Jeannette Hernandez
Summary
Prior authorization insurance eligibility and benefits specialist with 26 years experience in the medical field. Excellent communication and customer service skills. Detail-oriented and focused on accuracy and efficiency. I am seeking a secure position within an organization in which the variety of skills I have obtained through my education and extensive work experience may be utilized.
Overview
29
29
years of professional experience
Work History
Intake Coordinator
Livewell Infusions
02.2023 - 11.2023
- Verified health insurance eligibility and benefits
- Submitted medication authorizations via phone, insurance portal, and cover my meds
- Communicated with contracted doctors offices in regards to office appointments and medication deliveries
- Took incoming calls from patients and insurance companies
- Provided patients with medication foundation assistance companies information
- Communicated with patients inregards to their out of pocket, deductible, coins and copay cost
- Maintained spread sheets.
Authorization Coordinator
Relieve Allergy Asthma and Hives
08.2022 - 02.2023
- Submitted all specialty pharmacy authorizations via phone, insurance portal or cover my meds
- Contacted specialty pharmacy's to set up delivery of medications
- Responsible for labeling and storing all incoming medications
- Took inventory of all office supplies
- Verified patients health insurance eligibility and benefits
- Assisted front desk with scheduling patient office visits
- Contacted medication foundation company's to verify foundation assistance on behalf of patients
- Took meetings with third party pharmacy's and vendor representatives.
Reimbursement Specialist
Preferred Home Care
08.2020 - 08.2022
- Contact doctor's offices for updated medical documentation
- Verified eligibility and benefits via medical portals or phone
- Submitted medical authorizations to Insurance companies
- Followed up on authorizations submissions via medical portals or phone
- Contact patients for updated insurance information or schedule equipment pick up
- Adjusted past due AR
- Typed up and mailed out past due correspondence to patients
- Communicated with insurance companies and patients via email and phones
- Worked over 40 + insurance companies
Billing Specialist
San Antonio Community Hospital
09.2007 - 03.2010
- Assisted customers with billing inquiries
- Handled multi-phone lines with high call queue and strick timer
- Managed patient records that contained confidential information
- Abided by HIPAA to the fullest extent and consistently held professional integrity
- Communicated with doctor offices on a daily basis and maintained strong professional relationships.
Collections Advisor
Mercy Air
08.2003 - 11.2006
- Extensive patient interaction including establishment of payment plans
- Verified eligibility of benefits with insurance companies
- Trained new employees and supervised them during their probation period
- Scheduled follow ups on past due accounts.
Senior Customer Service Representative
Adventist Health
09.1994 - 09.2002
- Operated high call volume multi-phone lines with ease and in a friendly manner
- Communicated with healthcare professionals to ensure proper authorization for surgeries and procedures was obtained
- Was promoted 3 different occasions on excellent customer service.
Education
High School Diploma -
Whittier High School
Whitter, California 06.1992
Skills
- Knowledge of Microsoft Office, E-clinicals, Teams chat system, Word Perfect, light Excel knowledge
- Light ICD-9 and CPT coding experience
- Knowledge of HIPAA compliance
- Obtain Medical documentation EMR
- Answered multiple phone lines
- Typing speed: 55 wpm
- Team player but can also work efficiently on my own
- Consistently comply with policies and procedures
References
AVAILABLE UPON REQUEST
Timeline
Intake Coordinator
Livewell Infusions
02.2023 - 11.2023
Authorization Coordinator
Relieve Allergy Asthma and Hives
08.2022 - 02.2023
Reimbursement Specialist
Preferred Home Care
08.2020 - 08.2022
Billing Specialist
San Antonio Community Hospital
09.2007 - 03.2010
Collections Advisor
Mercy Air
08.2003 - 11.2006
Senior Customer Service Representative
Adventist Health
09.1994 - 09.2002
High School Diploma -
Whittier High School