Jennifer Guzman
Katy
Summary
Professional with extensive experience in healthcare administration and policies, excelling in delivering top-quality patient care and customer service. Skilled in patient preparation, equipment maintenance, and accurate record-keeping. Proven ability and recognized for high productivity levels to streamline operations and enhance patient satisfaction through effective communication, and strong organizational skills. Bilingual in English and Spanish, adept at managing diverse teams and optimizing workflows in fast-paced environments.
Overview
8
8
years of professional experience
Work History
Optometric Technician
Premier Vision Care
Katy
05.2025 - Current
- Assist patients with eye exams, and provide necessary pre-testing procedures.
- Manage patient records using electronic health record systems efficiently.
- Conduct visual field tests to evaluate patients' peripheral vision accurately.
- Educate patients on proper contact lens care and usage guidelines.
- Collaborate with optometrists to ensure a smooth patient flow during appointments.
- Schedule patient appointments and coordinate follow-up visits.
- Maintain a clean work environment by sterilizing instruments after each use.
- Assist with ocular photography, optical coherence tomography, and pre-exam data collection.
- Perform preliminary eye exams, including visual acuity tests, and color vision tests.
- File paperwork in accordance with HIPAA regulations and office protocols.
- Coordinate referrals to ophthalmologists for patients requiring further medical treatment.
- Addressing issues noted during preliminary examinations with the physician to provide important information and boost appointment success.
- Order supplies from vendors, ensuring that the practice has adequate stock at all times.
- Schedule patient appointments in accordance to office availability
- Submit claims for insurances within the state of Texas (BCBS TX, TXC STAR CHIP, MEDICAID, MEDICARE, CIGNA, AETNA, UHC, AMBETTER) to multiple clearinghouses, including Office Ally, Availity, Change Healthcare, and more.
- Verify patient eligibility through online portals and over the phone.
- Fax between multiple offices, and send encrypted emails to patients for maximum HIPAA compliance.
Technical Customer Support Specialist
Availity Careers
Katy
04.2024 - 05.2025
- Provide technical support to customers via phone and email/ smart tickets for a clearinghouse
- Utilized ticketing systems to track progress of open issues.
- Assist providers in filing 835 claims when necessary, or locating missing claims.
- Navigate callers over the phone with the troubleshooting system when encountering login issues.
- High communication between managers and supervisors is essential; this is a remote position, so communication is key.
- Knowledge in EDI and/or ANSI 5010 X12.
- Handled efficiently over 100 calls per day
- Assisted customers in navigating Availity's platform effectively and efficiently.
- Reviewed documentation for accuracy and completeness in claims processing.
- Reviewed coverage determinations, investigated and evaluated claims and negotiated settlements.
- Verify patient insurance information for accuracy and completeness.
- Enter data in EMR database to record payer, authorization requirements and coverage limitations.
- Process claims efficiently using company-specific software and system tools.
- Knowledgeable with Vision, Dental and Medical insurances BCBS TX , Ambetter Superior Health, Aetna, Cigna, Medicaid, Medicare, TXC STAR, HMO, PPO PLANS and more
Senior Patient Service Representative Management
CITY MD
New York
10.2022 - 03.2024
- Provided administrative support to the medical office manager and other staff members
- Oversaw inventory to purchase needed medical and office supplies
- Organized large volumes of patient data and medical documents for easy retrieval
- Facilitated communication between healthcare providers, patients and insurance companies regarding coverage issues
- Successfully implemented new systems to streamline workflow in the medical office
- Oversaw financial management activities including budgeting, payroll processing
- Resolved conflicts between staff members in a timely manner while maintaining professional standards
- Managed day-to-day operations of the office, such as ordering supplies, maintaining equipment and managing calendars
- Assisted in recruiting, onboarding and training new employees.
- Processed payrolls on a biweekly basis.
- Supervised administrative staff, driving front office operations and continuous workflow.
- Monitored employee attendance records, approving leave requests in accordance with policy requirements.
- Provided support to front desk and back personnel when needed
- Assisted in taking back patients and performing vitals.
- Always arrived at timely manner before staff to open medical office
- Successfully coordinated and managed patient scheduling, appointment reminder calls, and patient registration in a fast-paced medical office environment.
- Coordinated with back office staff for timely and effective care of patients.
- Assisted in training new Patient Service Representatives on procedures related to front office operations.
- Answered, investigated and directed patient inquiries or complaints to manager.
- Explained policies, procedures, and services to patients using medical and administrative knowledge.
- Provided guidance and direction to junior Patient Care Coordinators when needed.
- Participated in quality improvement initiatives to enhance patient satisfaction levels.
- Supervised daily operations of the clinic including staffing schedules and workflow management.
- Led meetings, keeping staff informed of changes, or new requirements in policies and procedures.
