeline

Referral Specialist - Suvida Healthcare
01.2025 - Current
Office Manager - Family Foot Center, PLLC
01.2021 - 01.2025
Medical Assistant - Family Foot Center, PLLC
01.2019 - 01.2021
Houston Community College - , MIS

Additional Details

  • Fluent in English & Spanish
  • Strong problem-solving and adaptability skills

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Guadalupe Moreno