Marilyn Trujillo
Sparta,WI
Summary
Dedicated administrative professional with a strong background in communication and team building. Possessing extensive knowledge in medical terminology and scheduling, well-prepared to contribute 9 years of relevant work experience to a team.
Overview
13
13
years of professional experience
Work History
Patient Liaison
Gundersen Health System
06.2021 - Current
- Adhered to HIPAA guidelines while overseeing and safeguarding confidential patient records.
- Provided comprehensive training to new Patient Liaison staff, enabling them to deliver exceptional service and support to patients as well as healthcare teams.
- Achieved increased compliance with wellness visits for young patients by regularly reaching out to discharged individuals.
- Collaborated with patients and internal departments to effectively schedule appointments for referrals to specialty departments.
- Maintained accurate and up-to-date insurance records within the database.
- Ensures compliance with Gundersen's mission statement, customer service standards, and system-wide policies and procedures.
Plan to Plan Specialist Host
Anthem Blue Cross/ Blue Shield
03.2015 - 05.2021
- Ensured efficient resolution of calls from benefit plans
- Keyed and adjusted claims, ensuring accurate and timely processing through WGS.
- Efficiently liaised with providers to address coding discrepancies and resolve billing queries, while securing mandatory medical records and authorizations for streamlined claims processing.
- Utilized provider contract information to investigate and rectify pricing inconsistencies.
- Kept up with evolving health insurance processes, regulations, and guidelines.
- Sustain open lines of communication with membership plan, providers, and management through effective verbal and written exchange.
Medicare Enrollment (Anthem Blue Cross)
Apple One Temp Agency
07.2014 - 03.2015
- Transferred information from enrollment form into Content Framework
- Updated WGS, or ACES with Medicare enrollment information
- Contacting Medicare enrollees to obtain missing information.
Intake Specialist
Reed Group
09.2011 - 06.2014
- Gathered and verified all required client employee information for tracking purposes
- Defused volatile client employee situations calmly and courteously
- Accurately documented, researched and resolved client employee issues
- Referred unresolved client employee grievances to designated departments for further investigation
- Acted professionally and patiently when addressing negative client employee
Education
College core completion -
Lewis Clark State College
Lewiston, Idaho05.2003
Skills
- Exceptional communication skills
- Skilled in call center operations
- MS Windows proficient
- Exceptional workflow management
- Quick learner
- Adheres to customer service procedures
- Strong Client Relations
- WGS/ CCB
- Strong problem solving aptitude
- Blue Squared
- Proficient in the use of Epic
Timeline
Patient Liaison
Gundersen Health System
06.2021 - Current
Plan to Plan Specialist Host
Anthem Blue Cross/ Blue Shield
03.2015 - 05.2021
Medicare Enrollment (Anthem Blue Cross)
Apple One Temp Agency
07.2014 - 03.2015
Intake Specialist
Reed Group
09.2011 - 06.2014
College core completion -
Lewis Clark State College