Overview
Work History
Summary
Timeline
42
Jacquelina Navarro

Jacquelina Navarro

Healthcare professional
Houston,TX

Overview

18
18
years of professional experience

Work History

Health Care Representative

Anthem
Houston, TX
09.2014 - 10.2023
  • Work with members on Medicaid & Medicare, verifying demographics, channeling, changing PCP doctors and setting up and confirm appointments for TX- TSTEPS Members
  • Maintain quality working relationships with medical professionals and other healthcare related facilities and organizations.
  • Follow up with Dialysis patients and social workers.
  • Conducting disease management surveys to pregnant women, and identifying MFW, offering further assistance and information, routing them to case management for further programs.
  • Dental education and transportation to various clinics, handing Inbound and Outbound calls through a Dialer System, (PDS), and my health direct appointment System.
  • Scheduling SSA appointments for members under dialysis treatments, to apply for ESRD Medicare.

Office Administration Support

Magic Lantern Inc.
Houston, TX
08.2005 - 05.2009
  • Provided a high standard of customer service at all times.
  • Performed document management and data entry, and handled A/R, inventory and receivables.
  • Translated documents from English to Spanish.
  • Assist attorneys with trial preparation, which may include attending trials and hearings.

Summary

Communicative Healthcare Representative with Amerigroup/Anthem now Elevance Health,10 years of experience scheduling appointments, collecting patient information and responding to patient concerns. Proficient in Microsoft Word, Excel and PPP . Caring and efficient professional with knowledge of billing and coding, medical terminology and HIPAA regulations. Self-directed knowledgeable in customer service practices, Collects and validates patient demographics, prepares medical charts and conducts insurance verification. Detail-oriented team player comfortable working independently. Committed to achieving company objectives and providing excellent assistance to patients. Recent graduate from the College of HealthCare Professions with a Bachelor's degree in Healthcare Management with foundational knowledge in Medicaid and Medicare benefitsTexas Health Steps, conducting health surveys to pregnant women and providing services to children of migrant farm workers and a vast experience working with SSA and SSI ESRD Members,and hands-on experience gained through a decade of experience in call centers. Demonstrates strong teamwork, problem-solving, and time-management skills. Prepared to start career and make meaningful contributions with commitment and drive into a healthcare facility.

Timeline

Health Care Representative

Anthem
09.2014 - 10.2023

Office Administration Support

Magic Lantern Inc.
08.2005 - 05.2009
Jacquelina NavarroHealthcare professional