Organized and dependable candidate. Successful at managing multiple priorities with a positive attitude. Willingness to learn take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Health Coordinator
Blue Cross Blue Shield
12.2019 - 06.2023
Conduct denial and partial Medicaid and Medicare letters to explain reasoning for coverage decision
Complete data assessments and monthly audit reports
Thoroughly check member's files for facility, doctor or nurse's error's
Healthcare Service Representative
United Health Care
09.2018 - 05.2019
Keep insurance cards and information up to date
Look up services and doctors in-network
Assist with health events
Health Insurance Coordinator
United Health Care
02.2017 - 09.2018
Inform and answer questions about benefits
Help assist with community events
Promote Healthy lifestyles.
VIP Service Coordinator
Sandia Resort & Casino
09.2015 - 12.2016
Plan slot and golf tournaments, holiday events and giveaways
Make tournament, hotel, golf, and spa appointments
Compensate players food, golf and spa establishments accordingly
Register VIP players in Las Vegas tournaments, assign transportation and hospitality.
Medical Assistant
EW Integrated Pain & Rehab
05.2012 - 08.2015
Schedule and confirm appointments
Verify insurance
Billing and Coding according to services
New patient orientations and take vital signs
Daily SOAP notes on every patient
Manage interns; making sure they are equip in field
Setup patient charts, keep them up to date and organized
Keep payment records and collect co-pay.
Spa Attendant
Sandia Resort & Casino
02.2010 - 05.2012
Responsible for customer service
Make appointments
Kept track of inventory
Sell merchandise, give tours and information on services offered
Keep locker rooms, saunas, whirlpools, restrooms, showers, common and vanity areas clean
Wash, fold and re-stalk towels, washcloths, blankets, robes and towels.
Education
Esthetics -
Paul Mitchell The School of Albuquerque
Albuquerque, NM
12.2023
Associate Degree: Medical Science -
Brown Mackie College
Albuquerque, NM
09.2012
Skills
Professionalism and Communication in a Healthcare setting
Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)
Customer Service Representative at Florida Blue - Blue Cross Blue Shield Of FloridaCustomer Service Representative at Florida Blue - Blue Cross Blue Shield Of Florida
Medicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of FloridaMedicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of Florida