Miriam M Rios
San Juan,TX
Summary
Highly motivated, hardworking, passionate with organizational levels. Multitasks and prioritizes workloads with little or no supervision. Collaborates with team to achieve company goals.
Overview
13
13
years of professional experience
Work History
Care Coordinator, Manager
ASAS Health
02.2023 - Current
- Time Sheet Management
- Care Coordinator Schedules
- Evaluations
- Payor Meetings
- Travel for on-site Visits
- Data Minding for Insurance
- Collaboration with Physicians
- Collaboration with Practice Managers
- Point of Contact for Insurance
- Home Health Evaluation
- Home Health Referrals
- Chart Prep
- Knowledge of HEIDS Measures
- Manage High Risk Patient
Medical Assistant
ASAS Health
04.2011 - 02.2023
- Medication Refills
- Medication Prior Authorizations
- Referrals
- MRI/CT Prior Authorization
- Insurance Peer to Peer
- DME Prescriptions/Referrals
- Hospice/Palliative Referrals
- Home Health Referrals
- Home Health Evaluations
- MA's Management
- Floor Triage
- Hospital Records Retrieval
- Medical Records
- Chart Prep
- Knowledge of HEDIS Measures
- Insurance Portals
- TRC Documentation
- TRC Scheduling
- Front Desk Duties
Education
High School Diploma -
Sharyland High School
Mission, TX06.2006
Medical Assist
Southern Careers Institute Inc
Pharr, TXSkills
- Case Management
- Documentation
- Patient Education
- Organizational Skills
- Medical terminology understanding
- Scheduling
- Program Oversight
- Schedule Management
- Risk Management
- Staff Supervision
- Utilization Management
- HIPAA Compliance
- Patient Scheduling
- Customer Service
- Medical terminology knowledge
- EMR / EHR
- Clinical Documentation
- Data Entry
- Insurance Verification
- Patient Care Coordination
- Fluent in Spanish and English
Timeline
Care Coordinator, Manager
ASAS Health
02.2023 - Current
Medical Assistant
ASAS Health
04.2011 - 02.2023
High School Diploma -
Sharyland High School
Medical Assist
Southern Careers Institute Inc