Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

SONIA M. ISAAC

San Antonio,Tx

Summary

Highly productive and efficient Bilingual Patient Benefits Coordinator with expertise in insurance verification, patient advocacy, and healthcare policy interpretation. Skilled in communication, empathy, and problem-solving to optimize patient satisfaction and streamline benefits coordination processes.

Overview

33
33
years of professional experience

Work History

Benefits and Eligibility Coordinator

UT Health Science Center Psychiatry
San Antonio, Texas
09.2020 - Current
  • Verifies insurance information for all patients
  • Obtains authorizations or referrals
  • Serves as an insurance resource to clinical staff and patients
  • Contact patients regarding co-payments, co-insurance, and existing balances
  • Telephone triage and managing of patient appointments in EPIC
  • Assist with patient de-escalation scenarios
  • Interpreted and explained work procedures and policies to new hires

UM Administration Coordinator II

Humana Inc.
San Antonio, Tx.
10.1996 - 01.2020
  • Successfully managed 40 to 60 inbound phone calls from members and providers.
  • Supported daily operations of Global UM Administration Team/Clinical Intake through associate, member, provider, and vendor engagement
  • 95% of authorization decisions completed within mandated timeframes.
  • Maintained current knowledge base of UM process and timeliness.
  • Performed in a call center environment, by appropriately processing and triaging phone calls from members and providers.
  • Complied with Humana Ethics and HIPAA confidentiality standards to protect the confidentiality of member data.
  • Successfully trained 153 Clinical Intake Associates in Humana's Authorization system, Clinical Guidance Exchange.
  • Served as technical support for Clinical Guidance Exchange, Availity, Humana's Integrated Voice Response System, and Softphone by triaging and troubleshooting all reported system issues.
  • Served as a liaison and subject matter expert for Humana IT teams and Clinical Intake.
  • Maintained confidentiality of sensitive information at all times.

Patient Service Coordinator

Westlakes Health Center
San Antonio, Tx.
10.1993 - 06.1996
  • Accountable for Patient Registration according to Primary Care Physician schedules
  • Insurance Verification
  • Collection of insurance co-payment
  • Billing and Coding
  • Triaged patient phone calls

Patient Service Coordinator

Women's and Children's Hospital
San Antonio, Tx.
06.1992 - 10.1993
  • Registered inpatient and outpatient admissions
  • Insurance Verification for all scheduled admissions
  • Collected co-payments and deductibles
  • Medicaid Verification via Meditech
  • Emergency Room Admissions Clerk
  • Labor and Delivery Clerk

Education

Certificate of Technical Studies - Community Health

Northwest Vista College
San Antonio, TX
12-2025

Certificate of Technical Studies - OFFICE ADMINISTRATION

San Antonio College of Medical And Dental
San Antonio, TX
11.1993

High School Diploma -

San Benito High School
San Benito, TX
06.1991

Skills

  • Epic Hyperspace
  • Cadence Scheduling
  • Microsoft Word
  • Microsoft Outlook
  • OneNote
  • Self-starter
  • Task Prioritization
  • Problem solver
  • Proactive
  • Driven/dedicated
  • Cross-Functional Teamwork
  • HIPAA Compliance

Languages

English
Professional
Spanish
Professional

Timeline

Benefits and Eligibility Coordinator

UT Health Science Center Psychiatry
09.2020 - Current

UM Administration Coordinator II

Humana Inc.
10.1996 - 01.2020

Patient Service Coordinator

Westlakes Health Center
10.1993 - 06.1996

Patient Service Coordinator

Women's and Children's Hospital
06.1992 - 10.1993

Certificate of Technical Studies - Community Health

Northwest Vista College

Certificate of Technical Studies - OFFICE ADMINISTRATION

San Antonio College of Medical And Dental

High School Diploma -

San Benito High School

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