Theresa Renteria
Ruidoso Downs
Summary
Personable Administrative Professional experienced in fostering positive relationships with clients, staff, and management. Delivered exceptional support in high-volume office environments through advanced communication, problem-solving, and resource management skills. Maintained confidentiality of sensitive patient data while effectively navigating insurance verification processes and building strong client relationships.
Overview
8
8
years of professional experience
Work History
Pre-Registration/Insurance Verification Specialist
Presbyterian Hospita LCMC
Ruidoso
07.2024 - Current
- Communicated with insurance companies to resolve verification issues.
- Verified patient insurance information for accuracy and completeness.
- Processed pre-authorization requests for medical services and procedures.
- Educated patients on insurance coverage and benefits during registration.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
Registrar 1
Presbyterian Hospita LCMC
Ruidoso
07.2024 - Current
- Registered patients for diagnostic appointments, surgeries and medical consultations using electronic health record system.
- Verified patient eligibility for services through online systems and direct communication with insurance companies, ensuring timely access to care.
- Contacted insurance carriers to verify coverage, copays and deductible information for patients.
- Reviewed patient information and ensured accuracy of demographic data to facilitate patient registration.
- Entered all patient information into the registration system accurately and efficiently.
- Provided exceptional customer service by addressing patient concerns promptly and professionally.
- Utilized knowledge of Medicare and Medicaid regulations to ensure compliance with billing practices.
- Registered patients for outpatient procedures in a fast-paced environment.
Health Care Aide
Consumer Direct Personal Care Services
Roswell
01.2020 - 04.2024
- Provided assistance to patients with activities of daily living such as bathing, dressing, grooming and eating.
- Coordinated implementation of individualized care plans in collaboration with registered nurse or physician.
- Administered medication and treatments as prescribed by medical staff.
- Documented and communicated changes or concerns to supervising nurse or physician in a timely manner.
- Communicated effectively with patients, families, physicians and other healthcare professionals.
- Supported patients in maintaining independence while providing necessary assistance and encouragement.
- Maintained a clean and safe environment for all patients according to health regulations standards.
- Transported patients to appointments using wheelchairs or strhers when necessary.
- Maintained a clean and well-organized environment for client happiness and safety.
Administrative Assistant
City of Ruidoso Downs Public Works
Ruidoso Downs
06.2023 - 12.2023
- Provided administrative support to the executive team, including scheduling meetings and managing calendars.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Composed letters, memos, reports, emails, and presentations for management staff.
- Managed incoming calls, providing information and directing inquiries to appropriate personnel to ensure effective communication.
- Ensured efficient operation of office equipment such as printers, copiers and fax machines.
- Assisted in planning special events by coordinating catering, securing venues, and ordering promotional materials to enhance event success.
- Entered data into spreadsheets using Microsoft Excel or other similar programs.
- Updated contact lists regularly when changes occur in employee status or contact information.
- Handled confidential documents in an organized fashion according to established protocol.
Customer Service Representative
La Quinta
Ruidoso Downs
01.2018 - 12.2020
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Answered customer inquiries and provided accurate information regarding products and services.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Built strong customer relationships through personalized assistance and ongoing support.
- Identified improvement areas in customer service processes and proposed actionable changes.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Education
High School Diploma -
Penn Foster Career School
Scranton, PASome College (No Degree) - Phlebotomist
Eastern New Mexico University Ruidoso
Ruidoso, New MexicoSome College (No Degree) - Certified CNA
Eastern New Mexico University
Ruidoso, NMSkills
- Eligibility Verification
- Authorization Management
- Electronic Health Records
- Patient Intake Management
- Patient Account Coordination
- Claims Processing
- Workflow Optimization
- Insurance Coverage Analysis
- Accuracy Focus
- Analytical Thinking
- Prioritization
- Task Coordination
- Customer Service
- Patient Follow-up
- Patient Relations
- Payroll administration
- Healthcare Administration
- Insurance Coverage Analysis
Timeline
Pre-Registration/Insurance Verification Specialist
Presbyterian Hospita LCMC
07.2024 - Current
Registrar 1
Presbyterian Hospita LCMC
07.2024 - Current
Administrative Assistant
City of Ruidoso Downs Public Works
06.2023 - 12.2023
Health Care Aide
Consumer Direct Personal Care Services
01.2020 - 04.2024
Customer Service Representative
La Quinta
01.2018 - 12.2020
High School Diploma -
Penn Foster Career School
Some College (No Degree) - Phlebotomist
Eastern New Mexico University Ruidoso
Some College (No Degree) - Certified CNA
Eastern New Mexico University