Ingrid Zapata Mota
Brooklyn,NY
Summary
With over twenty years of experience in customer service and over eighteen years of experience in health care. Carrying a deep belief in the importance of continuing learning and career advancement. Looking forward to being part of the change that is needed in healthcare.
Overview
20
20
years of professional experience
Work History
Clinical Administrative Coordinator
Optum (United Health Care)
11.2021 - Current
- Provide excellent and empathetic telephonic customer service for providers/patients
- Utilized critical thinking and effective communications to help connect the value of the Landmark
- Serving as the primary point of contact for providers or members regarding medical/ behavioral/clinical services or benefits
- Extracts and review fax request for medical and clinical services
- Check procedures codes against notification requirements and benefit coverage to determine the next steps
- Provide information regarding appointments and medical services to facilities staff to assist member
- Process clinical trial request for chemotherapy and radiation therapy request.
Patient Service Advocate/ Floor Coordinator
New York Hotel Trades
07.2006 - 01.2021
- Streamlined appointment scheduling processes for increased efficiency and reduced wait times.
- Reduced missed appointments through proactive follow-up calls for confirmations or rescheduling as needed.
- Facilitated communication between healthcare providers by acting as a liaison for patients with complex cases requiring interdisciplinary coordination.
- Maintained accurate patient records, ensuring confidentiality and compliance with HIPAA regulations.
- Coordinated care between providers, facilitating efficient treatment plans that met patient needs.
- Implemented new office procedures for better organization and improved patient flow.
- Trained new staff members on office policies, procedures, and best practices for Patient Service Advocates.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Verified patient insurance eligibility and entered patient information into system.
Assistant Archivist/Assistant
City University of New York-Dominican Studies Institute
10.2004 - 07.2006
- Welcoming visitors upon arrival
- Answering calls & overseeing clerical task
- Create a list of prospective donors & conduct interviews
- Entering interview information into the database
- Upkeeping/updating office inventory
- Arranging Travel and Itinerary for program director
- Processing payment for vendors & contract workers
- Payroll processing.
- Authenticated and appraised over 1000 historical documents and archival materials on aweekly basis.
- Directed 2 volunteers and employees engaged in cataloging, designing exhibits, and recording artifacts.
- Evaluated [Number] records for accuracy, value and status of preservation.
Education
Bachelor of Science -
Suny Empire State College
New York 12.2023
Skills
- Bilingual Spanish/English
- Computer Skills
- Leadership Experience
- Strong Written and Oral Communication
- Experience with EMR
- Experience processing CPT/HCPCS Codes
- HIPAA knowledge
- Insurance Verification
- Policy Implementation
- Medical Office Management
- Coding Procedures
- Administration and Operations
Activities
Since September 2014, I have volunteered as a peer counselor for the Lupus Line program. The Lupus Line offers one-to-one emotional support and education to people with lupus and their families in the New York tri-state region, nationwide, and internationally.
Timeline
Clinical Administrative Coordinator
Optum (United Health Care)
11.2021 - Current
Patient Service Advocate/ Floor Coordinator
New York Hotel Trades
07.2006 - 01.2021
Assistant Archivist/Assistant
City University of New York-Dominican Studies Institute
10.2004 - 07.2006
Bachelor of Science -
Suny Empire State College
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