RACHEL MARIN
Fort Worth,TX
Summary
Detail oriented, conscientious self-starting individual with years of experience solving problems creatively and using tact and diplomacy to achieve win-win outcomes. Great team player who is comfortable thriving in competitive fast paced environment, seeking to gain solid foundation.
Overview
21
21
years of professional experience
Work History
Benefits Coordinator
Flower Mound Women’s Care
Flower Mound, TX
04.2021 - Current
- Authorization/Referral Submission
- Medical Benefit Verification Private/Medical/State Insurance for OBGYN procedures and surgeries
- Deductible/Co-insurance Collections
- Scheduling
- Dictation
- Medical Record Submission upon request
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
Front Desk Receptionist
Flower Mound Women's Care
Flower Mound, TX
08.2020 - 04.2021
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Managed multi-line phone system and pleasantly greeted patients.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Work daily reports as set by practice manager
- For non-insured patients, discuss established self-pay rate and collect monies
- Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone
Front Desk Receptionist/Scheduler
Green Oaks Physical Therapy
Fort Worth, Texas
04.2018 - 08.2020
- Verified patient eligibility and insurance status
- Scheduled patients for initial evaluation and future appointments
- Benefit eligibility verification
- Insured proper billing procedures we followed for Medicare, Medicaid and Private Insurances
- Handled office correspondence
- Entered new physician referrals
- Maintained medical charts and /or electronic medical records
- Submitted/Requested authorization
Operating Room Unit Clerk
Legent Hospital / Foundations Surgical Hospital
El Paso, Texas
- Enter charges in a medical management program (Heathland) for: Operating Room, Pre-op/Recovery, Endoscopy, Anesthesia and third party company Implant vendors
- Coordinates patient care as directed by physicians, company standards and policies
- Manage and stock supplies
- Answered phones, faxing, filling
- Assisted with special projects assigned by the Operating Room Director
- Maintain Files and Logs of Implants
- Patient whiteboard update
- Rooms patients accordingly
- Kept detailed records of office inventories and placed orders for more supplies
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
- Maintained office supplies inventory by checking stock and ordering new supplies as needed
- Located, checked in and pulled medical records
Supervisor/Trainer/QA
Readyone Industries
El Paso, Texas
04.2013 - 03.2018
- Supervise staff and monitor daily metrics for incoming and outgoing calls insuring that quality and client expectations are met in every call
- Administered motivational programs that include contest and incentives
- Charged with setting daily goals, and forecasting quotas for team to meet client expectations
- Responsible for creating and administering ongoing training programs for new and current employees
- Business development, prospect new business, and worked closely with the marketing team ensuring that this segment of business is a sustainable industry within the company
- Conduct meetings and board level presentations (i.e Board packet, A3, and daily staff meetings)
- Conduct interviews of prospective contact center representative's ensuring that company levels are incompliance with company needs
- In charge of verifying payroll, and employee schedules, as well as providing daily/monthly reports to clients for weekly invoice billing for service provided
Supervisor
Arcadian Health Plan
El Paso, Texas
01.2007 - 01.2013
- Supervise staff and monitor daily metrics for incoming and outgoing calls insuring that quality and client expectations are met in every call
- Administered motivational programs that include contest and incentives
- Filed Appeals and Grievances
- Lead HIPAA compliance training, Scheduling, Training and development
- Conflict resolution proficiency
- Comprehensive knowledge of Medicare and Medicaid regulations, processes and guidelines
- Eligibility and Benefit verification
- Medical Claim processing
- Processed medical authorizations
- Organized and hosted orientations/benefit functions
- Member Retention
Finance Assistant
Cardinal Health
El Paso, Texas
08.2006 - 12.2007
- Payroll (Kronos)
- Assisted with accounts receivable/payable,
- Organized meetings between international plants
- Maintained project timelines, managed the daily calendar, and maintained key relationships within the wide spectrum of staff and clients
- Managed administrative duties including the preparation of correspondence, to include preparation of routine and standardized letters, memos, reports, filing, photocopying, and answering phones as needed
- Planned, coordinated, and managed all functions including invitations, accommodations, site logistics, and catering services for all employee special events
Customer Service Representative
Automatic Data Processing (ADP), Adecco
10.2004 - 01.2006
- Researched and resolved all default notices and motions for judgments received in relation to court ordered garnishments
- Assisted clients by answering notices and judgment, provided timely and relevant information; developed expertise regarding applicable laws and regulations in different jurisdictions, including relevant federal legislation
- Provided ongoing support to Garnishment Services staff by responding to technical questions related to garnishment set-ups and client inquiries
Account Executive
Lofton Staffing Services
El Paso, Texas
10.2000 - 05.2004
- Responsible for all aspects of marketing and business development
- Contract preparation and negotiation
- Oversaw all aspects of business operations directly manage advertising, staffing, training, payroll, and sales efforts with an emphasis on new business development and customer relations
- Worked closely with and developing profitable relationships with area businesses; dealt with all escalated issues, overseeing daily processes to identify problems and implement corrective actions as needed to establish positive customer relationships
- Served as an employee resource for policies, communication changes, benefits administration
Education
Associate of Business Administration - Business Management
University of Phoenix
Santa Teresa, NMundefined
Del Valle High School
Skills
- Supervisor
- Bilingual
- Customer Relations/Support
- Payroll (Kronos)
- HealthLine (Patient Management Program)
- EClinical (Patient Management Program)
- Raintree (Patient Management Program)
- Unit Clerk (Surgery/OR)
- Medical (Appeal & Grievance)
- Medical Benefits Verification (OBGYN)
- Referral/Authorization Submission
- Medical Records
- Supply Replenishment
- Patient Referral
- Medical Authorizations
- Medical Records
- Instructor/Trainer
- Business Development
- Leadership/Management
- Manage multiple projects simultaneously
- Strong communication and interpersonal skills
- Contract preparation
- Customer service
- Scheduling
Timeline
Benefits Coordinator
Flower Mound Women’s Care
04.2021 - Current
Front Desk Receptionist
Flower Mound Women's Care
08.2020 - 04.2021
Front Desk Receptionist/Scheduler
Green Oaks Physical Therapy
04.2018 - 08.2020
Supervisor/Trainer/QA
Readyone Industries
04.2013 - 03.2018
Supervisor
Arcadian Health Plan
01.2007 - 01.2013
Finance Assistant
Cardinal Health
08.2006 - 12.2007
Customer Service Representative
Automatic Data Processing (ADP), Adecco
10.2004 - 01.2006
Account Executive
Lofton Staffing Services
10.2000 - 05.2004
Operating Room Unit Clerk
Legent Hospital / Foundations Surgical Hospital
Associate of Business Administration - Business Management
University of Phoenix
undefined
Del Valle High School
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