Moraima Cruz Gonzalez
Rose International Staffing, Client United Health Group
Griffin,GA
40
years of professional experience
To find a job that my qualifications are of valued. Also, looking forward in making a change, for a new challenging career. Gap in work experience due to medical issues, stay home mom and moved out of state.
Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring 21+ years of relevant work experience to your team.
Work History
Patient Access Representative
2 Months- Ensured accurate verification of insurance information for timely patient access.
- Assisted patients in navigating healthcare services, promoting a positive experience.
- Coordinated with clinical staff to streamline appointment scheduling and resource allocation.
- Implemented process improvements that reduced wait times for patient registration.
- Led initiatives to enhance data accuracy in electronic health records, ensuring compliance with regulations.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Enhanced departmental collaboration by regularly liaising with medical, nursing, and administrative staff on pertinent patient matters.
- Enhanced data accuracy with meticulous verification of patient information and insurance details.
Data Entry in Licensing and Contracting
4 Months- Accurately input data into Excel spreadsheets.
- Maintain data integrity by reviewing and verifying information.
- Collaborate with office staff to ensure timely completion of tasks.
- Stay connected via video throughout the shift to support team communication.
- Meet deadlines and ensure high levels of productivity.
- Proficiency in Excel spreadsheets.
- Strong attention to detail and accuracy in data entry.
- Ability to stay on video for the entire shift for seamless communication.
- Fluent in Spanish and English.
- Ability to work remotely and meet deadlines.
- Previous experience in data entry.
- Reason for leaving: Was laid off due to company lost contract with client.
Bilingual Healthcare Call Center Representative
5 Months- Received incoming calls, for a client in Chicago, for appointments.
- Inputting patient demographic, insurance information.
- Scheduled them with the appropriate departments.
- Informing them of set appointments and any requirements needed.
- Interact with other coworker, attend workshop and meetings.
- Answer all phone calls in a positive and service-minded manner relating to scheduling, patient accounts, or general office information.
- Consistently process requests with operational accuracy.
- Schedule, change, or cancel appointments; demonstrate active listening to identify the patient's needs.
- Effectively communicate appointment details to the patient.
- Obtain accurate and complete patient demographic and insurance information.
- Answer questions about patient accounts (self-pay, insurance pending, balances after insurance, etc.).
- Provide clear, thorough, and accurate documentation of all interactions with patients and other individuals on behalf of patients, in the patient's electronic health records.
- Follow organizational guidelines on the use of the Electronic Medical Record (EMR) in compliance with HIPAA and patient confidentiality standards.
- Ability to manage telephone calls, emails, and chat sessions.
- Weekend availability required.
- Other duties as assigned.
- Fully bilingual, English/Spanish
- Used Paycor to monitor my worktime.
- Experience working with or in a fast-paced, high-growth call center operation; remote call center experience.
- Working knowledge of medical office workflow.
- Working knowledge of insurance eligibility.
- Ability to read, understand and interpret insurance Explanations of Benefits.
- Experienced in medical or health insurance.
- Excellent telephone etiquette.
- Skilled in basic computer operations and EMR.
Lead Scheduling Coordinator for Home healthcare department
20 Years 2 Months- Lead scheduler for the Home Healthcare Dept.
- Schedule RN, Therapy Dept. HHA, Tele-med setups, to patients that are being discharged from the hospital.
- Assure all documentation are turned in a timely matter.
- Supervised two other schedulers.
- Making sure that all patients are covered.
- Generated payroll reports.
- Covered the HR dept. in payroll using the Kronos program.
- Worked in medical records dept., admission, billing/medical coding and receptionist.
- Was the liaison between the administration and field staff.
- Started in the emergency room dept. as an ER clerk, registered patients and verified their insurance coverage, collecting copayments. Posting diagnosis on the daily log.
- Worked for the Diagnostic Center for women, registered and discharged patients, medical records, collections of copayments of self-pay office visits, insurance pre-authorization for all schedule patients.
- In the billing department, electronically verified Medicare patients also private insurance and contracted companies.
- Followed up on outstanding accounts from insurance companies and patients, collections, posting payments.
- Customer service with an excellent outcome.
Administrative Assistant
7 Years- Was the Administrative assistant to the Director.
- Kept files of all registered children up to date.
- Liaison between the teacher and the Director.
- Did the intake of all new registered children.
- Collected payments from parents and made sure all the bookkeeping and cash were in order.
- Scheduled workshops for Teachers CEU's.
- Covered for the cook when shorthanded.
Education
Associates of Science Degree - Medical Billing & Coding
Certification - Secretarial/Clerical duties
High school diploma - Business, bookkeeping, typing, transcription and General Studies
Skills
Medical Receptionist
Adobe Acrobat
Intake Customers support (10+ years)
Cisco Finesse
Epic
Microsoft Excel
Bilingual- English/Spanish
Transcription Medical
Multi-line phone systems
Computer literacy
Home Healthcare
Records management
Windows
Accounting
Microsoft Word/Edge
Patient service
Clerical Experience
Communication skills
Phone etiquette
Documentation review
Data Entry
Medical Billing
Office experience
Scheduling
Customer service
Insurance Verification
Editing
OSHA
HIPAA compliance
Patient registration
Patient check-in
Multitasking and organization
Appointment scheduling
Strong empathy
Problem-solving
Team collaboration
Quality assurance
Relationship building
Flexible schedule
Eligibility determination
Conflict resolution
Payment processing
Patient education
Registration management
Work quality evaluation
Call screening
Team leadership
Paging systems
Friendly and outgoing
Verbal and written communication
Data entry
Policy understanding
Attention to detail
Calm and effective under pressure
Punctual and hardworking
Administrative and office support
Resolving problems
Reliability and dedication
Providing information and resources
Familiar with software: Calabrio
Kronos
Citrix
Cisco Jabber
HealthWyse
Languages
English, Fluent
Spanish, Fluent
Timeline
Patient Access Representative
Rose International Staffing, Client United Health Group
04.2026 - 06.2026Read More
Data Entry in Licensing and Contracting
America Health Market Place
09.2024 - 01.2025Read More
Bilingual Healthcare Call Center Representative
EqualizeRCM Services
07.2023 - 12.2023Read More
Lead Scheduling Coordinator for Home healthcare department
Baptist Health South Florida
01.1994 - 03.2014Read More
Administrative Assistant
Holyoke Day Center
08.1986 - 08.1993Read More
Holyoke High School
High school diploma from Business, bookkeeping, typing, transcription and General Studies
Read More
Westover Job Corp
Certification from Secretarial/Clerical duties
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Anthem College
Associates of Science Degree from Medical Billing & Coding
Read More