Rosa Alford
Houston,Tx
Summary
Professional in healthcare with solid experience in clinical and administrative duties. Skilled in patient care, medical procedures, and electronic health records. Strong focus on teamwork, adaptability, and delivering high-quality results. Reliable in fast-paced environments and adept at supporting medical staff and patients effectively.
Overview
5
5
years of professional experience
Work History
Medical Assistant
Compassionate Care Home Health Services
Houston, TX
09.2025 - Current
- Provided direct patient care, ensuring comfort and safety during medical procedures.
- Coordinated patient scheduling and follow-up appointments to optimize service delivery.
- Administered medications and monitored patient responses, maintaining accurate records.
Medical Claims Processor
Health Matching Account Services
11.2024 - 09.2025
- Processing medical claims Medicare, out of network, copayment, vision, dental, for payment to the providers and members by reviewing EOB and statements, proof of payment submitted by the members for reimbursement communication with doctors office and third parties to obtain any documents required to process claims running morning reports of claims that have been submitted monitoring members HMA health care balance so all claims request can be processed
Insurance Verification Specialist
Inception Infertility
04.2022 - 11.2024
- Check patient eligibility and insurance benefits via online payer portals made calls to insurance companies to obtain pre-authorization for services. Communication with internal patient financial services staff on the responsibility of patient deductible, copay, coinsurance
Senior Claims Processor
PFS Group
09.2020 - 04.2022
- Follow up on insurance claims denials appeals communication with insurance to resolution on rejection on claims appeals setting payment plans with patient on balance after insurance!
Education
CMA -
Northwest Educational Center
Houston, TX09-2025
Pharmacy Technician -
Sanford Brown Institute
06-2007
IV Certification - undefined
U of H
10-2006
Skills
- Bilingual
- Medical Billing
- Microsoft 365
- Claims Processor
- Insurance Verification
- Patient Care
- EHR
- IV Mixing and Compounding
- HIPAA compliance
- Patient scheduling
- Customer service
- Medical terminology knowledge
- Vital signs monitoring
- Data entry
- Immunization administration
- Specimens collection and processing
- Patient assessments
- Laboratory specimen collection
- Professionalism and ethics
- Maintaining confidentiality
- Compassionate caregiver
Languages
Spanish
Professional Working
Timeline
Medical Assistant
Compassionate Care Home Health Services
09.2025 - Current
Medical Claims Processor
Health Matching Account Services
11.2024 - 09.2025
Insurance Verification Specialist
Inception Infertility
04.2022 - 11.2024
Senior Claims Processor
PFS Group
09.2020 - 04.2022
IV Certification - undefined
U of H
CMA -
Northwest Educational Center
Pharmacy Technician -
Sanford Brown Institute