LYDIA PEREZ
Lakewood,CA
Summary
Dynamic and detail-oriented Eligibility Representative with extensive experience at Optum, excelling in patient insurance coordination and HIPAA compliance. Proven ability to enhance workflow efficiency and deliver exceptional customer service. Bilingual in Spanish, adept at fostering positive relationships and ensuring accurate data management in fast-paced environments.
Overview
23
23
years of professional experience
Work History
Eligibility Representative
Optum
El Segundo, CA
01.2023 - 02.2026
- Responded to client inquiries and escalated complex problems to department supervisors for resolution.
- Entered client information and files into databases for further review and tracking.
- Maintained confidential patient documentation to ensure HIPAA compliance and data security.
- Proofread documents to verify accuracy and completeness of all data.
- Maintained positive working relationships with staff and management to support team goals.
- Utilized software tools to streamline processes and improve workflow efficiency.
- Coordinated with other departments to promote prompt processing of client applications.
- Ensured accurate verification of health plan benefits and coverage.
Medical Assistant / Medical Records
Surgery Center of South Bay
Torrance, CA
01.2017 - 10.2020
- Organized patient charts alphabetically and submitted medical records to law offices or insurance companies.
- Retrieved lab reports from Lab Corp and printed operative reports from Med Tek.
- Translated aftercare instructions for Spanish-speaking patients to ensure understanding.
- Secured patient information and maintained patient confidence by safeguarding medical records.
- Handled general office duties to support administrative staff during peak hours.
- Audited patient charts and updated patient status in the SIS system.
- Contacted physicians' offices regarding abnormal lab results and obtained required signatures.
- Distributed infection control surveys to doctors and provided backup customer service.
Eligibility Representative
Healthcare Partners Medical Group
El Segundo, CA
01.2007 - 01.2017
- Provided customer service in a fast-paced environment and performed data entry for insurance updates.
- Maintained and verified insurance eligibility, coverage, and benefits for HealthCare Partners offices.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Conversed with people from different cultures daily, providing high levels of respect and patience.
- Granted, modified, denied, or terminated assistance based on eligibility determination.
- Answered questions and responded to inquiries to deliver high-level service to patients.
- Proofread documents to check accuracy and completeness of paperwork.
- Maintained confidential patient documentation to comply with HIPAA regulations.
Medical Assistant Care Team/Lead
Healthcare Partners Medical Group
Manhattan Beach, CA
09.2002 - 03.2007
- Trained new employees in patient care, appointment scheduling, and medical record management.
- Documented notes during patient appointments and processed prescription refill requests.
- Scheduled patient appointments while organizing charts and supplies to enhance team productivity.
- Measured vital signs, obtained medical histories, and prepared treatment rooms for patient visits.
- Facilitated communication between patients and physicians to address concerns and provide updates.
- Collected, labeled, and stored laboratory specimens to ensure proper handling for testing.
- Assisted physicians with office procedures and coordinated referrals to specialists or diagnostic testing.
Education
High School Diploma -
CARSON HIGH
Carson, CA06-1994
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Skills
- Medical administrative support
- Computer literacy
- Patient insurance coordination
- Insurance verification
- Time management
- Record keeping
- Patient confidentiality
- Medical office experience
- Data entry
- Health insurance knowledge
- Office administration
- Patient interaction
- EMR/EHR systems
- Managed care expertise
- Spanish fluency
- Patient scheduling systems
- Clerical experience
- Record management
- Microsoft Office proficiency
- Phone etiquette and communication
- Customer service excellence
- HIPAA compliance
Personal Information
Languages
- English
- Spanish
Timeline
Eligibility Representative
Optum
01.2023 - 02.2026
Medical Assistant / Medical Records
Surgery Center of South Bay
01.2017 - 10.2020
Eligibility Representative
Healthcare Partners Medical Group
01.2007 - 01.2017
Medical Assistant Care Team/Lead
Healthcare Partners Medical Group
09.2002 - 03.2007
High School Diploma -
CARSON HIGH