La Chaunda Marquez
Las Vegas,NV
Summary
Looking to retain a supervising role and utilize my leadership skills to motivate staff and production teams to improve productivity and meet organizational objections. Experience managing employees and helping them fulfill major projects, such as increasing productivity and manufacturing quality.
Overview
18
18
years of professional experience
Work History
Care Navigator
United Health Care
03.2021 - Current
- Process Pre-Assessments prior to nurse visit.
- Assisted members with social determinants of health and linked to appropriate community resources.
- Utilized Microsoft Word to edit, create and save confidential documents.
- Maintained confidential health information according to state and federal regulations.
- Followed document protocols to safeguard confidentiality of patient records.
- Facilitated communication between patients and various departments and staff.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Carried out day-day-day duties accurately and efficiently.
- Worked flexible hours; night, weekend, and holiday shifts.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
- Training of new hires
- Training of current employees
- Perform as a department chat captain assisting other navigators with answers to questions to perform their daily duties .
Patient Services Coordinator
Comprehensive Cancer Center
08.2019 - 02.2021
- Contacted insurance company to verify patient coverage before visit.
- Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Sent medical and surgical questionnaire forms to patients to obtain missing information.
- Collected time of service payments and issued receipts.
- Telephoned and interviewed patients and family members to obtain pre-registration information and confirm appointments.
- Investigated, triaged and resolved patient issues to encourage positive experience during patient visit.
- Answered over [Number] telephone calls per [Time Frame] to handle rescheduled, missed and reassigned visit requests.
- Oversaw monthly inventory orders to guarantee properly stocked office.
- Used [Software] to maintain electronic patient files, successfully maintaining over [Number] patient files.
- Scheduled appointments to enter appointment date and time into computerized scheduler.
- Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
- Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
- Inputted accurate patient insurance, billing and payment information in [Software].
- Respected patients by recognizing rights and maintaining confidentiality.
- Used [Software] to process and post personal checks, credit card, incoming cash receivables and care credit transactions.
- Drove proactive patient outreach activities to schedule appointments and follow-up on care and health maintenance.
- Collaborated with colleagues to maintain and upkeep office and waiting area to provide clean and organized environment for patients.
- Communicated with primary care offices and insurance companies to obtain authorization.
Associate Patient Coordinator
United Health Care
06.2016 - 08.2019
- Welcome patient and establishing a positive patient experience
- Checking patients in using standard processes & ensuring demographics are correct
- Responsible for daily bank
- Verify insurance for all patients
- Handling incoming customer inquiries
- Responsible for waiting room management
- Establish a rapport with all staff to build a sense of teamwork for a healthy environment to promote a positive patient experience
- Support other clinics/departments when requested by management
- Review provider schedules for accuracy & inappropriate scheduling
- Greet patients and check patients in and out
- Ensure demographic including insurance information is correct in IDX & update as necessary
- Schedule appointments as necessary
- Work with back office to get patients seen who walk in or call for appointment
- Enter charges correctly and collect appropriate payments
- Answer telephones and take messages or route incoming calls as per policy
- Document all calls and messages appropriately according to policy
- Ensure that issues such as refills and provider requests are taken care of
- Responsible for waiting room management
- Work with back office staff to ensure smooth patient flow
- Communicate with clinical personnel about service issues & complaints
- Assist coworkers and team members with duties
- Call Center Experience
- Provide premium level service, removing burdens and providing end-to-end resolution for members
- Provide single point of contact for the member
- Respond to inquiries and issues
- Microsoft Applications, Driving, Personnel
- Balance, E-mail, Policies
- Billing, Financial, Processors
- Business Development, Forms, Profit
- Call Center, ICD-9, Quality
- Cash Handling, Imaging, Real time
- Com, Instruction, Receptionist
- Continuous improvement, Insurance,
- Research
- CPT, Leadership, Retail
- BLS
Store Operations Manager
LA Cash Advance
08.2006 - 12.2015
- Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
- Coached sales associates in product specifications, sales incentives and selling techniques, significantly increasing customer satisfaction ratings.
- Reviewed and monitored scheduling, purchases and other expenses to maintain quarterly budget.
- Managed inventory control, cash control and store opening and closing procedures.
- Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
- Completed point of sale opening and closing procedures.
- Maximized sales and minimized shrinkage through excellent customer service and adherence to standard practices.
- Set effective store schedules based on forecasted customer levels, individual employee knowledge and service requirements.
- Supervised guests at front counter, answering questions regarding products.
- Promoted team collaboration, performance and efficiency by fostering healthy environments focused on mutual success.
- Coached sales associates on product knowledge by using wide variety of training tools.
- Reconciled daily sales transactions to balance and log day-to-day revenue.
- Upheld and communicated store programs and standards to employees for optimal quality, freshness, safety and cleanliness.
- Protected store from loss or theft by setting and enforcing clear security policies.
- Scheduled and led weekly store meetings for all employees to discuss sales promotions and new inventory while providing platform for all to voice concerns.
- Delivered positive results by controlling monthly operations budget and limiting financial discrepancies.
- Marketing
Education
AA - Business Management
College of Southern Nevada
Las Vegas, NV2024
Diploma - General
HORIZON HIGH SCHOOL
Santa Ana, NV06.2000
Skills
- Database Search and Data Entry Skills
- Administrative and Office Support
- Gathering Information From Patients
- Patient Needs Assessment and Referral
- Communicating to Patients and Families
- Patient Confidentiality and Data Security
- Registration and Scheduling
- Resolving Problems
- Building Rapport and Credibility
- Documenting and Recording Information
- Explaining Policy and Procedures
- Patient Health Information Access
- Resource Coordination
- Verifying Coverage
- HIPAA Regulations
- Time Prioritization
- Medical History Documentation
- Delinquent Accounts Monitoring
- Time Management
- Billing Issue Resolution and Support
- Multi-Line Telephone Systems
- Outbound Calling
- Risk Management Assessments
- Claims Handling and Coverage Verification
- Business Management Principles
- Spreadsheet Tracking
Additional Information
- requestReferences available upon requestReferences available upon requestReferences available upon request
Timeline
Care Navigator
United Health Care
03.2021 - Current
Patient Services Coordinator
Comprehensive Cancer Center
08.2019 - 02.2021
Associate Patient Coordinator
United Health Care
06.2016 - 08.2019
Store Operations Manager
LA Cash Advance
08.2006 - 12.2015
AA - Business Management
College of Southern Nevada
Diploma - General
HORIZON HIGH SCHOOL
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