Samantha Segura
Houston,TX
Summary
Insurance professional known for delivering high-quality customer service and maintaining high standards. Possesses valuable experience in addressing client issues and providing reliable support. Consistently collaborates with team members to achieve positive outcomes and adapts to changing demands. Skilled in policy analysis, claims management, and fostering client relationships. Experienced with assisting clients in navigating insurance policies, authorizations, and claims. Utilizes communication and problem-solving skills to resolve customer issues efficiently. Track record of enhancing customer satisfaction through thorough policy understanding and effective support.
Overview
16
16
years of professional experience
Work History
Care Giver
Citizen Health Care
08.2024 - Current
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
- Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
- Performed light housekeeping duties to maintain cleanliness standards while respecting the patient''s personal space.
- Built strong relationships with clients to deliver emotional support and companionship.
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
- Maintained a safe and clean environment for patients, reducing risks and ensuring optimal health outcomes.
- Enhanced patient comfort by providing compassionate and attentive care, addressing individual needs and preferences.
- Contributed to a positive atmosphere for patients by using effective communication and active listening skills.
- Assisted clients with activities of daily living, promoting independence and quality of life.
National Certified Medical Assistant
Acess Health
04.2023 - 08.2023
- Improved patient care by efficiently managing medical records and maintaining accurate documentation.
- Contributed to team success with strong collaboration skills, assisting colleagues in various tasks when needed.
- Promoted health education by creating informative materials on common medical conditions and preventive measures for distribution to patients.
- Facilitated seamless communication between patients, healthcare providers, and insurance companies by acting as a liaison.
- Expedited processing of lab results by collecting specimens promptly and accurately following proper protocols.
- Supported clinical quality improvement efforts through diligent monitoring of vital signs during patient visits.
- Maintained strict compliance with HIPAA regulations to protect patient privacy and ensure confidentiality of sensitive information.
- Managed phone calls from patients seeking advice or follow-up care, providing accurate information and appropriate referrals when necessary.
- Streamlined office operations by managing inventory, ordering supplies, and maintaining organized workspaces for optimal performance.
- Assisted physicians during examinations, providing support for various procedures to ensure accuracy and safety.
- Provided exceptional customer service at the front desk – registering new patients, updating existing records and addressing inquiries.
Senior Intake Specialist
Cigna Health-Spring Medicare
11.2008 - 12.2021
- Collaborated with other departments to resolve complex cases efficiently, resulting in better outcomes for clients.
- Implemented a feedback system to continuously improve the intake process based on client needs and concerns.
- Enhanced client intake process by streamlining data collection and implementing efficient workflows.
- Developed strong partnerships with external organizations to expand referral networks and enhance service offerings for clients in need.
- Coordinated seamless transitions between intake and service delivery teams, minimizing disruption for clients.
- Obtained updated contact information from all subjects and verified data for accuracy.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Received 50+ calls per day from various medical entities to obtain medical authorizations.
Education
No Degree - Certified Medical Assistant
The College of Health Care Professions
TX02.2021
No Degree - Medical Billing And Coding With Sub-specialty
MTI College of Business And Technology
7277 Regency Square Houston Tx, 7703611.2008
GED -
Houston Community College
Houston, TX05.1995
Skills
- Respectful and compassionate
- Basic housekeeping
- Personal hygiene assistance
- Meal preparation
- Housekeeping tasks
- Documentation
- Spanish speaking and writing
- Compassion and empathy
- Active listening
Additional Information
Worked with Cigna Health-Spring, Gulf Quest, Renaissance IPA, and Medicare Plan
Timeline
Care Giver
Citizen Health Care
08.2024 - Current
National Certified Medical Assistant
Acess Health
04.2023 - 08.2023
Senior Intake Specialist
Cigna Health-Spring Medicare
11.2008 - 12.2021
No Degree - Certified Medical Assistant
The College of Health Care Professions
No Degree - Medical Billing And Coding With Sub-specialty
MTI College of Business And Technology
GED -
Houston Community College
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