MARIA GRANADOS
Henderson,NC
Summary
Bilingual, detail oriented, and adaptable professional with extensive experience in medical and social services settings. Exceptional skills in client communication and insurance verification ensure seamless interactions and accurate processing. Proven ability to manage high caseloads efficiently while maintaining a strong focus on quality care and support. Committed to fostering positive relationships and delivering results in fast paced environments.
Overview
12
12
years of professional experience
Work History
Patient Access Specialist
Wake County Public Health
10.2022 - Current
- Manage and process outgoing referrals for 5-6 medical providers simultaneously, ensuring accuracy, timeliness.
- Verify patient insurance coverage and obtain necessary authorizations or pre-certifications for referral services
- Schedule appointments with specialist providers and ensure all relevant documentation is sent prior to the patient visit
- Maintain detailed and accurate records of referrals and communications in electronic health record (EHR) system
- Follow up with patients, providers, and specialist to track referral status and ensure timely care coordination
- Communicate effectively with patients in person and over the phone regarding referral instruction, appointments details, and insurance questions
- Ensure compliance with HIPAA and all applicable healthcare regulations
Customer Service Representative
Eastern Regional Center / Wake County
07.2013 - 10.2022
- Regional Center Customer Service Representative served as the first point of contact for clients accessing a variety of public assistance and health-related services. CSR responsible for intake, screening, and processing support for programs including Medicaid, Food and Nutrition Services, Energy Assistance, Housing support, and Medical Clinic Services. The position also included administrative and clerical responsibilities such as collecting payments, processing vital records, and managing pharmacy prescription distribution.
- Greet and assist individuals applying for Medicaid, Food and Nutrition Services, Energy Assistance, and Housing support.
- Conduct initial screenings and date entry for program eligibility.
- Check in patient for appointments and verify insurance or program eligibility.
- Check out, and schedule follow-up visits.
- Perform clerical tasks such as scanning, filing, and date entry.
- Receive and process payments for property taxes, health clinic balances, and other services-related fees.
- Issue receipts and maintain accurate transaction records.
- Process and fulfill birth certificate requests in accordance with legal and privacy guidelines.
- Verify patient information and secure signatures for prescription pick up.
Skills
- Bilingual Spanish / English
- Microsoft Word & Excel Proficiency
- Statistical data management
- NC Fast & OnBase system proficiency
- Strong attention to detail
Timeline
Patient Access Specialist
Wake County Public Health
10.2022 - Current
Customer Service Representative
Eastern Regional Center / Wake County
07.2013 - 10.2022