Experienced professional with a strong background in patient care coordination and insurance practices. Known for exceptional communication skills and commitment to enhancing patient experiences through efficient processes and adherence to HIPAA guidelines.
Overview
27
27
years of professional experience
Work History
Patient Care Coordinator
WellMed Medical Management - United Health Group
San Antonio, TX
07.2025 - 03.2026
Coordinated patient scheduling, making 75 outbound calls to optimize provider availability and improve appointment access.
Improved patient satisfaction by efficiently scheduling appointments and managing patient flow.
Coordinated patient appointments and managed scheduling to optimize clinic workflows.
Communicated effectively with patients to address inquiries, provide support, and enhance overall experience.
Facilitated communication between patients and healthcare providers to ensure effective care delivery.
Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Supported billing processes by verifying insurance information and assisting with claims submissions for prompt reimbursement.
Verified patient insurance eligibility and entered patient information into the system.
Addressed customer complaints by implementing established follow-up procedures to ensure satisfaction.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Managed incoming calls by scheduling appointments and organizing medical records for efficient clinic operations.
Reauthorization Representative
Homecare Dimensions
San Antonio, TX
12.2011 - 09.2021
Improved patient satisfaction by efficiently handling up to 25 authorization requests and promptly addressing inquiries.
Conducted thorough reviews of medical documentation for accuracy and compliance before submitting authorization requests.
Researched missing or inaccurate information to establish insurance eligibility and patient liabilities.
Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
Trained new team members on authorization procedures and system navigation to ensure compliance and efficiency.
Assisted in training new Authorization Representatives by sharing best practices, enhancing onboarding experience and team effectiveness.
Demonstrated adaptability by quickly learning new systems and processes as they were introduced within the organization.
Contributed ideas during team meetings to improve processes and address departmental challenges, fostering a collaborative work environment.
Team Leader
HCA Healthcare: Methodist Hospital
San Antonio, TX
05.1999 - 07.2011
Directed multidisciplinary teams to optimize patient care delivery and improve operational efficiency.
Oversaw daily operations to uphold adherence to hospital policies and protocols.
Directed staff in adopting best practices for patient interaction to enhance service quality.
Facilitated interdepartmental communication to strengthen collaboration on patient care strategies.
Fostered open and professional relationships with team members to enhance issue resolution efficiency.
Championed personal growth initiatives while leading professional development programs for team members.
Directed service quality standards and addressed issues to elevate customer satisfaction.
Directed interdisciplinary teams to elevate patient care standards and optimize operational efficiency.
Executed process improvements to enhance workflow efficiency and minimize patient wait times.
Patient registrars patient check Ins of 25-50 patients