Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Miriam M. Rios

San Juan

Summary

Motivated professional with strong organizational skills and a proven ability to multitask and prioritize workloads independently. Demonstrates effective collaboration with teams to drive company objectives and enhance productivity. Consistently delivers results under minimal supervision, contributing to overall success.

Overview

14
14
years of professional experience

Work History

Senior Population Health Coordinator

ASAS Health
07.2024 - 05.2025
  • Data Minding for Insurance
  • Data Entry
  • Knowledge of HEDIS Measures
  • Payor Portals

Care Coordinator, Manager

ASAS Health
02.2023 - 07.2024
  • 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 HEDIS Measures
  • Manage High Risk Patient
  • On- Call

Medical Assistant

ASAS Health
02.2011 - 03.2023
  • Medication Refills
  • Medication Prior Authorizations
  • Referrals
  • MRI/CT Prior Authorization
  • Insurance Peer to Peer
  • DME Prescription/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, TX

Medical Assist - undefined

Southern Careers Institute
06.2006

Skills

  • Case management
  • Documentation
  • Patient education
  • Organizational skills
  • Medical terminology understanding
  • Scheduling
  • Program Oversite
  • Schedule Management
  • Staff Supervision
  • Utilization Management
  • Customer Service
  • Clinical Documentation
  • Data Entry
  • Insurance Verification
  • Patient Care Coordination
  • Bilingual

Languages

Spanish
Full Professional
English
Full Professional

Timeline

Senior Population Health Coordinator

ASAS Health
07.2024 - 05.2025

Care Coordinator, Manager

ASAS Health
02.2023 - 07.2024

Medical Assistant

ASAS Health
02.2011 - 03.2023

Medical Assist - undefined

Southern Careers Institute

High School Diploma -

Sharyland High School

Similar Profiles

CREATE PROFILE