Mayra A Guzman
Chicago,IL
Summary
Dedicated healthcare professional with 13 years of progressive experience seeking a long term opportunity where I can apply my skills, take on new challenges, and continue building my career in healthcare.
Overview
11
11
years of professional experience
Work History
Referral Coordinator
Esperanza Health Centers
Chicago, Illinois
12.2025 - Current
- Coordinate adult specialty, diagnostic imaging, OB,and home hearth care referrals.
- Obtain prior authorizations, assist patients with scheduling, and manage referral changes and patient inquiries through the call queue.
- Tracked referral completion and followed up on provider recommendations to ensure continuity of care and improve patient outcomes.
- Access external hospital EMR systems to obtain consultation notes,medical records, and imaging reports.
Accounts Receivable Coordinator
Visualutions, INC
Chicago, Illinois
05.2024 - 11.2025
- Worked over 80 denied claims daily for Chicago area FQHC client, contracting payers researching details, submitting appeals, and resubmitting corrected claims.
- Handled insurance adjustments and write-offs following management guidelines.
- Responded to billing inquiries from 10 clinic locations within One business day, including patient balance disputes and account related questions.
Billing Coordinator
Esperanza Health Centers
Chicago, Illinois
10.2023 - 03.2024
- Submitted medical claims for more than 20 providers across pediatrics, adult medicine, behavioral health, wellness exams, and procedures.
- Collaborated with providers to ensure notes were completed and services were documented and billed accurately before claim submission.
- Assisted patients with billing questions, deductibles, out of pocket costs, and changes for self pay services.
- Posted insurance payments and reviewed accounts to ensure payments and patient balances were applied accurately.
Call Center Representative
Esperanza Health Centers
Chicago, Illinois
01.2023 - 10.2023
- Managed 90+ calls daily, scheduling and registering patients, verifying insurance eligibility, and addressing appointment related needs.
- Communicated patient concerns,paged on call clinicians for urgent matters, and facilitated provider-to-provider calls.
Surgical Scheduler Coordinator
Chicago Institute for Advanced Surgery
Chicago, Illinois
01.2016 - 09.2022
- Scheduled colorectal, breast, and general surgery procedures for five providers across multiple Chicago area hospitals.
- Provided patients with pre-and-post operative instructions, coordinated prescribed medications with pharmacies, and ensured required medical clearances were obtained before surgery.
- Obtained insurance prior authorizations and completed FMLA and short term disability documentation related to surgical care.
- Submitted medical claims for inpatient and outpatient surgical procedures
- Collected required deposits from patients with high deductibles or large outstanding balances.
Education
Diploma - Medical Insurance Billing Coding
Everest College
Skokie, IL04-2013
Timeline
Referral Coordinator
Esperanza Health Centers
12.2025 - Current
Accounts Receivable Coordinator
Visualutions, INC
05.2024 - 11.2025
Billing Coordinator
Esperanza Health Centers
10.2023 - 03.2024
Call Center Representative
Esperanza Health Centers
01.2023 - 10.2023
Surgical Scheduler Coordinator
Chicago Institute for Advanced Surgery
01.2016 - 09.2022
Diploma - Medical Insurance Billing Coding
Everest College