SINAI BALTAZAR
San Antonio,TX
Summary
Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. I am ready to bring your team 15 years of relevant work experience.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Patient Services Coordinator
WellMed
05.2018 - Current
- Prepare daily and monthly reports for management
- Audit the Notice of Medicare Non-Coverage (NOMNC)
- Prepares weekly reports including documentation for management regarding the status of Data Rap appointments and general patient information
- Oversees the membership report and ensures that information provided by the information technology department is updated on a bi-weekly basis to reflect all current patient data
- Coordinates initial patient contact and ensures patient eligibility to the clinic and verifies that the appropriate primary care physician is listed before setting up appointments
- Prepares and mails out new patient packets to include welcome letters, magnets, bios, and appointment confirmation dates
- Initiates Comfort Care appointments for patients as needed and troubleshoots problems that may arise between Comfort Care and the patient
- Completes a monthly membership report to review new members and to check for patients who are not reachable
- Coordinates with PHC customer service for patients that are not reachable as well as involving management to take the next steps to follow up with the patient
Bilingual Care Team Associate
WellMed
05.2016 - 05.2018
- Receives and responds to escalated Care Coordination inquiries from all communication venues: phone queue, portal, claim queue, department e-mail box, or fax
- Coordinates and assists in initial screening of complex case screening and UM requests via all communication venues; as well as administrative preparation for clinical staff
- Performs daily Inpatient Census reconciliation to include monitoring of UM concurrent in-patient cases in pending status to ensure adherence to CMS regulations
- Participates in market Patient Care Committees: prepares agenda and minutes
Coverage Determination Rep I Medix
CVS Caremark
02.2015 - 05.2016
- Processes 60+ electronic faxes daily at an average of 5 minutes per fax
- Determine Medicare D eligibility with Peoplesafe
- Utilized MEDHOK to process each fax accordingly and allocated it to the proper department
- Create cases for prior authorization approval of the requested supplies and medication
Medical Assistant
Rakesh Chopra MD INC
02.2013 - 02.2014
- Office Administration
- Greeted the patients, their family members, and other guests
- Assisted during minor surgery procedures
- Schedule patient appointments
Education
Bachelor of Social Work -
Our Lady of The Lake
08.2024
Skills
- Word
- Excel
- PowerPoint
- Outlook
- Patient confidentiality
- Teamwork
- Strong organization
- Punctual and hardworking
- Healthcare systems
- Problem-solving
Certification
Violence Prevention & Intervention Certificate
Languages
Spanish
Native or Bilingual
Timeline
Patient Services Coordinator
WellMed
05.2018 - Current
Bilingual Care Team Associate
WellMed
05.2016 - 05.2018
Coverage Determination Rep I Medix
CVS Caremark
02.2015 - 05.2016
Medical Assistant
Rakesh Chopra MD INC
02.2013 - 02.2014
Violence Prevention & Intervention Certificate
Bachelor of Social Work -
Our Lady of The Lake
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