Jessyca Anaya
Manor
Summary
Experienced professional with a successful background in Medicaid and insurance verification. Demonstrates excellent organizational skills and a commitment to enhancing patient and client experiences through bilingual communication and administrative support. Proven ability to lead teams and streamline processes, resulting in improved efficiency and high levels of customer satisfaction. Offers 12 years of valuable customer service experience.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Office Specialist Sr
Travis County
07.2020 - 02.2025
- Customer Service: Handling incoming calls, assisting clients, and resolving complaints
- Administrative Tasks: Data entry, filing, scanning, and general office duties
- Eligibility Verification: Reviewing applications, gathering information, and contacting third-party vendors
- Community Outreach: Assisting with food pantry operations and providing information to the public
- Training and Support: Training new hires and providing support to colleagues
- Communication: Strong verbal and written communication skills, especially in Spanish
- Organization: Ability to manage multiple tasks, prioritize, and maintain a filing system
- Technical Proficiency: Familiarity with office equipment, computers, and software
- Customer Service: Patience, empathy, and the ability to resolve issues effectively
- Attention to Detail: Accuracy in data entry and record-keeping
- Knowledge of HIPAA: Understanding of healthcare privacy laws
- Potential Challenges: High Workload, Handling complaints and resolving conflicts, Technical Issues, Language Barrier, Training and Development, Workload Management, Career Growth, Foster a positive and supportive work environment, Assist in Interview
Office Specialist
Travis County
01.2019 - 12.2020
- Performing variety of administrative work
- Research and analysis
- General Office functions
- Assist in directing the public on departments and county procedures
- Operating variety of modern office equipment
- Performs moderately administrative support
- Independent judgment
- Creating effective filing system and retrieve and disseminate information
- File management, alphabetical order
- Record keeping
- Translating for spanish speaking
- Provide food pantry
- Unboxed food pantry and organize
- Assist client filling out application for services needed
- Scan document, fax, make copies
- Handle sensitive information
- Performs receptionist duties, answers telephone, direct calls
- Greet and receive the public
- Provides direction and information to the public on department and other resources
- Received mail and send out
Program Coordinator
Health Care Scouts
08.2017 - 12.2017
- Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care
- Initiate authorization requests for output or input services in keeping with the prior authorization list
- Research claims inquiry specific to the department and responsibility
- Perform tasks necessary to promote member compliance such as verifying appointments
- Assess and monitor inpatient census
- Screen for eligibility and benefits
- Identify members without a PCP and refer to Member Services
- Screen members by priority for case management (CM) assessment
- Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs
- Coordinate services with community based organizations
- Produces and mails routine CM letters and program educational material
- Data enter assessments and authorizations into the system
Dispatch/Customer Service
FreightWatch International
01.2017 - 04.2017
- Create maps assign for routes drivers will be taking
- Answer incoming calls as well make outbound calls to drivers to ensure they are following proper procedure routes provided to them
- Update timers to ensure battery will last, to ensure keeping track of drivers route
- Provide routes to drivers and assist them on locating destination as well updating constantly when drivers will be making a stopping point
- Provide pass down for next agent who will be monitoring shipments
Patient Access Representative
Seton Healthcare Family
09.2016 - 12.2016
- Answers patient and third party calls in a punctual and professional manner
- Providers ongoing communication with clinical staff regarding patient status; Responds to questions/concerns and directs them to appropriate location
- Collect and enter all necessary demographic, clinical, billing, and insurance information from patients or responsible parties
- Pre-registers patients for any planned hospital admissions and/or surgeries; informs patients what to expect for following phone calls
- Verify insurance eligibility and benefits and ensures all notifications are completed
- Ensures compliance with language and interpretation-related regulatory and performance standards
