Jacqueline Reyna
San Antonio,TX
Summary
Dynamic and compassionate healthcare professional with extensive experience at Humana, adept in member triaging and leveraging medical terminology knowledge to enhance patient care. Excelled in improving member satisfaction through effective problem-solving and collaboration. Demonstrated proficiency in data entry and multitasking, significantly enhancing process efficiency without compromising care quality. Seeking to continue to grow within Humana and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Nurse Advice Line Assistant
Humana
09.2021 - Current
- Perform accurate documentation of member assessments, interventions, and outcomes in compliance with regulatory standards.
- Route calls to proper departments when necessary
- Navigate through multiple applications to access all necessary information to provide perfect service
- Utilize Process flow to enhance process efficiency
- Educated patients on health alerts and wellness strategies to improve long-term health outcomes.
- Improved patient satisfaction ratings by delivering compassionate and personalized care.
- Utilized strong non-clinical judgment in prioritizing patient needs during high-stress situations, and routing to higher level of care when necessary
- Utilize Humana Values
Clinical Intake Specialist
Humana
11.2014 - 09.2021
- Assisted in coordination of authorization process for members.
- Expedited admissions processes by gathering relevant medical records and obtaining necessary consents from members, member reps or caregivers.
- Listen and Understood the needs of providers and members to better assist and create accurate authorizations
- Meet daily metrics to meet company standards.
- Knowledgeable of Medicare guidelines
- Meet daily tasks
- Time management to meet standard metrics
- Participate in monthly meetings
- Adapt to changes when necessary
Education
High School Diploma -
John F Kennedy HS
San Antonio, TX06.2001
Skills
- Compassionate Care
- Member triaging
- Community health resources
- Data entry proficiency
- Medical terminology knowledge
- Multi-Line application phone system
- Customer Service
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Collaboration and Teamwork
- Multitasking
Additional Information
Other departments that I have assisted within Humana are COC's, Humana Beginnings, Covid-19 Team.
Timeline
Nurse Advice Line Assistant
Humana
09.2021 - Current
Clinical Intake Specialist
Humana
11.2014 - 09.2021
High School Diploma -
John F Kennedy HS
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