Jocelyne Rios
Costa Mesa,CA
Summary
Dedicated and compassionate healthcare professional with experience in medical assisting and customer service. Skilled in patient communication, appointment scheduling, medical records management, insurance verification, and handling high-volume phone and electronic communications. Proven ability to provide exceptional patient support, address billing and clinical inquiries, and collaborate effectively with healthcare providers to ensure quality patient care. Strong organizational, multitasking, and problem-solving skills with a commitment to professionalism and patient satisfaction.
Overview
12
12
years of professional experience
Work History
Clinical Coordinator
Optum Infusion Services
Lenexa, KS
12.2022 - 10.2026
- Manage high-volume inbound calls from physician offices, patients, and insurance carriers regarding infusion
- therapy.
- Schedule patient infusion medication deliveries and coordinate with pharmacy and nursing teams.
- Conduct insurance verification for infusion and specialty medications; assist in submitting prior authorizations
- for IVIG therapies.
- Triage patients reporting medication symptoms and transfer appropriately to pharmacy or clinical staff.
- Work within performance metrics for productivity, accuracy, and turnaround time.
- Maintain detailed documentation within CRM and EMR systems.
Senior Medical Assistant
Optum Medical Group
Laguna Hills, CA
01.2021 - 12.2022
- Verified insurance coverage, collected medical records, and completed patient intake.
- Submitted authorizations for specialty referrals and specialty medications (CoverMy Meds).
- Administered vaccines, recorded vital signs, and documented chief complaints.
- Assisted physicians with clinical procedures and obtained lab results for patient follow-up.
- Completed daily quality control logs and maintained medical supply inventory
- Managed for patient inbox communications by calling patients via phone and relaying lab results and physician messages while ensuring timely follow up
Front Desk / Medical Assistant
Magella Medical Group
Laguna Hills, CA
04.2019 - 09.2020
- Managed a four-line phone system , answering and directing incoming calls while providing exceptional patient service
- Scheduled appointments for ultrasound, blood draw , or consultation visit with physician
- Performed insurance verification, collected patient records, and ensured accurate documentation for
- high-risk pregnancy patients.
- managed patient flow, and confirmed daily appointment lists.
- Submitted authorizations for ultrasounds, genetic consults, dietician appointments, and perinatal
Medical Billing Associate
SG Homecare Inc
Costa Mesa, Ca
08.2014 - 12.2018
- Handled inbound calls from patients , addressing billing inquiries and providing accurate information regarding account balances, payments and insurance coverage
- Managed patient billing processes to ensure accuracy and compliance with regulations.
- Reviewed and processed insurance claims, identifying discrepancies for timely resolution.
- Collaborated with healthcare providers to verify patient information and billing accuracy.
Education
High School Diploma -
Saddleback High School
Santa Ana, CACompletion of Medical Assisting Clinical And Admin - Medical Assisting
Santa Ana College
Santa Ana, CASkills
- Patient scheduling
- Insurance verification
- Clinical leadership
- Clinical documentation
- Medical records management
- Referral management
Timeline
Clinical Coordinator
Optum Infusion Services
12.2022 - 10.2026
Senior Medical Assistant
Optum Medical Group
01.2021 - 12.2022
Front Desk / Medical Assistant
Magella Medical Group
04.2019 - 09.2020
Medical Billing Associate
SG Homecare Inc
08.2014 - 12.2018
High School Diploma -
Saddleback High School
Completion of Medical Assisting Clinical And Admin - Medical Assisting
Santa Ana College