Summary
Skills
Work History
Education
Overview
Generic

Jessica Vazquez

Weslaco,TX

Summary

I am a highly skilled professional with extensive experience in regulatory standards and compliance requirements. Over the past 13 years, I have established myself as a confident and knowledgeable expert in the medical industry. My excellent communication skills, both oral and written, coupled with my expertise in developing medical industry workflows, make me an invaluable asset to any team. I am a reliable, flexible, and detail-oriented team player with exceptional organizational skills. My ability to handle multiple projects simultaneously with a high degree of accuracy is a testament to my proficiency. I am actively seeking a full-time position that presents challenging opportunities for me to utilize my interpersonal, excellent time management, and problem-solving skills.

Skills

  • Insurance Verification
  • Medical terminology expertise
  • Claims Management
  • Prior authorization processing
  • Data entry proficiency
  • HIPAA Compliance
  • Effective communication skills
  • Financial knowledge reporting, accounts receivable, accounts payable
  • Teamwork and Collaboration
  • Administrative Management
  • Adaptability and Flexibility

Work History

DME Prior Authorization Specialist

A&P Quality Care Medical
05.2022 - Current
  • Streamlined prior authorization processes and reduced processing times by implementing efficient tracking systems.
  • Obtained necessary documentation for prior authorization requests and collaborated with healthcare providers.
  • Improved communication channels between healthcare providers and insurance companies.
  • Assisted in the development of departmental guidelines and procedures and identifying trends in denials through data analysis and adapted strategies accordingly.
  • Provided guidance to team members on complex cases.
  • Achieved high success rate in obtaining authorizations.
  • Inputted all patient data accurately into the system.

Medical Assistant

HCA Healthcare Multi-Specialty Clinic
08.2019 - 05.2022
  • Provide support to physicians, office management, front desk, and patients in Cardiology, Neurology, Orthopedic Surgery, and General Surgery clinics.
  • Schedule surgical procedures and outpatient diagnostic tests while ensuring that all appropriate clinical and insurance authorization coding information is collected for the surgery schedule.
  • Triage patient, prepare exam and treatment rooms with necessary instruments for patients, including sterilization and maintenance of supplies and equipment for treatments.
  • Provide wound care, change of dressings, remove staples and sutures for Post-Operative patients.
  • Perform EKG's, ECG's, and Holter monitor placements.
  • Contribute to positive health outcomes by educating patients on preventative measures, treatment plans, post-op care and follow-up care instructions.
  • Keep medical supplies sufficiently stocked by monitoring levels and submitting replenishment orders before depleted

Insurance Triage Representative

Broadpath Healthcare Solutions
09.2018 - 06.2019
  • Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of health plan members seeking assistance and route to the appropriate department and/or individual per establish workflows
  • Make outbound calls to assist members
  • Use tools and problem-solving skills to identify caller needs, including potential crisis calls, and route calls to appropriate resource per standard operating procedures
  • Identify and employ alternative approaches to communicate with callers when encountering barriers and escalate as needed
  • Maintain performance and quality standards based on established call center metrics and benchmarks.

Medical Assistant

Memorial Hermann Mental Health Crisis Clinic
03.2017 - 09.2017
  • Triage emergency situations in the clinic and assign appropriate licensed providers (psychiatrist or therapist on site)
  • Screen and record vital signs of patients and enter into EHRS in a timely manner
  • Schedule appointments and completed referrals as directed by providers
  • Answer phone calls, retrieve messages, forward to providers, keep track of call logs and ensure timely follow-up with patients
  • Attend all required safety training and education programs

Medical Administrative Assistant

Continuum Integrated Behavioral Health Services
10.2014 - 01.2015
  • Record vital signs, current complaints, and pertinent history for patients
  • Schedule follow-up visits and processed referrals for patients, if indicated
  • Streamlined front desk operations through the implementation of an effective filing system for patient documentation.
  • Handled sensitive patient information with discretion, adhering to strict HIPAA guidelines and safeguarding privacy at all times.
  • Call in all prescriptions and obtain medication authorization from insurance companies

Medical Assistant

Kidney Health Center- Nephrology Clinic
09.2013 - 03.2014
  • Scheduled appointments in person or by telephone, optimizing patients' satisfaction, provider time, and treatment room utilization.
  • Collected and documented patient medical information such as vital signs and medical history
  • Maintained patient accounts and obtained revenue by recording personal and financial information, recording and collecting patient charges, controlling credit extended to patients, filing, collecting, and expediting third-party claims.
  • Secured patient information and maintained patient confidentiality by completing and safeguarding medical records, diagnostic coding and procedure coding.
  • Completed insurance prior authorizations for patient visits and procedures.

Assistant Store Manager

Family Dollar
12.2010 - 03.2014
  • Improved customer satisfaction and increased store sales.
  • Supervised and trained Store Associates, managed inventory control processes, and ensured a clean and well-stocked store.
  • Collaborated with the Store Manager to analyze sales data, identify trends, and develop targeted action plans. -
  • Oversaw daily operations, managed vendor relationships, and ensured adherence to company policies and procedures.
  • Provided support to loss prevention efforts and supervised cash handling procedures.
  • Assisted with budget planning and financial reporting.

Medical Assistant

Salim Gopalani M.D. P.A. Internal Medicine Office
09.2012 - 09.2013
  • Obtained patient medical history, medication information, symptoms, allergies, and vital signs.
  • Directed patients to exam rooms and prepared them for physician examinations.
  • Assist front desk and performed medical records management, including filing, organizing, and scanning documents.
  • Assisted billing department by modifying and submitting superbills to payers for reimbursement.
  • Conducted laboratory tests and prepared specimens for analysis to aid in accurate diagnoses.

Education

Bachelor's - Operations Management And Supervision

South Texas College
Mcallen, TX
12.2025

Certificate of Medical Assistant -

Sanford-Brown College-Northloop
Houston, TX
07.2012

High School Diploma -

Macarthur High School
Houston, TX
06.2011

Overview

13
13
years of professional experience

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Jessica Vazquez