Magali Gutierrez
Wills Point,TX
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
10
10
years of professional experience
Work History
Eligibility Representative
Cigna Health Care
Dallas, TX, Tx
09.2024 - Current
- Process prior authorization requests for medications and treatments.
- Review and verify submitted information for accuracy and completeness.
- Communicate with healthcare providers for necessary documentation.
- Communicated with healthcare providers to gather necessary documentation.
- Collaborate with insurance companies to verify compliance with policies and resolve authorization issues.
- Collaborate with insurance companies to resolve authorization issues.
- Utilize pharmacy management systems for tracking authorizations.
- Executed daily operational tasks efficiently. accurately and efficiently.
- Educated patients on medication coverage and authorization requirements to enhance understanding and compliance.
Patient Access Representative
USMD
Irving, TX
02.2020 - 01.2024
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Collected and entered patient demographic and insurance data into database, establishing accurate medical records for effective patient care.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Obtained patient insurance information and verified eligibility for benefits, ensuring seamless access to necessary services.
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
- Resolved client complaints by actively listening and providing appropriate solutions. through timely corrective actions and appropriate referrals.
Customer Service Representative
Molina Healthcare
Irving, TX
10.2018 - 01.2019
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly, ensuring minimal on-hold wait times.
- Managed high volume of customer calls, maintaining minimal wait times for improved service.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Achieved daily productivity goals by managing high call volume efficiently.
Customer Service Representative
Aetnagroup
Dallas, Texas
12.2016 - 06.2018
- Answered customer telephone calls promptly, reducing on-hold wait times and enhancing customer experience.
- Provided tailored advice and assistance to customers, addressing specific needs and preferences.
- Ensured customer satisfaction through proactive strategies aimed at addressing needs and resolving concerns.
Education
Trade School - Medical Administration
PCI Health Training Center
Dallas, TXHigh School Diploma -
H. Grady Spruce
Dallas, TXSkills
- Verifying Eligibility
- Insurance Authorizations
- Authorization management
- Insurance data collection
- Documentation management
- Patient information gathering
- Quality Assurance
- Quality Standards and Protocols
- Patient Engagement
- Multitasking and Organization
- Call Management
- Data entry
- Resolving Problems
- Patient assessments
Timeline
Eligibility Representative
Cigna Health Care
09.2024 - Current
Patient Access Representative
USMD
02.2020 - 01.2024
Customer Service Representative
Molina Healthcare
10.2018 - 01.2019
Customer Service Representative
Aetnagroup
12.2016 - 06.2018
Trade School - Medical Administration
PCI Health Training Center
High School Diploma -
H. Grady Spruce