Lidia Hurtado
Valrico
Summary
Highly organized, effective communicator, and natural leader seeking a position to leverage strong organizational, communication, and leadership skills.
Overview
8
8
years of professional experience
Work History
SNP Care Coordinator
Alignment Healthcare
10.2022 - Current
- Call members and go through Care Plan
- Call providers and request referrals for member's
- Call members and do HRA (Health Risk Assessment)
- Make sure the member has done there Hedis measures
- Call member after hospital discharge
- Do any task assigned to me by my Case Manager
Managed Care Coordinator
Florida Medical Clinic
08.2021 - 10.2022
- Hospital Census
- Help members with making appointments
- Work on HEDIS measures
- Referrals
Intake Coordinator
Alignment Healthcare
01.2018 - 08.2021
- Input authorization request from providers
- Take calls from providers for authorization verification
- Request clinical for Nurse Reviewer or Medical Director
- Approve request per UM business rules
- Prepare census
- Call hospital and verify member status
- Call SNF's and request clinical
Patient Care Coordinator Sr
Briovarx Infusion Services
12.2016 - 01.2018
- Verify member insurance
- Request authorization from insurance for infusion services
- Explain to members their benefits
- Help members with claim
Education
Associate in Science (AS) - Counseling and Human Services
Hillsborough Community College
Tampa, FL01.2025
Certificate - Secretarial Word Processing
Genesis School of Business
07.1993
Skills
- Medical billing
- Data entry
- CPT Coding
- Phone etiquette
- Microsoft Office
- Claims
- Medical Records
- Time management
- Bilingual (Spanish)
- Medical terminology
- Notary
- Customer service
- ICD-10
Timeline
SNP Care Coordinator
Alignment Healthcare
10.2022 - Current
Managed Care Coordinator
Florida Medical Clinic
08.2021 - 10.2022
Intake Coordinator
Alignment Healthcare
01.2018 - 08.2021
Patient Care Coordinator Sr
Briovarx Infusion Services
12.2016 - 01.2018
Certificate - Secretarial Word Processing
Genesis School of Business
Associate in Science (AS) - Counseling and Human Services
Hillsborough Community College
Similar Profiles
David MayDavid May
Member Service Representative at Alignment HealthcareMember Service Representative at Alignment Healthcare
Elavarasu RamasamyElavarasu Ramasamy
Director of Data Engineering at Alignment HealthcareDirector of Data Engineering at Alignment Healthcare
Siva Sai KumarSiva Sai Kumar
Senior SAS Programmer at Alignment HealthcareSenior SAS Programmer at Alignment Healthcare
LUIS LARALUIS LARA
Enrollment Membership Representative at Alignment HealthcareEnrollment Membership Representative at Alignment Healthcare
Kellcee AurichKellcee Aurich
Registered Nurse at HCARegistered Nurse at HCA