Jhoelin Almonte
Yonkers
Summary
Experienced in prior authorization within healthcare settings, handling tasks such as ensuring accuracy of patient insurance information and obtaining necessary approvals for medical procedures. Demonstrates strong skills in administrative work, documentation management, and fostering effective communication between patients, providers, and insurance companies. Known for problem-solving capabilities, precision in task completion and ability to positively impact workflow efficiency.
Overview
11
11
years of professional experience
3
3
years of post-secondary education
Work History
Case Manager
Chenega Corporation(Remote)
02.2025 - Current
- Manage client cases and coordinate access to healthcare and community resources.
- Maintain accurate case records and documentation in compliance with program requirements.
- Communicate with patients, healthcare providers, and community agencies to coordinate services.
- Review eligibility requirements and assist clients with obtaining appropriate services and benefits.
- Monitor case progress and ensure timely follow-up on client needs.
- Provide guidance and support to clients navigating healthcare and social service systems.
Insurance Verification Specialist (Remote)
Spectraforce
09.2024 - 02.2025
- Verified insurance eligibility, benefits, and coverage requirements.
- Processed prior authorizations and reviewed supporting documentation.
- Communicated with insurance carriers, providers, and patients to resolve coverage issues.
Medical Assistant
White Plains Hospital
08.2020 - 08.2024
- Obtained and documented patient histories, vital signs, chief complaints, and medication information.
- Assisted physicians and nursing staff during examinations, treatments, and procedures.
- Performed patient intake, rooming, and accurate EMR documentation.
- Coordinated referrals, specialist appointments, diagnostic testing, and follow-up care.
- Verified insurance coverage and obtained prior authorizations for medical services.
- Educated patients on treatment plans, medications, and discharge instructions.
- Maintained patient confidentiality and HIPAA compliance.
- Collaborated with multidisciplinary healthcare teams to ensure quality patient care.
Benefits Specialist (Remote)
Conduent
09.2022 - 03.2023
- Assisted members with healthcare benefits and eligibility inquiries.
- Resolved complex benefit-related issues through research and policy review.
Medical Assistant
61st Street Corp
06.2019 - 01.2020
- Assisted providers with patient examinations and clinical procedures.
- Collected patient histories and documented information in medical records.
Medical Assistant/Eligibility Specialist
NY Pain & Spine
11.2015 - 05.2019
- Secured prior authorizations and confirmed insurance eligibility through payer portals to facilitate patient access to necessary services.
- Executed patient intake, conducted medication reviews, and coordinated follow-ups to ensure comprehensive patient care.
- Streamlined communication among patients, providers, pharmacies, and insurance companies to enhance collaboration and service delivery.
Education
Associate of Applied Science - Health Information Technology
Hutchinson Community College
Hutchinson, KS 09.2025 - 07.2026
Medical Assistant Certificate -
New Age Training
Manhattan, NY 09.2013 - 11.2015
GED -
SUNY Westchester Community College
Skills
- Care Coordination
- Patient Intake
- Referrals
- Insurance Verification
- Prior Authorizations
- EMR/EHR Documentation
- Medical Records Management
- Medical Terminology
- HIPAA Compliance
- Healthcare Administration
- Appointment Scheduling
- Bilingual (English/Spanish)
Timeline
Associate of Applied Science - Health Information Technology
Hutchinson Community College
09.2025 - 07.2026
Case Manager
Chenega Corporation(Remote)
02.2025 - Current
Insurance Verification Specialist (Remote)
Spectraforce
09.2024 - 02.2025
Benefits Specialist (Remote)
Conduent
09.2022 - 03.2023
Medical Assistant
White Plains Hospital
08.2020 - 08.2024
Medical Assistant
61st Street Corp
06.2019 - 01.2020
Medical Assistant/Eligibility Specialist
NY Pain & Spine
11.2015 - 05.2019
Medical Assistant Certificate -
New Age Training
09.2013 - 11.2015
GED -
SUNY Westchester Community College