Summary
Overview
Work History
Education
Skills
Timeline
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MIMI CRUZ

FINANCIAL COUNSELOR
El Cajon,CA

Summary

With a robust background at UCSD Medical Center, I excel in insurance verification and building professional relationships. Demonstrated success in enhancing patient care through effective communication and problem-solving, significantly improving workflow efficiency. Skilled in multitasking and organizing, my expertise supports superior patient counseling and service.

Overview

31
31
years of professional experience

Work History

Financial Counselor

UCSD Medical Center
05.2022 - Current
  • Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
  • Enhanced team communication by effectively relaying information between patients, family members, and healthcare providers.
  • Called patients to coordinate schedules and set appointments.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Handled assignments independently with good judgement and critical thinking skills.

Hospital Assistant

UCSD Medical Center
05.2009 - 05.2022
  • Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
  • Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
  • Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
  • Assisted in training new team members on company policies and procedures for handling authorization requests.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
  • Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.

Administrative Assistant

UCSD Medical Center
05.2007 - 05.2009
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Delivered excellent patient service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
  • Ensured accurate record-keeping with diligent data entry and database management for vital company information.
  • Supported doctors and staff through scheduling meetings, coordinating travel arrangements, and preparing crucial documents.

Medical Assistant

UCSD Medical Center
03.1999 - 05.2006
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
  • Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
  • Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
  • Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
  • Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
  • Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
  • Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.

Medical Assistant

Care VIew Medical Group
01.1994 - 03.1999
  • Worked with General Practice, Internal Medicine, and Gastroenterology Departments
  • Preparing charts for the day, checking in and checking out patients
  • Answering busy phone system, scheduling appointments, typing, filing, coordinating patient referrals, scheduling procedures at hospitals
  • Experienced in taking vital signs, charting chief complaints, EKG’s, administering injections and assisting in minor surgery procedures
  • 2 years experience exclusively working with GI doctor as Clinical and Surgical Coordinator/Medical Assistant
  • Medical Assistant for 3 years before advancing as Case Manage

Education

Medical Coding

UCSD Extended Studies
03-2015

Medical Coding Certificate

San Diego Mesa College
7250 Mesa College Drive San Diego, CA 92111
01-2011

Medical, Phlebotomy, Pharmacy And Lab Assistant

Cabot College
41 E 12th St National City, CA 91950
04-1993

High School Diploma -

Samuel B. Morse High School
6905 Skyline Dr, San Diego, CA 92114
06-1988

Skills

  • Insurance verification
  • Relationships and rapport
  • Cash flow management
  • Patient counseling
  • Telephone etiquette
  • Insurance planning
  • Professional relationship building
  • Customer service
  • Problem-solving
  • Multitasking and organization

Timeline

Financial Counselor

UCSD Medical Center
05.2022 - Current

Hospital Assistant

UCSD Medical Center
05.2009 - 05.2022

Administrative Assistant

UCSD Medical Center
05.2007 - 05.2009

Medical Assistant

UCSD Medical Center
03.1999 - 05.2006

Medical Assistant

Care VIew Medical Group
01.1994 - 03.1999

Medical Coding

UCSD Extended Studies

Medical Coding Certificate

San Diego Mesa College

Medical, Phlebotomy, Pharmacy And Lab Assistant

Cabot College

High School Diploma -

Samuel B. Morse High School
MIMI CRUZFINANCIAL COUNSELOR