Patient Access Service Representative
CITY MD
New York
04.2021 - 10.2022
- Ensure HIPAA compliance by protecting the confidentiality of protected health information
- Communicate effectively with patients to ensure they received quality care throughout their visit
- Maintain accuracy of patient information by verifying insurance coverage prior to appointments and updating demographic information when necessary
- Utilize computer systems to enter patient data into electronic health records accurately and efficiently
- Provide excellent customer service while answering phones, resolving problems, and responding to inquiries from patients
- Scheduled appointments and assisted with referrals.
- Verified and updated changes in patient, physician, or insurance to maintain proper billing.
- Processed payments accurately by verifying insurance coverage and applying copays and deductibles when applicable.
- Obtained and validated photo identifications and insurance cards, scanning documents into patients' charts.
- Obtained proper authorization and identification prior to release of confidential medical records.
- Assisted patients with completing paperwork and understanding medical terminology.
- Maintained cleanliness of the reception area including stocking supplies and organizing paperwork.
- Knowledge in all insurances including HMO, PPO, EPO....
- Efficiently managed the registration process for incoming emergency room patients by promptly collecting demographic data and verifying insurance coverage.
Regional Visual Merchandising Manager
ZARA
Garden City
07.2019 - 01.2021
- Developed and implemented visual merchandising strategies to maximize sales across the region.
- Assisted with set up of seasonal window displays at select stores throughout the region.
- Collaborated with marketing team to develop promotional campaigns that increased brand visibility through visual displays.
- Led weekly meetings with Regional Visual Merchandise Team members to review progress on projects.
- Ensured proper maintenance of fixtures, mannequins, props, and other materials used in displays.
- Analyzed consumer trends and preferences to inform future visual merchandising initiatives.
- Attended training sessions and corporate planning meetings to obtain new ideas for product launches.
- Developed talented team, participating in hiring, coaching, and performance management processes.
- Provided employees with guidance in handling difficult problems or in resolving escalated complaints or disputes.
- Ensured effective communication among staff members by providing training when necessary.
- Provided leadership in creating innovative methods for streamlining business processes.
- Worked with human resources regarding employee recruiting, hiring and terminating.
- Prepared staff work schedules and assigned specific duties.
- Established and monitored KPIs to optimize company performance.
- Developed and implemented effective strategies to reduce costs while maintaining quality standards.
Senior Visual Merchandising Lead
Zara
Garden City
09.2017 - 07.2019
- Led a team of 4 visual merchandisers in the design and implementation of store layouts, displays, signage, and other visuals to optimize sales performance
- Created detailed reports tracking sales performance before and after visual merchandising changes were implemented
- Developed an innovative training program for new visual merchandising staff members, resulting in improved customer service ratings
- Managed inventory levels to ensure proper stock levels at all times while minimizing overstock issues
- Maintained records of all visual elements including floor plans, fixtures, props, graphics
- Established relationships with vendors to secure discounts on materials used for displays and signage
- Evaluated employee performance reviews on a quarterly basis providing constructive feedback when needed
- Coordinated with other departments such as IT or Facilities regarding any technical issues related to displays or signs
- Conducted regular audits of stores' visuals to ensure compliance with corporate standards and brand guidelines
- Analyzed customer feedback data to identify trends in customer preferences and adjusted display designs accordingly
- Supervised installation teams during renovation projects ensuring all visuals were properly installed according to plan
- Utilized strong organizational skills to effectively manage multiple projects simultaneously while meeting tight deadlines
- Trained employees on best practices for displaying merchandise according to company standards and guidelines
- Provided guidance and support to junior staff members on how to improve their work processes and efficiency rates.
- Organized store layout to ensure efficient customer flow and product visibility.
- Created and managed merchandise displays to maximize sales potential.
- Led weekly meetings with store managers to discuss upcoming promotions or events that require special attention regarding visuals.
- Assembled and set up displays, furniture and products in store space, using colors, lights, pictures, and other accessories to display product.
Education
Some College (No Degree) - Human Resources Management
NASSAU COMMUNITY COLLEGE
MINEOLA, USSkills
- Patient registration
- Insurance knowledge, insurance authorizations
- Healthcare administration
- Payroll
- Staff scheduling and training
- Microsoft Excel spreadsheets, Microsoft Office
- Front desk medical office management
- Athenahealth software
- EClinicalWorks
- Bilingual English and Spanish
- Scribing
- Computer skills
- Revolution Software
- Medical records
- Medical financial analyzing
- Budgeting
- Time management
- Fundus photography
- Practice management software
- Eye health assessment
- Refraction techniques
Languages
- English (Native)
- Spanish (Native)
Certifications
- BLS CERTIFICATION 2025
- CPR CERTIFICATION 2025
Timeline
Optometric Technician
Premier Vision Care
05.2025 - Current
Technical Customer Support Specialist
Availity Careers
04.2024 - 05.2025
Senior Patient Service Representative Management
CITY MD
10.2022 - 03.2024
Patient Access Service Representative
CITY MD
04.2021 - 10.2022
Regional Visual Merchandising Manager
ZARA
07.2019 - 01.2021
Senior Visual Merchandising Lead
Zara
09.2017 - 07.2019
Some College (No Degree) - Human Resources Management
NASSAU COMMUNITY COLLEGE