Marie Roughsurface
Albuquerque
Summary
Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
9
9
years of professional experience
Work History
Claims Technician
Blue Cross and Blue Shield
Albuquerque
05.2025 - Current
- Processed claim submissions using industry-standard software and protocols.
- Reviewed documentation for accuracy and completeness before approval.
- Maintained detailed records of claims interactions and resolutions in the database.
- Submitted documentation to insurance companies for authorization of payment for services rendered.
- Verified insurance coverage, eligibility, and benefit levels of claimants.
- Analyzed claim trends in order to identify areas of improvement in the processing system.
Primary Care Coordinator /Surgery Scheduler
Optum
Albuquerque
11.2021 - 02.2025
- Facilitated communication between patients and healthcare providers.
- Managed electronic health records for patient information accuracy.
- Scheduled appointments and follow-up visits for patients efficiently.
- Assisted with insurance verification and authorization processes.
- Maintained accurate client records in accordance with agency policies and procedures.
Patient Care Technician
Presbyterian Hospital
Albuquerque
01.2017 - 01.2020
- Assisted nurses with patient care tasks and daily activities.
- Monitored vital signs and documented changes in patient conditions.
- Prepared and maintained clean patient rooms and equipment.
- Communicated effectively with healthcare team members about patient status.
- Followed safety protocols to maintain a sterile environment.
- Answered call lights promptly and responded appropriately to requests from patients, families, staff members.
Education
High School Diploma -
Laguna Acoma High School
Casa Blanca, NM05-2015
Skills
- Claims processing
- Insurance verification
- Database management
- Documentation review
- Trend analysis
- Patient coordination
Accomplishments
- Graduated with a 3.8 GPA
- Awarded female student athlete of the year.
Timeline
Claims Technician
Blue Cross and Blue Shield
05.2025 - Current
Primary Care Coordinator /Surgery Scheduler
Optum
11.2021 - 02.2025
Patient Care Technician
Presbyterian Hospital
01.2017 - 01.2020
High School Diploma -
Laguna Acoma High School