Supervisor Assistant
Maximus Medicaid and Chip Program Insurance
12.2013 - 07.2016
- Highly skilled in operating multi-line telephone in timely and professional manner
- Routed calls to appropriate personnel
- Knowledge of Medicaid and Chip Programs
- Demonstrates ability to remain peaceful in crisis situations
- Proven ability to sit extended periods of time
- Monitoring calls to prevent any HIPAA violations
- Great communication skills, both on the phone and in person
- Organizational skills needed to take and deliver accurate messages
- Handling team meetings & creating agendas for the team
- Providing necessary coaching when needed
- Updating spread sheets on a daily basis
- Handling Supervisor calls
- Always ready if needed for 'On Call'
- Helping out customers with their insurance and explaining to them the options they have available
- Ability to perform comfortably in a fast-paced work environment
- Self-motivated and will go above and beyond the line of duty to complete my assignments
- Always ready to learn and take on any challenge or special assignments
- I also have been able to successfully assist with the cross training of current staff
- I prioritize workload and make efficient use of time to maximize my productivity
Provider Line Representative
Maximus Call Center
05.2014 - 03.2015
- Routed calls to appropriate personnel
- Demonstrates ability to remain peaceful in crisis situations
- Verify insurance for providers and health plans to insure customer had coverage for date of service provided
- Knowledge with provider's, medical plans and dental plan insurance
- Experience in taking calls in a busy environment
- Knowledge with all medical and dental plan
Customer Service Representative Medicaid and Chip Program
Maximus
12.2013 - 05.2014
- Enrolled patients with medical coverage of their choice
- Provide medical, dental plan they had available in their county
- Provide proper information for their coverage
- Assist client by enrolling them over the phone
- Explain process of coverage with start dates and end dates
- Knowledge of co payments
- Knowledge of cost share
- Knowledge of out of network referrals and referrals
- Bilingual
- Refer to proper department to renew coverage
Cashier/Sales Associate
Target
08.2012 - 09.2013
- Ability to perform comfortably in a fast-paced work environment
- Ability to stand for multiple hours of time
- Experience with handling cash
- Helping out guest's
- Translating when needed
Education
Certificate - Medical Billing And Coding
Austin Community College
Austin, TXHigh school diploma -
Lanier High School
06.2011
Skills
- Medical billing and coding
- Medicaid
- Insurance Verification Process
- Insurance verification
- HIPAA
- Medical Office Experience
- Translation
- Prospective Client Outreach
- Microsoft Excel
- Service Management Skills
- Phone Etiquette
- Microsoft Office
- Patient Records Management
- Office Management
- Employee Orientation
- Case Management
- Patient Appointment Coordination
- Computer skills
- Bilingual
- Communication skills
- Data entry
- Customer service
- Insurance verification
- Microsoft Word
- PowerPoint Proficiency
- Typing
- Data collection
- Cold calling
- Leadership
- Front desk
- Office management
- Organizational skills
- Research
- Phone triage
- Time management
- Case management
- Computer literacy
- Databases
- English
- Administrative support expertise
- Advanced Microsoft office
- Inventory control
- Meeting planning expertise
- Data analysis proficiency
- Records management expertise
- Problem-solving capacity
- Call handling
- Mail handling
- Multi-line phone proficiency
- Insurance eligibility verifications
Certification
- Food Handler Certification, May 2023 to May 2026
- Mental Health First Aid, May 2023 to May 2026, Trained to provide initial help to someone experiencing mental health or substance abuse challenge.
- Certified Notary Public, May 2023 to May 2028
Languages
Spanish
Native/ Bilingual
English
Full Professional
Education
true
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Office Specialist Sr
Travis County
07.2020 - 02.2025
Office Specialist
Travis County
01.2019 - 12.2020
Program Coordinator
Health Care Scouts
08.2017 - 12.2017
Dispatch/Customer Service
FreightWatch International
01.2017 - 04.2017
Patient Access Representative
Seton Healthcare Family
09.2016 - 12.2016
Provider Line Representative
Maximus Call Center
05.2014 - 03.2015
Supervisor Assistant
Maximus Medicaid and Chip Program Insurance
12.2013 - 07.2016
Customer Service Representative Medicaid and Chip Program
Maximus
12.2013 - 05.2014
Cashier/Sales Associate
Target
08.2012 - 09.2013
Certificate - Medical Billing And Coding
Austin Community College
High school diploma -
Lanier High School
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