Jeannette Hernandez
Phoenix,AZ
Summary
Experienced customer service , insurance eligibility and benefits specialist. 26 years experience in the medical field. Passionate for managing complex responsibilities with an organized and resourceful approach. Excellent communication and and collaboration skills. Strong research, data entry and contract preparation abilities.
Overview
29
29
years of professional experience
Work History
Intake Coordinator
Livewell Infusions
Scottsdale, AZ
02.2023 - 11.2023
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Enhanced client satisfaction by accurately verifying insurance coverage, eligibility and benefits.
- Handled high-volume calls utilizing multi-lines phones to interact with patients , doctors, and insurance companies.
- Achieved insurance pre-authorizations for high cost buy and bill medications.
- Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
Authorization Coordinator
Relieve Allergy Asthma and Hives
Scottsdale, AZ
08.2022 - 02.2023
- Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and medication authorizations promptly and empathetically.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Optimized workflows within the department by identifying areas of improvement and proposing actionable solutions.
- Responsible for labeling and storing all incoming medications.
- Assisted front desk with scheduling of patients visits.
- Took all meeting with third party pharmacy vendor representatives.
Reimbursement Specialist
Preferred Home Care
Phoenix, AZ
08.2020 - 08.2022
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Gathered records pertinent to specific DME rentals, purchases, or pick up's. Reviewed for completeness and accuracy and attached records to correspondence as necessary.
- Investigated and resolved DME deliveries and concerns which resulted in an increased of loyalty and repeat business.
- Adjusted off past due AR.
- Participated in ongoing training and development, staying current on company policies, products, and procedures to deliver accurate information to customers.
Billing Specialist
San Antonio Community Hospital
Upland, CA
09.2007 - 03.2010
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
- Obtained payments from patients and scanned identification and insurance cards.
- Served as a billing liaison between patients, healthcare providers, and insurances companies ensuring clear communication of necessary information.
Collections Advisor
Mercy Air
San Bernardino, CA
08.2003 - 11.2006
- Contacted patients or family members of deceased patients. Collected health insurance information or followed up on delinquent accounts to reduce overdue balances.
- Managed a diverse portfolio of accounts, applying tailored strategies for successful resolution of each case.
- Processed debtor payments and updated accounts to reflect new balance.
- Negotiated payment plans with customers to prevent accounts from entering collections.
- Analyzed customer financial records to determine appropriate payment plan.
Senior Customer Service Representative
Adventist Health
Glendale, CA
09.1994 - 09.2002
- Mailed out invoices to patients and providers offices.
- Operated high-volume calls utilizing muli-lines phones to interact with patients , doctors, and insurance companies.
- Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
- Submitted medical authorizations to contracted insurance companies via phone or insurance portal.
- I was promoted three times with-in Adventist Health.
- Conducted evaluations to measure performance and providing guidance for areas requiring improvement.
Education
High School Diploma -
Whittier Union Adult School
Whittier, California06.1992
Skills
- Knowledge of HIPAA compliance
- Team player but also self-motivated, with a strong sense of personal responsibility
- Multitasking and Organization
- Typing speed: 55 wpm
- Consistently comply with policies and procedures
- Appointment Scheduling
- Follow-up skills
- Documentation and control
- Data Entry
- Multi-Line Phone Systems, and email etiquette
- Credit and collections
- Handling Complaints
- Written Communication
- Problem Resolution
- Light Excel knowledge
- Light ICD-9 and CPT coding experience
Systems Utilized
- E-clinicals
- Weinfuse
- Tims
- Teams chat
- Microsoft Office
- Word Perfect
- Various EMRS
- Cover My Meds
- Navigation of multiple insurance portals.
Additional Information
I arrive early to work with the energy to be the last to leave.
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 Union Adult School