Summary
Work History
Education
Skills
Certification
Languages
Timeline
Generic

HOPE AGUEROS

INSURANCE SPECIALIST
Fresno

Summary

  • Attentive Surgery Scheduler familiar with ICD-10 and CPT coding. Skilled in organizing paperwork. Work well in fast-paced administrative environment. Focused on maintaining smooth and efficient scheduling services.


  • Well-versed in checking coverage, obtaining authorizations and collecting payments.


  • Knowledgeable about working with facilities, patients and insurance companies to set up minor procedures and complicated surgeries. Well-organized and detail-oriented team player with good problem-solving, relationship-building and communication skills.


  • Hardworking and ready to help team achieve company goals.


Work History

Insurance Specialist

Saint Agnes Medical Center
Fresno, CA
07.2007 - Current
  • Research and resolve routine and complex issues.
  • Process eligibility and benefits verification and authorization requests.
  • Track pending authorizations to resolve discrepancies and avoid revenue loss.
  • Communicate effectively with members of operations, finance and clinical departments.
  • Communicate verification and authorization status updates with department to facilitate decision-making for patient admissions/procedures and insurance coverage.
  • Respond to customer calls swiftly to resolve issues and answer questions.
  • Maintain high standards of customer service by building relationships with patients.
  • Make great efforts to build relationships with patients using active listening and issue resolution to provide excellent service.

Surgery Scheduler/Receptionist

UROLOGY ASSOCIATES OF FRESNO CALIFONIA
Fresno, CA
08.1998 - 07.2007
  • Expertly managed planning, scheduling and coordination of outpatient procedures.
  • Coordinated with facilities to set up surgeries.
  • Educated patients about surgeries and provided treatment plan documentation.
  • Verified insurance coverage and obtained pre-authorizations.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.

Surgery Scheduler

Kuldip Behniwal, M.D.
FRESNO, CA
11.1990 - 08.1998
  • Expertly managed planning, scheduling and coordination of outpatient procedures.
  • Coordinated with facilities to set up surgeries.
  • Checked patients in and out and collected payments.
  • Educated patients about surgeries and provided treatment plan documentation.
  • Verified insurance coverage and obtained pre-authorizations.
  • Answered telephone calls to offer office information, answer questions and direct calls to staff.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.

Education

High School Diploma -

Kerman Union High School
Kerman, CA
06.1983

Skills

  • Insurance Coverage Verification
  • Administrative Support
  • Claims Information Gathering
  • Training Junior Team Members
  • Information Updates
  • Revenue Cycle Management
  • Documentation Abilities
  • Patient Account Reviews
  • Benefits Verifications
  • Asset Protection
  • Insurance Knowledge
  • Customer Care
  • Efficient and Detail-Oriented
  • Understanding Customer Needs
  • Calm and Professional Under Pressure
  • Courteous with Strong Service Mindset
  • Responding to Difficult Customers
  • Answering Customer Questions
  • Administrative and Office Support
  • Excellent Attention to Detail
  • Bilingual

Certification

  • Certified Healthcare Access Associate - CHAA

Languages

Spanish

Timeline

Insurance Specialist

Saint Agnes Medical Center
07.2007 - Current

Surgery Scheduler/Receptionist

UROLOGY ASSOCIATES OF FRESNO CALIFONIA
08.1998 - 07.2007

Surgery Scheduler

Kuldip Behniwal, M.D.
11.1990 - 08.1998

High School Diploma -

Kerman Union High School
HOPE AGUEROSINSURANCE SPECIALIST