Summary
Overview
Work History
Education
Skills
References
Timeline
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Marisol Hinton

San Antonio,TX

Summary

Compassionate patient advocate with a decade of experience working in the healthcare industry for our senior population. Self-motivated team player with great communication skills and proven proficiency at engaging with patients. Seeking opportunity for advancement in which can utilize knowledge and experience.

Overview

12
12
years of professional experience

Work History

Member Outreach Representative

ilumed
San Antonio, TX
01.2023 - Current
  • Initiated and developed meaningful relationship with POC for new market I was assigned.
  • Completed my market tasks in a timely manner and offer assistance to teammates.
  • Coordinate and troubleshoot member's transportation to doctor's appointments.
  • Thorough and detailed oriented, reviews other teammates documentation on BS to better understand each situation.
  • Displayed strong telephone etiquette, effectively handling difficult calls.

Bilingual Member Outreach Specialist

Conviva Care Solutions
San Antonio, TX
01.2018 - 01.2023
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues after hospitalizations.
  • Delivered information regarding care and medications to patients in comprehendible terminology.
  • Identified patient barriers to Medication Adherence by performing telephonic outreach and communicating appropriately with PCP office.

Patient Service Representative

Partners In Primary Care
San Antonio, TX
04.2017 - 10.2017
  • Scheduled patient appointment and procedures with ECW.
  • Checked daily doctor schedules and verified insurance.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Ran credit card batches and balanced deposits on a daily basis.

Physician Liaison

Maverick Home Health Agency
Eagle Pass, TX
02.2014 - 05.2016
  • Worked with agency staff, physicians, and other professional referral sources to ensure that patient services were delivered in a safe and effective manner.
  • Maintained an in-depth knowledge of the community, health care facilities, and referral sources appropriate for agency services.
  • Spent the majority of the time driving to physicians offices, dropping off goody bags, preparing and conducting lunch and learns.

HMO Claim Examiner/Data Entry

Maverick Home Health Agency
Eagle Pass, TX
01.2012 - 01.2014
  • Maintained quality and productivity standards as set by management.
  • Investigated questionable claims to determine payment authorization.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Education

Bachelor of Science - Nursing

University of the Incarnate Word
2006

Skills

  • Knowledge of medical terminology
  • Bilingual language proficiency (English/Spanish)
  • Attention to detail
  • Ability to exercise strict confidentiality in all matters
  • Self-motivated and able to work independently
  • Microsoft Office/Excel/PowerPoint proficient
  • Ability to maintain professional relationships with co-workers

References

Shad Kreidler

VP of Member Outreach at ilumed 

775 W Indantown Rd.

Jupiter, FL 33458

(800)481-8745

Kellie Tinoco, Clinic Administrator

Christus Health

600 N Union Avenue

New Braunfels, Texas 78130

(210)421-5172

Amanda Armstrong

Member Outreach Director

Conviva Care Solutions-Corporate

Cell: (863) 399-1316

Timeline

Member Outreach Representative

ilumed
01.2023 - Current

Bilingual Member Outreach Specialist

Conviva Care Solutions
01.2018 - 01.2023

Patient Service Representative

Partners In Primary Care
04.2017 - 10.2017

Physician Liaison

Maverick Home Health Agency
02.2014 - 05.2016

HMO Claim Examiner/Data Entry

Maverick Home Health Agency
01.2012 - 01.2014

Bachelor of Science - Nursing

University of the Incarnate Word

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Marisol Hinton