Summary
Overview
Work History
Education
Skills
Timeline
Generic

Maria Rangel

Colona,IL

Summary

Efficient Customer Service Representative with 10 years of increasing responsibility in the Medical Field. Expertise in medical terminology, insurance processes, Patient Education, and High volume call center. Interested in shifting career to care management.

Overview

9
9
years of professional experience

Work History

Referral Specialist

Carelon Medical Benefits Management
04.2021 - Current
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Partnered with other departments to provide top-notch service to clients.
  • Verified insurance benefits and eligibility for patient procedures before completing authorizations.
  • Built professional relationships with service providers and doctor offices.
  • Processed referral requests from patients, doctors and other health care professionals.
  • Developed and maintained strong working relationship with referral sources to streamline processing.
  • Provided education and instruction to referral sources on referral processes.
  • Attended continuing education courses to stay current on referral processes and best practices.
  • Assisted with training new hires

Certified Medical Assistant

Womens Healthcare Of Illinois
01.2017 - 06.2020
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Enhanced patient outcomes by providing knowledgeable education on procedures, medications, and other physician instructions.
  • Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.
  • Prepared and administered medications to alleviate patient symptoms.
  • Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
  • Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
  • Managed and trained a team of CMAs

Surgery Scheduler

Advocate Christ Medical Center
03.2018 - 12.2018
  • Arranged pre-operative and post-operative appointments for surgical patients.
  • Resolved scheduling conflicts to maintain high-quality patient services.
  • Expertly managed planning, scheduling, and coordination of outpatient procedures.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Communicated surgery requirements to nursing teams for smooth operation delivery.
  • Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
  • Updated patient records to reflect upcoming surgeries and medical histories.
  • Ran a group “huddle” for next day surgeries when surgery coordinator is unable to do so.

Certified Medical Assistant

Advanced Pain Consultants
08.2015 - 03.2018

-Welcomed patients and guest and made sure there demographics and insurance coverage was up to day.

-Used several insurance website to checked patient's insurance eligibility and benefits when needed.

-Brought patients into the exam room where I took vitals, retrieved their HPI, and Chief Complaint for the doctor.

-Transcribed for the doctor during the patients visit.

-Ordered X-Rays, MRI's, CT's, Labs, and referrals the doctor wanted for the patient

-eScribed prescriptions to pharmacies

-Used eClinicalWorks to keep track of patient records

-Prepared Orders for next day patients

-Called insurance companies to receive Prior Certifications for medications.

-Retrieved New patient information over the phone, scheduled them, and created them as a patient in ECW.

-Assisted and prepped for procedures

-Triaged phone calls

-=Administer IVs for procedures

-Assist with EMR updates and issues.


Accomplishments

-I was able to assist the practice with simplifying ECW to make office visits more efficient and create a better work flow.

-I prepared and presented Medical Records for an ISME audit

Education

CMA Certification - Medical Assistant

Midwest Technical Institute
Moline, IL
02.2013

High School Diploma -

United Township High School
East Moline, IL
06.2007

Skills

  • Anatomy and Physiology Terms
  • Online Systems
  • High-Volume Environments
  • Reviewing Patient Information
  • Confidential Records Management
  • Staff Leadership
  • Patient History Collection
  • HIPAA Regulations
  • Data Entry
  • Adaptable and Flexible
  • Strong Organization
  • Insurance Verification

Timeline

Referral Specialist

Carelon Medical Benefits Management
04.2021 - Current

Surgery Scheduler

Advocate Christ Medical Center
03.2018 - 12.2018

Certified Medical Assistant

Womens Healthcare Of Illinois
01.2017 - 06.2020

Certified Medical Assistant

Advanced Pain Consultants
08.2015 - 03.2018

CMA Certification - Medical Assistant

Midwest Technical Institute

High School Diploma -

United Township High School
Maria Rangel