Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Helen Almendarez

Jacksonville,FL

Summary

Personable Lead Patient Advocate with 8+ years of experience prioritizing multiple tasks requiring prompt solutions. Proven leadership, critical thinking, and fast learning ability ensuring quick contribution and success to any organization.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Lead Patient Advocate

Granzow Medical, LLC.
09.2021 - Current
  • Served as a liaison between patients, healthcare providers, and insurance companies for seamless communication.
  • Reduced administrative burden for clinic staff by efficiently managing patient documentation and correspondence.
  • Improved the appeals success rate by researching legal precedents and staying up-to-date with current industry regulations and guidelines.
  • Enhanced case efficiency by organizing and maintaining legal documents, files, and correspondence.
  • Participated in regular meetings with management to provide updates on case status and discuss potential improvements in processes.
  • Investigate and resolve complex patient and insurance provider denials related to medical appeals.


Front Office Lead Administrator

North Florida Sinus Center
07.2018 - Current
  • Answer incoming phone calls, Incoming faxes, referral coordinator , New patient requests, new patient coordinator, medical record coordinator, appointment confirmations, request records for new patients, check in, check out patients, take/ post payments and send batch of money collected to billing, put charges in, medical records coordinator, schedule surgeries, schedule minor procedures, insurance verification, requesting prior authorization for office visits.
  • Restocked supplies and placed purchase orders to maintain adequate stock levels.
  • Tripled practices' volume and productivity.

Medical receptionist

Carithers Pediatric Group
09.2016 - 06.2018
  • Various clerical and administrative duties including taking phone calls, answering or referring inquiries, scheduling, maintaining and updating client records, obtaining and updating insurance information, collecting bill payments.
  • Served 100-120 customers per day with 100% accuracy.

Medical Assistant

24/7 Pediatric Care Center
08.2014 - 09.2016
  • Obtain patient medical history and vital signs, assist physicians during patient examinations, perform routine laboratory tests and administer injections.
  • Sanitized, restocked and organized exam rooms and medical equipment.
  • Called and faxed pharmacies to submit prescriptions and refills.

Medical receptionist

Rainbow Pediatric Center
07.2013 - 08.2014
  • Several clerical responsibilities from check in, check out- collecting and posting payments, appointment scheduling, insurance - from verifying and updating insurance and following up on insurance claims.

Education

Associate of Arts - Nursing

Florida State College At Jacksonville
Jacksonville, FL
2023

Skills

  • Exceptional customer service & phone etiquette
  • Conflict resolution
  • Critical thinking
  • Teamwork
  • Medical terminology knowledge
  • EHR systems expertise (EMA,Prime Suite,Allscripts,Athena)
  • Bilingual (Spanish)
  • Team leadership
  • Attention to detail
  • Insurance Understanding
  • Fast learning ability

Certification

  • CPR/ BLS Certified
  • Notary Public until 12/2024


Languages

Spanish
Native or Bilingual

Timeline

Lead Patient Advocate

Granzow Medical, LLC.
09.2021 - Current

Front Office Lead Administrator

North Florida Sinus Center
07.2018 - Current

Medical receptionist

Carithers Pediatric Group
09.2016 - 06.2018

Medical Assistant

24/7 Pediatric Care Center
08.2014 - 09.2016

Medical receptionist

Rainbow Pediatric Center
07.2013 - 08.2014

Associate of Arts - Nursing

Florida State College At Jacksonville

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Helen Almendarez