Jose Horta
Richmond,TX
Summary
Capable Patient Care Coordinator dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling prescription refills and renewals, as well as improving functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
1
1
year of professional experience
Work History
Patient Care Coordinator, Chat Division
OptumRx
05.2023 - Current
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Delivered excellent patient experiences and direct care.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Provided support and guidance to patients and families to navigate healthcare systems.
- Performed as subject matter expert for case management processes.
- Verified patient insurance eligibility and entered patient information into system.
- References: Jesus Martinez (Supervisor)
Legal Clinic Associate
Interamerican University Of Puerto Rico
01.2023 - 05.2023
- Filed court documents and legal pleadings with court clerk on behalf of attorneys.
- Prepared and drafted correspondence and legal forms to maintain smooth communications.
- Managed accounts and client records of clients, observing confidentiality, and extreme discretion.
- Scheduled appointments, court appearances, and depositions for busy law firm.
- Adhered to legal and contractual requirements for compliant contract processes.
- Facilitated communication between involved parties to enable timely contract sign-off.
Patient Care Coordinator
OptumRx
10.2022 - 05.2023
- Worked closely with patients to deliver excellent and direct individualized patient care, handling 35+ cases per day.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Acted as main point of contact for patients, doctors and hospital staff by closely reviewing patient files and maintaining high levels of communication.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Managed prescriptions by sending electronic requests for new medications and refills.
- References: Jesus Martinez (Current Supervisor) & Saulee Aulet
Education
Juris Doctor - Law (Pre-Law)
Interamerican University of Puerto Rico
San Juan, PR05.2023
Bachelor of Arts - English Literature / Linguistics
University of Puerto Rico - Mayaguez
Mayaguez, PR05.2019
Skills
- Verbal and Written Communication
- Customer Service
- Insurance Practices
- Time Management
- Healthcare Operations
- Prescriptions Management
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Patient Care Coordinator, Chat Division
OptumRx
05.2023 - Current
Legal Clinic Associate
Interamerican University Of Puerto Rico
01.2023 - 05.2023
Patient Care Coordinator
OptumRx
10.2022 - 05.2023
Juris Doctor - Law (Pre-Law)
Interamerican University of Puerto Rico
Bachelor of Arts - English Literature / Linguistics
University of Puerto Rico - Mayaguez
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