Guadalupe Vega
Paramount,USA
Summary
Skilled Health Insurance Specialist with a proven track record at RAYUS Radiology, enhancing patient experience through precise verification and efficient scheduling. Expertise in managing records while supporting healthcare operations, resulting in a streamlined admissions process. Strong analytical abilities combined with exceptional customer service skills foster patient satisfaction and operational efficiency. Committed to advancing healthcare accessibility and quality.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Insurance Verification Representative
RAYUS Radiology
Downey, CA
01.2024 - Current
- Verify insurance benefits, deductible and coinsurance, screen patients, request medical records, follow up on x-ray, ct can clearance reports, verify orders and authorizations, schedule, check in and check out patients
Patient Access Representative
Guidehouse
Los Angeles, CA
07.2022 - 08.2024
- Validate insurance eligibility through comprehensive review of provided demographic data.
- Assigned correct medical record and account numbers, ensuring accurate billing.
- Collected complete and accurate demographic and financial data from diverse sources.
- Secures necessary signatures on legal consents and insurance documentation.
Hospital Bed Board Coordinator
Guidehouse
Los Angeles, CA
07.2022 - 08.2024
- Tracks patient admission status from the emergency department to inpatient or observation setting.
- Collaborates with ER staff, care managers, house supervisors, and inpatient nurses on patient status.
- Maintain efficient communication to manage bed availability.
- Reviewed medical admit orders for accuracy and completion.
- Possesses expertise in insurance verification to ensure precise coverage evaluation for all admissions.
- Coordinated authorization processes for a variety of insurance plans such as HMO and PPO's.
- Managed hospital's electronic bed board efficiently.
- Communicates bed delay issues to supervisors and relevant hospital departments.
- Addressed barriers to ensure smooth transitions within hospital units.
- Complied with organizational and departmental policies.
Service and Payroll Clerk
Nunez Installation
03.2016 - 07.2022
- Prepare invoices, shipping documents, and contracts
- Verify customer and order information for correctness, checking it against previously obtained information as necessary
- Obtain customers' names, addresses, and billing information, product numbers, and specifications of items to be purchased, and enter this information on order forms
- File copies of orders received, or post orders on records
- Collect payment for merchandise, record transactions, and send items such as checks or money orders for further processing
- Notify departments when supplies of specific items are low, or when orders would deplete available supplies
- Processing orders, Billing, Ordering supplies and Payroll Accounting
- Gathered timesheets to prepare weekly payroll data for processing by payroll coordinator
- Managed payroll for temporary, hourly and salaried employees
- Established employee payroll files and updated existing files with new information
- Calculated accurate wages, including overtime, salary increases and bonuses
- Organized and maintained payroll information by entering data, deleting errors, calculating and collecting information
- Scheduled and confirmed appointments
- Dispatch installers to job sites
Store Team Lead
OPORTUN
06.2018 - 05.2022
- Develop and maintain great customer relations
- Process loan applications
- Submit paperwork require for loans
- Disburse loans following guidelines and regulations
- Educate clients about credit reporting
- Check paperwork for audits
- Order monthly supplies
- Trained new Customer Representative
- Conduct marketing on daily basis to meet goal
- Processed Payments
- Help customer submit car loan applications
- Develop new ways of outreach
- Built a relationship with Prospera to help us achieve our goals
- Made upcoming payment reminder calls
- Helped store management promote sales-oriented culture with intense focus on delivering superior customer service
- Promoted store brand, mission and values to employees and customers to maintain ideal store atmosphere
- Established rapport with customers to boost sales and identify trends impacting store operations
- Created weekly schedules for employees
- Welcomed guests and asked open-ended questions to best determine which products would meet needs
- Explained latest promotions, sales incentives and offerings to promote savings and drive sales
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints
- Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer
- Managed customer expectations by clarifying needs, identifying options and recommending products and services
- Documented customer correspondence in CRM to track requests, problems and solutions
- Maintained strong call control and quickly worked through scripts to address problems
- Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks
- Trained and supervised new employees to promote overall team productivity and consistent service
- Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships
- Updated customer accounts, addresses and contact information within call management databases
- Managed high-volume of inbound and outbound customer calls
- Informed customers about billing procedures, processed payments and provided payment option setup assistance
- Helped clients navigate online systems within established frameworks to obtain services
Clerk
LONG BEACH FAMILY PHARMACY
Long Beach, CA
06.2015 - 02.2016
- Operate cash register to process cash or credit sales
- Prepare prescription labels by typing or operating a computer and printer
- Accept prescriptions for filling, gathering and processing necessary information
- Greet customers and help them locate merchandise
- Receive, store, and inventory pharmaceutical supplies or medications, check for outdated medications, and notify pharmacist when inventory levels are low
- Unpack, sort, count, and label incoming merchandise, including items requiring special handling or refrigeration
- Prepare, maintain, and record records of inventories, receipts, purchases, or deliveries, using a variety of computer screen formats
- Perform clerical tasks, such as filing, compiling and maintaining prescription records, or composing letters
- Restock storage areas, replenishing items on shelves
- Process prescriptions, Run insurance, Fill Prescriptions, Stock supplies, Check Inventory and Order supplies
- Processed sales transactions to prevent long customer wait times
- Supported office clerical functions using word processing and other software, email and office machines
- Followed confidentiality rules to preserve data quality and reduce potential information compromise
Front End Supervisor
The Home Depot
06.2014 - 06.2015
- Supervised Front end Returns, tool Rentals, Special Order and Garden departments
- Conducted Approvals on discounts
- Manage Schedule, lunch, shift swap, pto and vacation paperwork
- Provided Training and Orientation
- Processed credit card applications
- In charge of meeting extended warranty and credit card application goals
- Delegated work to employees based on shift requirements, individual strengths and unique training
- Handled payment processing and provided customers with receipts and proper bills and change
- Connected with customers to provide assistance and collect feedback to optimize operations
- Managed customer complaints and rectified issues to complete satisfaction
- Answered phones to respond to customer inquiries and transferred calls to appropriate staff members
Education
AA - Behavioral Science
Cerritos College
Norwalk, CA05.2017
Skills
- Microsoft Office
- Health insurance knowledge
- HIPAA compliance
- Accurate Data Entry
- Analytical Problem Solving
- Eligibility determination
- Privacy regulations knowledge
- Phone etiquette
- Clerical experience
- EMR systems
- Documentation review
- Records management
- Customer service
- Medical records
- Medical terminology
- Registration and admissions
Certification
BLS Certification, 10/01/22, 10/01/24
Languages
Spanish, Fluent
Assessments
- Protecting patient privacy, Proficient, 07/01/22
- Customer focus & orientation, Proficient, 04/01/22
- Work style: Professionalism, Proficient, 07/01/22
- Supervisory skills: Motivating & assessing employees, Proficient, 04/01/22
- Scheduling, Proficient, 04/01/22
- Customer service, Proficient, 02/01/23
- Recruiting, Proficient, 08/01/22
- Written communication, Proficient, 07/01/22
- Verbal communication, Proficient, 07/01/22
- Administrative assistant/receptionist, Proficient, 07/01/22
- Medical receptionist skills, Proficient, 02/01/23
Timeline
Insurance Verification Representative
RAYUS Radiology
01.2024 - Current
Patient Access Representative
Guidehouse
07.2022 - 08.2024
Hospital Bed Board Coordinator
Guidehouse
07.2022 - 08.2024
Store Team Lead
OPORTUN
06.2018 - 05.2022
Service and Payroll Clerk
Nunez Installation
03.2016 - 07.2022
Clerk
LONG BEACH FAMILY PHARMACY
06.2015 - 02.2016
Front End Supervisor
The Home Depot
06.2014 - 06.2015
AA - Behavioral Science
Cerritos College
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