Valeria Salcedo
El Paso,TX
Summary
Committed social and community service manager with proven experience in developing and implementing programs that serve diverse communities. Skilled in team leadership, strategic planning, and stakeholder engagement, ensuring projects meet both community needs and organizational goals. Successfully increased community participation and support through effective outreach, collaboration, and innovative solutions to complex social issues.
Overview
11
11
years of professional experience
Work History
Patient Representative
HCA
El Paso, TX
02.2024 - Current
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
- Performed data entry tasks for patient information into electronic health record systems.
- Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
- Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
Care Management Support Coordinator II
Centene
07.2023 - Current
- Inbound/outbound calls.
- Handled sensitive information with discretion, maintaining confidentiality and compliance with relevant laws and policies.
- Created individualized service plans that addressed each client's unique needs and goals.
- Completed assessments of client needs and preferences.
- Create referrals for members who accepted case management.
- Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs.
- Support members' onboarding and day-to-day administrative duties, including sending out welcome letters and related correspondence, including education information.
Authorization Coordinator
El Paso Children's Hospital
El Paso, TX
01.2021 - 06.2023
- Collaborated with other departments within the organization to ensure timely completion of authorizations.
- Updated spreadsheets and other document filing systems.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data, and input changes into the company computer system.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers. Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Communicated with the insurance carrier, the patient, and the third party or employer to verify the patient's insurance benefits. Entered data in the EMR database to record the payer, authorization requirements, and coverage limitations.
- Maintained accurate documentation on all pre-authorization requests, denials, and appeals.
- Developed a working knowledge of insurance plans, PPOs, HMOs, and Medicaid regulations and requirements.
- Checked documentation for appropriate coding, catching errors, and making revisions. Reviewed medical records to ensure the accuracy of the required information needed for pre-authorization requests.
- Generated reports detailing trends of inpatient and observation.
- Obtain hematology, inpatient, observation pre-authorization requests.
Patient Access Representative
The Hospitals of Providence
Horizon City, TX
06.2017 - 08.2021
- Assisted with registering incoming ER patients into the computer system.
- Performed administrative tasks such as filing documents, scanning charts, photocopying forms.
- Maintained confidentiality of all medical records in accordance with HIPAA regulations.
- Answered telephones and directed calls to the appropriate medical or administrative staff.
- Processed paperwork for discharges, transfers, and authorizations.
- Verified demographics and insurance information to register patients in computer system.
Administrative Assistant
Neighbors Emergency Room
El Paso, TX
06.2016 - 10.2019
- Managed office supplies inventory and placed orders when necessary.
- Kept office equipment functional and supplies well-stocked to promote efficient operations.
- Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Applied HIPAA privacy and security regulations while handling patient information.
Front Desk Receptionist
Star Kids - Pediatric Dentistry
El Paso, TX
09.2013 - 05.2015
- Implemented infection control measures in accordance with OSHA guidelines and dental practice standards.
- Monitored patient progress through follow-up visits and adjustments of treatment plans.
- Managed the scheduling of appointments to maximize efficiency and patient satisfaction.
- Provided support to guests with check-in and check-out procedures.
- Processed payments, cashiering duties and credit card transactions accurately.
- Calling patients to confirm appointments.
- Collected information from patients, parents and guardians about dental care and issues of concern.
- Scheduled follow-up appointments to monitor progress of treatments or surgeries performed.
Education
Select One - Medical Billing/ Coding
Kaplan Collage
2012
High School Diploma -
Socorro High School
2008
Skills
- Analytics skills
- Registration services
- Insurance verification
- Clinical data entry
- Scheduling appointments
- Customer service
Timeline
Patient Representative
HCA
02.2024 - Current
Care Management Support Coordinator II
Centene
07.2023 - Current
Authorization Coordinator
El Paso Children's Hospital
01.2021 - 06.2023
Patient Access Representative
The Hospitals of Providence
06.2017 - 08.2021
Administrative Assistant
Neighbors Emergency Room
06.2016 - 10.2019
Front Desk Receptionist
Star Kids - Pediatric Dentistry
09.2013 - 05.2015
Select One - Medical Billing/ Coding
Kaplan Collage
High School Diploma -
Socorro High School