Rosanna Maldonado
San Antonio,TX
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Pragmatic Insurance Verification Specialist toutin 8 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
14
14
years of professional experience
Work History
Verification Specialist
Baptist Imaging Center
10.2023 - Current
- Verified client information by analyzing existing evidence on file.
- Determined appropriateness of payers to protect organization and minimize risk.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Updated patient records with accurate, current insurance policy information.
- Established and maintained relationships with insurance providers for productive communications.
- Communicated verification and authorization status updates with the site that patient is scheduled to facilitate decision-making for patient admissions and insurance coverage.
Front Office Supervisor
Baptist Imaging Center
07.2016 - Current
- Coached employees through day-to-day work and complex problems.
- Set priorities and problem-solved workflow issues to maintain rapport with customers and managers.
- Dispersed petty cash to employees and collected and managed receipts.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Reviewed client and staff feedback and made appropriate business adjustments to meet needs and address concerns.
- Created, documented and updated company policies to guide front office personnel in service excellence and industry best practices.
Appointment Scheduler
San Antonio Sleep Centers
08.2014 - 07.2016
- Answered phone calls and answered questions from potential customers.
- Acted as first point of contact and set appointments for prospective clients.
- Handled complaints and questions, and re-directed calls to other team members.
- Generated department orders and accompanying documentation.
- Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
Trainer/Superivsor
Chick-fil-A
06.2009 - 07.2014
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Monitored and reported trainee progress, introducing new learning tools to address individual needs.
- Analyzed team performance and identified opportunities for additional training.
- Monitored participant workflow and behaviors throughout training process.
- Delivered instructional presentations on equipment use, focusing on efficiency and safety.
- Developed effective training plans based on department needs and objectives.
Education
Medical Office Specialist Certificate - Medical Office
Southern Careers Institute
238 SW Military Dr#10106.2014
Skills
- Data Entry and Review
- Eligibility Determination
- Insurance Coverage Verification
- Customer Relationship Management
- Coordination and Scheduling
- Documentation and Correspondence
Timeline
Verification Specialist
Baptist Imaging Center
10.2023 - Current
Front Office Supervisor
Baptist Imaging Center
07.2016 - Current
Appointment Scheduler
San Antonio Sleep Centers
08.2014 - 07.2016
Trainer/Superivsor
Chick-fil-A
06.2009 - 07.2014
Medical Office Specialist Certificate - Medical Office
Southern Careers Institute
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