Maria Figueroa
Provider Engagement Specialist
Paramount
Summary
Dynamic member service advocate skilled in member education and Provider engagement strategies. Committed to enhancing member satisfaction through effective communication and problem-solving.
Overview
18
18
years of professional experience
Work History
Member Service Advocate
Scan
Long Beach
03.2022 - Current
- Educated members on benefits and features of their membership plans effectively.
- Conducted follow-up communications to ensure member satisfaction and service quality.
- Assisted members with inquiries and provided information on services offered.
- Participated in training sessions to stay updated on company policies and procedures.
- Provided exceptional customer service to members by responding promptly and courteously to inquiries, concerns, and requests.
Provider Engagement Specialist
Advance Medical Management
Long Beach
02.2017 - 03.2022
- Coordinated outreach programs to increase awareness of services.
- Supported data analysis to identify trends in patient engagement.
- Implemented tools for tracking patient interactions and satisfaction.
- Utilized CRM systems to track and manage member interactions and feedback.
- Created reports summarizing key performance metrics related to customer engagement activities.
- Ensured compliance with all applicable regulations when planning events or activities related to member engagement.
Registration Coordinator
PIH Health Hospital
Whittier
01.2010 - 02.2017
- Assisted patients with insurance verification and appointment scheduling.
- Provided exceptional patient service to enhance patient experience and satisfaction.
- Resolved patient inquiries and issues promptly and professionally.
- Monitored daily operations of the registration office, providing assistance as needed.
- Coordinated authorization requests for patient services and medical procedures.
- Communicated with healthcare providers to gather necessary documentation for approvals.
Authorization Specialist
Huntington Radiology
Huntington Park
04.2008 - 01.2010
- Reviewed patient insurance information for authorization compliance.
- Coordinated communication with providers regarding authorization requirements.
- Educated patients on authorization processes and requirements as needed.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Entered data into electronic medical record system accurately and efficiently.
Education
High School Diploma -
El Rancho High School
Pico Rivera, CA06-2001
Skills
- Member education
- Membership benefits
- Customer relationship management
- CRM system utilization
- Data analysis
- Client engagement strategies
- Remote office availability
- Problem-solving
- Professionalism
- Teamwork skills
Languages
Spanish
Professional
Timeline
Member Service Advocate
Scan
03.2022 - Current
Provider Engagement Specialist
Advance Medical Management
02.2017 - 03.2022
Registration Coordinator
PIH Health Hospital
01.2010 - 02.2017
Authorization Specialist
Huntington Radiology
04.2008 - 01.2010
High School Diploma -
El Rancho High School